Page 1 of 2

X 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 #   MA037  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  NEXUS INDIAN OAKS FAMILY HEALING Address  101 BRAMBLE ST
Owner or Operator   NEXUS FAMILY HEALING 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
X
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
 
1
Thermometers provided and conspicuous
37
X
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
X
1
Single-service articles, storage, dispensing  
LIGHTING
26
 
2
No re-use of single-service articles
38
 
1
Lighting provided as required - Fixtures shielded
8
 
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
 
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
 
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 X 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   quat 200 ppm                   Dishwasher Temperature   chlorine 200 °F or label
Food Temperatures:   pizza 170, salad 26, ham 24, meat -6
 
General Comments
No follow up is needed at this time
HACCP: Storage of drinks, labeling bottles and storage of raw meats 
Report and Instructions Received By   /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  07/03/2007 Time In  12:00 AM Time Out  12:00 AM Sanitation Score  86 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  95  
 
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 #   MA037  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  NEXUS INDIAN OAKS FAMILY HEALING Address  101 BRAMBLE ST
Owner or Operator   NEXUS FAMILY HEALING City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed pans of raw meat to be stored on top of oranges and potatoes *Please store all potentially hazardous foods below and completely separate from ready to eat foods at all times (750.120) Immediate/Onsite
*12  Observed personal drinks to be stored above foods consumed by the children *An area shall be so designated as long as the contamination of food, equipment, utensils, or single service articles will not occur (750.530) Immediate/Onsite
Observed a clear large bucket stored by milky way candy to not be labeled *Provide for all foods to have proper labeling information (750.100) Next Inspection
23  Observed the following non food contact surfaces to be in need of cleaning 1. table under mixer 2. spice shelf 3. in/out cambro units 4. outside ice machine *Please clean (750.800) Next Inspection
25  Observed single service sporks to be stored improperly *Please store all sporks facing one way with handles facing up and out so that all people grab is the handles on other sporks (750.850) Next Inspection
36  Observed floors in storage and walk in cooler and freezer to be in need of cleaning *Please clean (750.1220) Next Inspection
37  Observed paint to be peeling on the ceiling in the kitchen and in storage *Please repair (750.1210) Observed ceiling vent above coffee maker to be in need of cleaning (750.1220) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  07/03/2007 Time In  12:00 AM Time Out  12:00 AM Sanitation Score  86 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  95