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 |
Carrots/Walk-in cooler | 40.00°F | Chicken/Milk cooler | 37.00°F | Chicken/Ice bath | 40.00°F |
Corn salsa/Salad bar | 36.00°F | /Walk-in freezer | 0.00°F | Mashed potatoes/Warming unit | 141.00°F |
Green beans/Serving line | 171.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
16 | PF |
4-601.11(A): (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. The roller grill stored in the student area is in need of cleaning. - (Correct By: Oct 7, 2023) |
56 | C |
6-303.11: The light intensity shall be:
(A) At least 108 lux (10 foot candles) at a distance of 75 cm (30 inches) above the floor, in walk-in refrigeration units and dry FOOD storage areas and in other areas and rooms during periods of cleaning;
(B) At least 215 lux (20 foot candles):
(1) At a surface where FOOD is provided for CONSUMER self-service such as buffets and salad bars or where fresh produce or PACKAGED FOODS are sold or offered for consumption,
(2) Inside EQUIPMENT such as reach-in and under-counter refrigerators; and
(3) At a distance of 75 cm (30 inches) above the floor in areas used for handwashing, WAREWASHING, and EQUIPMENT and UTENSIL storage, and in toilet rooms; and
(C)At least 540 lux (50 foot candles) at a surface where a FOOD EMPLOYEE is working with FOOD or working with UTENSILS or EQUIPMENT such as knives, slicers, grinders, or saws where EMPLOYEE safety is a factor. The lighting in the walk-in freezer and dry storage is insufficient. Repair and maintain by the next routine inspection. |
HACCP Topic: HOT HOLDING TEMPERATURES. |
Person In ChargeMISTEY MOORE |
Date:09/27/2023 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date:10/07/2023 |