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: RALPH J. BAILEY COMMUNITY CENTER | Establishment #: SA036 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
DOROTHY L RILEY 18520658 10/21/2024 |
BERNICE BURKETT 18520656 10/21/2024 |
NELLIE WELLMAKER 1556895 07/13/2028 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Ham/Refrigerator | 39.00°F | /Milk cooler | 29.00°F | Milk/Cold delivery | 41.00°F |
Meatball/Hot food delivery | 158.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
Inspection Comments |
POST YOUR 2022 KCHD FOOD LICENSE IN A CONSPICUOUS PLACE.
SITE ALSO SERVES STATE OF ILLINOIS SUMMER FOOD PROGRAM, WHERE FOOD CONTACT AND PREP ACTIVITIES OCCUR. REVIEW OF THESE FACILITIES AND PROGRAM OCCURRED AS WELL. |
HACCP Topic: RECEIVING TEMPERATURES OF HOT AND COLD HELD FOODS. |
Person In ChargeKEN SHAW |
Date:06/29/2022 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |