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 COMMUNITY HIGH SCHOOL | Establishment #: SA018 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 100 | Heat: 165 °F |
CFPM Verification (name, ID#, expiration date): | |||
JENNIFER SCHULTZ 21828981 05/04/2027 |
MISTEY MOORE 21706365 10/07/2025 |
ELIZABETH STATLER 25260083 02/22/2029 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/Milk cooler | 32.00°F | Cucumbers/Salad bar | 39.00°F | Chicken/Walk-in cooler | 41.00°F |
/Walk-in freezer | 0.00°F | Grilled cheese sandwich/Warming unit | 152.00°F | Soup/Steam table | 181.00°F |
Green beans/Stove top | 145.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
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. Observed cases of food stored on the floor in the walk-in freezer. Store all food 6" above the floor and maintain by the next routine inspection. |
Inspection Comments | A NEW DISH WASHING MACHINE HAS BEEN INSTALLED. PLEASE PROVIDE DOCUMENTATION TO KCHD THAT A CHEMICAL DETERGENT IS NOT REQUIRED FOR DISH WASHING WITH THIS MACHINE. |
HACCP Topic: HOT WATER SANITIZING TEMPERATURE. |
Person In ChargeMISTEY MOORE |
Date:01/19/2023 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |