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: RIVERSIDE MEDICAL CENTER | Establishment #: KK167 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT: 400 | Heat: 180F °F |
CFPM Verification (name, ID#, expiration date): | |||
JENNIFER JORDAN 2889732 10/10/2028 |
TRACI DEBOER 3010137 04/08/2028 |
GABRIEL POWER 23046118 12/23/2027 |
DAVID MEISSEN 3089604 12/04/2028 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/cres cor warmer | 160.00°F | beef/clr 1 | 39.00°F | chicken/delfield xl | 39.00°F |
cut pineapple/clr 3 | 40.00°F | /clr 2 | 40.00°F | /fzr 1 | -10.00°F |
/fzr 2 | -10.00°F | /ref 132 | 39.00°F | /ref 115 | 40.00°F |
/continental cooler | 40.00°F | stuffing and soup/warming table - kitchen | 169.00°F | /victory cooler | 40.00°F |
/peter-bilt | -1.00°F | chicken/cafeteria - entrees | 160.00°F | cut tomatoes/cafeteria - grill - ice bath container | 40.00°F |
chicken/cafeteria - cooler compartment | 40.00°F | /cafeteria - grill - freezer compartment | -1.00°F | chicken, chicken tenders, beef patties/cafeteria - grill - warmer/grill | 145.00°F |
ham slices/cafeteria - deli - prep station | 40.00°F | /cafeteria - deli - cooler compartment | 40.00°F | calzones/warming station | 145.00°F |
calzone/cooked in oven | 190.00°F | ham cubes, and fruit slices/cafeteria - salad bar | 41.00°F | soup/cafeteria - soup - self service | 170.00°F |
/coffee stand mini coolers (2x) and stand-up cooler | 39.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
48 | PF |
4-302.14: A test kit or other device that accurately measures the concentration in MG/L of SANITIZING solutions shall be provided. quat test strips not available at the dishwashing station located within the kitchen area. - COS (Correct By: Jun 2, 2022) |
HACCP Topic: PROPER REHEATING PROCEDURES: REHEAT TO 165F (MINIMUM) AND ONLY REHEATED ONE TIME. |
Person In ChargeKIMBERLY DOGGETT |
Date:05/09/2022 |
InspectorAlan Hatia |
Follow-up: Yes No Follow-up Date: |