Food Establishment Inspection Report |
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FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
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GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: KING MIDDLE GRADE SCHOOL | Establishment #: KK105 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
SUPREMA DIVELEY 20898245 08/13/2026 |
JAMIE TAYLOR 25979614 07/23/2029 |
TANYA CLOONEN 26646986 12/10/2029 |
ERICKA DUARTE 1BH378-JKH6DG1 12/18/2028 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
milk/milk cooler 1 | 37.00°F | choc milk/milk cooler 2 | 38.00°F | oranges/2-door stainless | 40.00°F |
applesauce/walk-in | 38.00°F | noodles/steam table | 140.00°F | meat balls/hot box | 135.00°F |
all/all units | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
38 | C |
6-501.111 (A) (B) (D): The PREMISES shall be maintained free of insects, rodents, and other pests. The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the PREMISES by:
(A) Routinely inspecting incoming shipments of FOOD and supplies;
(B) Routinely inspecting the PREMISES for evidence of pests;
(D) Eliminating harborage conditions. Observed rodent droppings in the storeroom along floor to wall junctions. Correct, clean and maintain for next routine inspection. |
56 | C |
6-501.14: (A) Intake and exhaust air ducts shall be cleaned and filters changed so they are not a source of contamination by dust, dirt, and other materials.
(B) If vented to the outside, ventilation systems may not create a public health HAZARD or nuisance or unLAWful discharge. Observed dirt and debris on the exhaust fan open to the outside near walk-in cooler. Clean and maintain for next routine inspection. Repeat |
Inspection Comments |
STAFF WEARING MASKS.
STILL GRAB AND LEAVE ON BUSES. LAST GROUP LEAVES AT ONE. |
HACCP Topic: PROPER HOT HOLDING TEMP. |
Person In ChargeINEZ |
Date:01/27/2021 |
InspectorJulie Larsen |
Follow-up: Yes No Follow-up Date: |