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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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: DOLLAR GENERAL STORE #17067 | Establishment #: KK412 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: NA | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
NA 01/01/1900 |
NA 01/01/1900 |
NA 01/01/1900 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/Dairy cooler | 37.00°F | /Juice cooler | 36.00°F | /Egg cooler | 38.00°F |
/Deli cooler | 36.00°F | /Back room cooler | 41.00°F | /5 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 | Violation (2-103.11(N)): 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); In violation of 2-103.11(O): written procedures and plans, where specified by the Code and as developed by the Food establishment, are maintained and implemented as required. Corrective Action: The establishment shall have documentation that provides evidence that employees have been informed of their responsibility to report information about their health and activities as they relate to diseases that are transmissible through food to the person in charge. - Repeat (Correct By: Mar 10, 2025) |
49 | C |
4-602.13: NonFOOD-CONTACT SURFACES of EQUIPMENT shall be cleaned at a frequency necessary to preclude accumulation of soil residues. The interior of the back room cooler is in need of cleaning. Clean and maintain by the next routine inspection. Repeat |
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 lids are open. Close and maintain by the next routine inspection. Repeat |
55 | C |
6-501.16: After use, mops shall be placed in a position that allows them to air-dry without soiling walls, EQUIPMENT, or supplies. Observed mops stored on the floor and inside mop buckets. Store mops in a fashion that allows them to air dry and maintain by the next routine inspection. Repeat |
Inspection Comments | THE FACILITY HAD ALL NECESSARY ITEMS FOR A BODILY FLUIDS CLEAN UP KIT, BUT NOT ALL WERE IN A CENTRAL LOCATION. KEEP ALL ITEMS TOGETHER SO THAT THEY CAN BE USED QUICKLY TO MINIMIZE RISK DURING A BODILY FLUIDS INCIDENT. |
HACCP Topic: COLD HOLDING TEMPERATURES. |
Person In ChargeCHRISTINE HAGEMAN |
Date:02/28/2025 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date:03/10/2025 |