Food Establishment Inspection Report | ||||||||||||||||||||||||||
Page 1 of ????????? | ||||||||||||||||||||||||||
|
|
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. |
|
|
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 |
|
|
Food Establishment Inspection Report | |
Page 2 of ?????? | |
Establishment: MOMENCE MEADOWS NURSING & REHABILITATION | Establishment #: MM025 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200/ CHLORINE 100 | Heat: N/A °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): | |||
JAMES YATES 27233788 04/12/2030 |
|
|
|
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
milk/milk cooler in back storage | 40.00°F | cabbage/cooked food items | 209.00°F | sliced cheese /walk-in cooler | 40.00°F |
meat patties/walk-in freezer | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
49 | C |
4-601.11(C): (C) NonFOOD-CONTACT SURFACES of EQUIPMENT shall be kept free of an accumulation of dust, dirt, FOOD residue, and other debris. Observed the doors of the stove top oven unit to be in need of cleaning. Clean and maintain by next routine inspection. |
51 | C |
5-205.15 (B): A PLUMBING SYSTEM shall be(B) Maintained in good repair. Observed the prep sink in the kitchen to be leaking. Repair and maintain by next routine inspection. |
55 | C |
6-501.12: (A)PHYSICAL FACILITIES shall be cleaned as often as necessary to keep them clean.(B)Except for cleaning that is necessary due to a spill or other accident, cleaning shall be done during periods when the least amount of FOOD is exposed such as after closing. Observed the floor under the stove unit to be in need of cleaning. Clean and maintain by next routine inspection. |
55 | C |
6-501.11: PHYSICAL FACILITIES shall be maintained in good repair. Observed the metal wall plate behind the dish washer to be separating from the wall. Secure and maintain by next routine inspection. |
Inspection Comments | FACILITY IS COVERED WITH THE CFPM LICENSE. FACILITY HAS UPDATED ALL FOOD HANDLER CERTIFICATES. |
HACCP Topic: PROPER SETUP OF THE DISH WASHING SINK |
Person In Charge:JAMES YATES |
Date:04/14/2025 |
Inspector:Angela Colon |
Follow-up: Yes No Follow-up Date: |