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: ST. ANNE GRADE SCHOOL CCSD 256 | Establishment #: SA017 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 100 | Heat: 165 °F |
CFPM Verification (name, ID#, expiration date): | |||
SAMANTHA L. DENAULT 25260046 02/22/2029 |
GAIL M. SALM 21684279 06/03/2025 |
ELIZABETH STATLER 25260083 02/22/2029 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Sauce/Stand up cooler | 37.00°F | /Milk cooler | 37.00°F | /Walk-in cooler | 36.00°F |
/Freezer | 0.00°F | /3 chest freezers | 0.00°F | /Walk-in freezer | 0.00°F |
French fries/Service line | 141.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
10 | PF |
5-205.11 (A): (A) A HANDWASHING SINK shall be maintained so that it is accessible at all times for EMPLOYEE use. The hand washing sink is still leaking from the faucet. It has been turned off and hand washing is occurring at the two-compartment sink. Repair the hand washing sink and resume hand washing at the correct sink. - (Correct By: Feb 1, 2022) |
39 | C |
3-305.11 (A) (B) (C):
(A) Except as specified in ¶¶ (B) and (C) of this section, FOOD shall be protected from contamination by storing the FOOD:
(1) In a clean, dry location;
(2) Where it is not exposed to splash, dust, or other contamination; and
(3) At least 15 cm (6 inches) above the floor.
(B) FOOD in packages and working containers may be stored less than 15 cm (6 inches) above the floor on case lot handling EQUIPMENT as specified under § 4-204.122.
(C) Pressurized BEVERAGE containers, cased FOOD in waterproof containers such as bottles or cans, and milk containers in plastic crates may be stored on a floor that is clean and not exposed to floor moisture. Cases of food were stacked on the floor in the walk-in freezer. Store all food 6" above the floor and maintain by the next routine inspection. |
41 | C |
3-304.14 (B)(1)(2): (B) Cloths in-use for wiping counters and other EQUIPMENT surfaces shall be: (1) Held between uses in a chemical sanitizer solution at a concentration specified under § 4-501.114; and (2) Laundered daily as specified under ¶ 4-802.11(D). The concentration of the chlorine sanitizer solution held at the 2-compartment sink was too low. Use test strips to confirm the sanitizer concentration and maintain by the next routine inspection. COS |
HACCP Topic: PROPER HAND WASHING AND USING THE CORRECT HAND WASHING SINK. |
Person In ChargeBETSY STATLER |
Date:01/20/2022 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date:01/20/2022 |