Page 1 of 2

    Food Service Establishment
X Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
Establishment #   MA042  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CVS/PHARMACY #10680 Address  47 S LOCUST
Owner or Operator   HIGHLAND PARK CVS, LLC City   MANTENO Zip Code   60950
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
Pre-flushed, scraped, soaked
34
 
1
Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
 
5
Source, Wholesome, No Spoilage
19
 
2
Wash, rinse after: clean, proper temperature
2
 
1
Original Container, Properly Labeled
*20
 
4
Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
 
4
Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
 
5
Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
 
1
Wiping cloths: clean, use restricted
22
 
2
Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
1
Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
 
4
Facilities to maintain product temperature
23
X
1
Non-food contact surfaces of equipment and utensils clean
5
X
1
Thermometers provided and conspicuous
37
 
1
Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
Potentially hazardous food properly thawed
24
 
1
Storage, handling of clean equipment utensils
*7
X
4
Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
 
1
Single-service articles, storage, dispensing  
LIGHTING
26
 
2
No re-use of single-service articles
38
X
1
Lighting provided as required - Fixtures shielded
8
X
2
Food protection during storage, preparation, display, service and transportation  
WATER
 
VENTILATION
*27
 
5
Water source, safe: Hot and cold under pressure
39
 
1
Rooms and equipment - vented as required
9
 
2
Handling of food(ice) minimized, methods  
SEWAGE
 
DRESSING ROOMS
10
 
1
Food(ice) dispensing utensils properly stored
*28
 
4
Sewage and waste water disposal
40
 
1
Rooms clean, lockers provided, facilities clean
 
PERSONNEL
 
PLUMBING
 
OTHER OPERATIONS
*11
 
5
Personnel with infections restricted
29
 
1
Installed, maintained
*41
X
5
Toxic items properly stored, labeled and used
*12
X
5
Hands washed and clean, good hygienic practices
*30
 
5
Cross-connection, back siphonage-backflow
42
 
1
Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
 
1
Clean clothes, hair restraints
 
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
 
2
Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
 
4
Number, convenient, accessible, designed, installed
43
 
1
Complete separation from living/sleeping quarters, laundry
32
 
2
Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
X
1
Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
 
1
Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
 
2
Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
    Management personnel certified Yes     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
 
1
Accurate thermometers, chemical test kits provided, gauge cook
33
 
2
Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
     
Sanitizer Requirement:  Chemical   na ppm                   Dishwasher Temperature   na °F or label
Food Temperatures:   pizza 0, ice cream -12, eggs 39
 
General Comments
A follow up will occur in 30 days for violations #7, #12, and #41.

HACCP: Discussed proper storage of eggs 
Report and Instructions Received By   /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  06/22/2007 Time In  10:40 AM Time Out  11:20 AM Sanitation Score  79 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  79  
 
Page 2 of 2

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
Establishment #   MA042  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CVS/PHARMACY #10680 Address  47 S LOCUST
Owner or Operator   HIGHLAND PARK CVS, LLC City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed eggs to be stored above orange juice *Potentially hazardous foods should be stored below and completely separate from ready to eat foods (760.120) 30 Days
*12  Observed an employee drink to be stored on a shelf with cigars and cigarettes *Please keep all personal food and drinks away and completely separate from foods that you sell (760.430) 30 Days
*41  Observed air freshener to be stored above cups and water in baby aisle and hand sanitizer to be stored on a shelf with cigars and cigarettes at the front registers *Please store all chemicals below and completely separate from all food and food service items (760.1380) 30 Days
Observed no thermometers in any coolers or freezers *Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods (760.150) Next Inspection
Observed beverages to be stored on the floor *Provide for all food products to be stored at least six inches off of the floor (760.140) Next Inspection
15  Observed raw particle board under pop *Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored (760.650) Next Inspection
23  Observed the fan vents in all coolers and freezers to be in need of cleaning and shelves in milk cooler to be in need of cleaning *Please clean (760.700) Next Inspection
36  Observed floors in storage and walk in cooler to be in need of cleaning *Please clean (760.1200) Next Inspection
38  Observed lights to be burnt out in the Arizona, coke, Edy's and several beer coolers and for lights to be unshielded above food areas in the store *Please replace and shield lights (760.1330) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  06/22/2007 Time In  10:40 AM Time Out  11:20 AM Sanitation Score  79 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  79