Page 1 of 2

X Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   SA013  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  DIXIE DELITE Address  6726 S ROUTE 1
Owner or Operator   LEUELLEN, COURTNEY City   ST. ANNE Zip Code   60964
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
  
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
X
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
X
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
X
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
  
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
X
1
 Non-food contact surfaces of equipment and utensils clean
5
 
1
 Thermometers provided and conspicuous
37
X
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
X
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
  
1
 Lighting provided as required - Fixtures shielded
8
  
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
  
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
  
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
X
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
X
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
  
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes X No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Chlorine 0*/200 ppm                   Dishwasher Temperature   Chlorine 100 ppm °F or label
Food Temperatures:   moz. cheese; tenderloin 20; nacho cheese 145; chili sauce 140; Italian beef 125*; hamburger 41
 
General Comments
Haccp: discussed proper storage of all hazardous foods.

No follow up required. 
Report and Instructions Received By   Vicki Schultz /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/12/2007 Time In  3:00 PM Time Out  4:00 PM Sanitation Score  81 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  90  
 
Page 2 of 2

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   SA013  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  DIXIE DELITE Address  6726 S ROUTE 1
Owner or Operator   LEUELLEN, COURTNEY City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  Observed Italian Beef in warmer at 125F. Please provide for all potentially hazardous foods to be held at 140F or above or below 41F. Italian beef put back in pot and reheated; tested at 170F. (750.120) Immediate/Onsite
*20  Observed sanitizer at drive-thru window to test at 0 ppm. Please provide for sanitizer bucket used for wiping cloths to be at 100-200 ppm. Sanitizer remixed and tested at 200 ppm. Immediate/Onsite
22  Observed lid holder at front counter in need of cleaning. Please clean. (750.800) Immediate/Onsite
23  Observed the following non-food contact surfaces in need of cleaning: 1. pop rack and lines in storage closet, 2. bread cart in kitchen, 3. small round white fan by side door. Please clean. (750.800) Immediate/Onsite
25  Observed single service lids in lid holder in front counter to be dirty. Please keep all single service items protected at all times. Dirty lids discarded. (750.880) Immediate/Onsite
32  Observed no soap in employee restroom. Please provide. (750.1120) Immediate/Onsite
33  Observed inside garbage can handles in kitchen in need of cleaning. Please clean. (750.1130) Observed outside dumpster with lids off. Please keep lids on dumpster at all times except when dumping trash. (750.1130) Immediate/Onsite
37  Observed ceiling vent in kitchen over 6-door cooler and both public restrooms in need of cleaning. Please clean. (750.1220) Immediate/Onsite
42  Observed dust pans and electric broom in need of cleaning. Please clean and maintain at all times. (750.1390) Immediate/Onsite
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Vicki Schultz /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/12/2007 Time In  3:00 PM Time Out  4:00 PM Sanitation Score  81 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  90