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 GRADE SCHOOL CCSD 256 | Establishment #: SA017 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 100 | Heat: 165 °F |
CFPM Verification (name, ID#, expiration date): | |||
SAMANTHA L. DENAULT 25260046 02/22/2029 |
GAIL M. SALM 21684279 06/03/2025 |
ELIZABETH STATLER 25260083 02/22/2029 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Ham/Kitchen cooler | 39.00°F | /Milk cooler | 39.00°F | /Walk-in cooler | 39.00°F |
/Beverage walk-in cooler | 39.00°F | /5 freezers | 0.00°F | Chicken/Oven | 182.00°F |
Vegetables/Oven | 159.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
10 | C |
6-301.14: A sign or poster that notifies FOOD EMPLOYEES to wash their hands shall be provided at all HANDWASHING SINKS used by FOOD EMPLOYEES and shall be clearly visible to FOOD EMPLOYEES. There is no hand washing sign at the bathroom hand washing sink. Provide a hand washing sign at every hand washing sink and maintain by the next routine inspection. Repeat |
13 | PF |
3-202.15: FOOD packages shall be in good condition and protect the integrity of the contents so that the FOOD is not exposed to ADULTERATION or potential contaminants. Observed several heavily dented cans in the dry storage room. These cans were set aside for return to the distributor. COS |
45 | C |
4-903.11( A)(1)(2)(3): (A) Except as specified in ΒΆ (D) of this section, cleaned EQUIPMENT and UTENSILS, laundered LINENS, and SINGLE-SERVICE and SINGLE-USE ARTICLES shall be stored:
(1) In a clean, dry location; (2) Where they are not exposed to splash, dust, or other contamination; and (3) At least 15 cm (6 inches) above the floor. Observed single use forks stored for service in a jumbled fashion. The forks were rearranged so the handles were all facing one direction. COS |
55 | C |
6-501.11: PHYSICAL FACILITIES shall be maintained in good repair. The floor below the 3-compartment sink was damaged during repairs to the plumbing. Additionally, there are missing or damaged floor tiles in other locations in the kitchen. Repair and maintain by the next routine inspection. Repeat |
Inspection Comments | POST YOUR 2025 KCHD FOOD LICENSE IN A CONSPICUOUS PLACE. |
HACCP Topic: HOT HOLDING TEMPERATURES. |
Person In ChargeSAMANTHA DENAULT |
Date:01/29/2025 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |