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: ASCENSION LIVING HERITAGE VILLAGE | Establishment #: KK069 |
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): | |||
VANESSA BOSWELL 22194323 05/19/2027 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
steamed potatoes/traulsen warmer - kitchen | 160.00°F | salad dressing/traulsen coolers (x2) - kitchen | 40.00°F | /warming tables - kitchen | 165.00°F |
egg salad; dressing/walk-in cooler | 36.00°F | /walk-in freezer | -1.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
10 | PF |
6-301.12 (A-D): Each HANDWASHING SINK or group of adjacent HANDWASHING SINKS shall be provided with: (A) Individual, disposable towels; (B) A continuous towel system that supplies the user with a clean towel; or (C) A heated-air hand drying device; or (D) A hand drying device that employs an air-knife system that delivers high velocity, pressurized air at ambient temperatures. violation: the hand washing sink located at the mechanical dishwashing station did not have any single use hand towels. corrective action taken: paper towel dispenser replenished. COS |
55 | C |
6-501.11: PHYSICAL FACILITIES shall be maintained in good repair. violation: ceiling section within the dry storage is leaking water. corrective action required: repair leak by the next routine inspection. |
HACCP Topic: PROPER HANDLING OF READY-TO-EAT FOOD ITEMS: NO BARE HAND CONTACT ALLOWED; USE GLOVES OR UTENSILS. |
Person In Charge:VANESSA BOSWELL |
Date:03/14/2025 |
Inspector:Alan Hatia |
Follow-up: Yes No Follow-up Date: |