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: DOLLAR TREE #3830 | Establishment #: KK279 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: NA | Heat: NA °F |
IL Requirements: | Use of non-latex gloves for food handling and preparation 410 ILCS 180/10 - N/A |
Appropriate default beverage for children's meal 410 ILCS 620/21.5 - N/A |
CFPM Verification (name, ID#, expiration date): | |||
NA |
NA |
NA |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/Grocery cooler | 40.00°F | /Walk-in cooler | 38.00°F | /3 freezers | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
3 | PF |
2-103.11 (P): The PERSON IN CHARGE shall ensure that: (P) Food employees and conditional employees are informed in a verifiable manner of their responsibility to report in accordance with Law, to the Person in charge, information about their health and activities as they relate to diseases that are transmissible through food, as specified under 2-201.11(A); Not all employees have signed 1b forms. Copy of 1b form was provided. Have all employees sign 1b forms and keep on file for review. - (Correct By: Apr 20, 2025) |
39 | C |
3-305.11 (A) (B) (C): (A) Except as specified in ¶¶ (B) and (C) of this section, FOOD shall be protected from contamination by storing the FOOD: (1) In a clean, dry location; (2) Where it is not exposed to splash, dust, or other contamination; and (3) At least 15 cm (6 inches) above the floor. (B) FOOD in packages and working containers may be stored less than 15 cm (6 inches) above the floor on case lot handling EQUIPMENT as specified under § 4-204.122. (C) Pressurized BEVERAGE containers, cased FOOD in waterproof containers such as bottles or cans, and milk containers in plastic crates may be stored on a floor that is clean and not exposed to floor moisture. Cases of food products in the walk-in freezer and general storage area were stored on the ground. Store all food products 6" above the floor and maintain by the next routine inspection. Repeat |
49 | C |
4-602.13: NonFOOD-CONTACT SURFACES of EQUIPMENT shall be cleaned at a frequency necessary to preclude accumulation of soil residues. Observed ice buildup on the HVAC, light fixture, and doorframe of the walk-in freezer. Remove this ice and maintain by the next routine inspection. |
54 | C |
5-501.113: Receptacles and waste handling units for REFUSE, recyclables, and returnables shall be kept covered: (A)Inside the FOOD ESTABLISHMENT if the receptacles and units: (1)Contain FOOD residue and are not in continuous use; or (2)After they are filled; and (B)With tight-fitting lids or doors if kept outside the FOOD ESTABLISHMENT. The dumpster was open. Close and maintain by the next routine inspection. |
HACCP Topic: COLD HOLDING TEMPERATURES. |
Person In Charge:RAYMOND DRENON |
Date:04/10/2025 |
Inspector:DANA JAMES |
Follow-up: Yes No Follow-up Date: |