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: LASTING IMPRESSIONS VISIONS/STATION STREET | Establishment #: KK034 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT: 200 | Heat: 180 °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): | |||
ELLA RICHARDSON L2SC-3012700 10/11/2026 |
TYSHA WARD 26386424 10/14/2029 |
STEPHANIE FLORY 26386418 10/14/2029 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
relish/whirlpool clr/fzr combo - kitchen | 40.00°F | /whirlpool clr/fzr combo - kitchen | -1.00°F | /maytag freezer - kitchen | -1.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
38 | C |
6-501.111 (A) (B) (D): The PREMISES shall be maintained free of insects, rodents, and other pests. The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the PREMISES by: (A) Routinely inspecting incoming shipments of FOOD and supplies; (B) Routinely inspecting the PREMISES for evidence of pests; (D) Eliminating harborage conditions. violation: observed a full sticky trap in the kitchen. Corrective action taken: pest trap discarded. COS |
HACCP Topic: PROPER HANDLING OF READY-TO-EAT FOOD ITEMS: NO BARE HAND CONTACT ALLOWED; USE GLOVES OR UTENSILS. |
Person In Charge:TYSHA WARD |
Date:03/13/2025 |
Inspector:Alan Hatia |
Follow-up: Yes No Follow-up Date: |