Page 1 of 3

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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 
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
X
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
  
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
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
  
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
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
  
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
X
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
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
X
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
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Chlorine ppm                   Dishwasher Temperature   180F *see attached label on report in file °F or label
Food Temperatures:   potato's 159; hamburger 33, 159; eggs 40; milk 41; ham 21; turkey 37; bread freezer 17
 
General Comments
Haccp: discussed effective pest control measures.

No follow up required. 
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/24/2007 Time In  9:30 AM Time Out  11:15 AM Sanitation Score  84 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91  
 
Page 2 of 3

    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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*1  Observed severely dented can of peas on can rack in dry storage room. Please provide for all food to be wholesome. Can discarded, see voluntary destruction agreement. (750.100) Immediate/Onsite
14  Observed wood rolling pin in drawer in kitchen. Wood as a food contact surface is prohibited. Please provide for all food contact surfaces to be smooth, easily cleanable, corrosive free and non-absorbent. (750.600) Immediate/Onsite
15  Observed the following non-food surfaces to be improper: 1. rust on sliding door chest freezer in back room, 2. rust on outside and inside of chest freezer in back room, 3. rust on cart by hand sink in kitchen. Please repair or replace. (750.690) Next Inspection
16  Observed lime build up on inside of dish washing machine. Please clean and maintain at all times. Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1. inside of metal cabinets in kitchen, 2. inside of ovens, 3. seasoning containers in dry storage room. Please clean. (750.800) Next Inspection
32  Observed the following to be improper: 1. no paper towels at hand sink upon arrival, 2. hand sink is leaking at neck. Please provide paper towels at all times at hand sink - corrected on sight; repair sink. (750.1130) Next Inspection
36  Observed the following floors in need of cleaning: 1. dry storage room, 2. mop sink room. Please clean. (750.1220) Next Inspection
37  Observed walls in back room and mop sink room in need of either cleaning or painting. Please clean or paint. (750.1210) Observed ceiling vent in men's restroom in need of cleaning. Please clean. (750.1220) Next Inspection
42  Observed mop sink in need of a thorough cleaning. Please clean and maintain at all times. (750.1390) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/24/2007 Time In  9:30 AM Time Out  11:15 AM Sanitation Score  84 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91  
 
Page 3 of 3

    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 #   HP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PEMBROKE KOGER SENIOR CENTER Address  4019 WHEELER RD
Owner or Operator   PEMBROKE TOWNSHIP City   HOPKINS PARK Zip Code   60944
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/24/2007 Time In  9:30 AM Time Out  11:15 AM Sanitation Score  84 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91