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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Food Establishment Inspection Report | |
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Establishment: WALMART SUPERCENTER #1307/DELI | Establishment #: BB139 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: 180F °F |
IL Requirements: | Use of non-latex gloves for food handling and preparation 410 ILCS 180/10 - YES |
Appropriate default beverage for children's meal 410 ILCS 620/21.5 - N/A |
CFPM Verification (name, ID#, expiration date): | |||
O'BRIAN BONNER 22002472 11/02/2028 |
TONYA GUNN 22097096 08/02/2029 |
ANTIONETTE CHRISTMON 22002473 11/02/2028 |
KRISTYNA RUEFF 22001135 10/30/2028 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
cup cakes/walk-in bakery cooler | 40.00°F | chicken tenders/walk-in deli/bakery freezer | 0.00°F | turkey/walk-in deli cooler | 39.00°F |
raw chicken/walk-in deli cooler-chicken side | 39.00°F | corn/hot hold case | 160.00°F | tenders/hot hold case | 156.00°F |
potato wedges/hot hold case | 149.00°F | chicken wings/hot hold case | 199.00°F | Turkey/deli case | 37.00°F |
cheese/deli case | 38.00°F | shrimp/walk-in seafood/ meat freezer | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
10 | PF |
5-205.11 (A): (A) A HANDWASHING SINK shall be maintained so that it is accessible at all times for EMPLOYEE use. Observed the back bakery hand sink to be blocked by some roll racks. Provide for the hand sink to be easily accessible. COS |
51 | C |
5-205.15 (B): A PLUMBING SYSTEM shall be(B) Maintained in good repair. Observed the hand sink at the front of bakery was not draining very well. Repair and maintain by next routine inspeciton. |
Inspection Comments | FACILITY WAS COVERED WITH CFPM LICENSE FOR THIS INSPECTION. |
HACCP Topic: PROPER LABELING OF ALL PREPARED BULK FOOD ITEMS WITH ALLERGEN INFORMATION. |
Person In Charge:ANTIONETTE CHRISTMOM |
Date:04/29/2025 |
Inspector:Angela Colon |
Follow-up: Yes No Follow-up Date: |