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 |
Cheese/Walk-in cooler | 41.00°F | Cheese/Salad bar | 37.00°F | /Milk cooler | 36.00°F |
/Walk-in freezer | 0.00°F | Baked potato/Warming unit | 200.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
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. Observed an unlabeled pink chemical in a spray bottle. A label was applied. COS |
47 | C |
4-501.11 (A): (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. The bottom of the milk cooler is rusty. Repair and maintain by the next routine inspection. |
54 | C |
5-501.113: Receptacles and waste handling units for REFUSE, recyclables, and returnables shall be kept covered:
(A)Inside the FOOD ESTABLISHMENT if the receptacles and units:
(1)Contain FOOD residue and are not in continuous use; or
(2)After they are filled; and
(B)With tight-fitting lids or doors if kept outside the FOOD ESTABLISHMENT. Due to construction in both the back parking lot and on the city streets, the dumpster has been moved to the gravel parking lot across the street. Store the dumpster on a concrete or asphalt surface and maintain by the next routine inspection. |
HACCP Topic: HOT HOLDING TEMPERATURES. |
Person In ChargeMISTEY MOORE |
Date:05/15/2023 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |