Food Establishment Inspection Report |
||||||||||||||||||||||||||
Page 1 of ????????? | ||||||||||||||||||||||||||
|
|
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. |
|
|
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 |
|
|
IOCI 17-356
![]() |
Food Establishment Inspection Report |
|
Page 2 of ?????? | |
Establishments: GRANT PARK ELEMENTARY SCHOOL | Establishment #: GP005 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: CHLORINE 100 °F |
CFPM Verification (name, ID#, expiration date): | |||
AMY BETTEHAUSEN 989420 10/12/2026 |
KARRI L. BARRERA 24456576 08/26/2028 |
01/01/1900 |
|
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
cheese | 41.00°F | tator tots | 200.00°F | pizza | 0.00°F |
carrots | 0.00°F | bread | 0.00°F | milk | 40.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
16 | P |
4-501.114 (A): (A) A chemical SANITIZER used in a SANITIZING solution for a manual or mechanical operation at contact times specified under ¶4-703.11(C) shall meet the criteria specified under §7-204.11 Sanitizers, Criteria, shall be used in accordance with the EPA- registered label use instructions, and shall be used as follows: (A) A chlorine solution shall have a minimum temperature based on the concentration and pH of the solution as listed in the following chart in the Food Code. Dishwasher sanitizer was not dispensing during the cycle. After checking the line, it had some debris blocking the nozzle opening. Ensure that the dishwasher is checked and tested every time before use. - COS (Correct By: Jan 19, 2022) |
28 | PF |
7-102.11: Working containers used for storing POISONOUS OR TOXIC MATERIALS such as cleaners and SANITIZERS taken from bulk supplies shall be clearly and individually identified with the common name of the material. Spray bottle was filled with some chemical and not labeled. Provide for all chemicals to be labeled. - COS (Correct By: Jan 19, 2022) |
HACCP Topic: PROPER DISH WASHING PRACTICES. |
Person In ChargeKERRI |
Date:01/19/2022 |
InspectorAngela Colon |
Follow-up: Yes No Follow-up Date: |