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: PA-CHAN-GA | Establishment #: KK422 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: | Heat: °F |
IL Requirements: | Use of non-latex gloves for food handling and preparation 410 ILCS 180/10 - |
Appropriate default beverage for children's meal 410 ILCS 620/21.5 - |
CFPM Verification (name, ID#, expiration date): | |||
TERRI WESTFALL K5CKB-IKCHKJF 08/03/2026 |
NOE SERNA 1615155 08/18/2027 |
RAMON DIAZ 1615140 08/18/2027 |
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OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
Inspection Comments |
FOLLOW-UP NOTES:
(1) BODILY FLUID CLEAN-UP KIT AVAILABLE (2) THERMOMETER AVAILABLE IN COOLER AT COOK LINE. NO FURTHER ACTION REQUIRED. |
HACCP Topic: |
Person In Charge:NOE SERNA |
Date:04/14/2025 |
Inspector:Alan Hatia |
Follow-up: Yes No Follow-up Date: |