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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 
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
  
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
X
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
X
1
 Thermometers provided and conspicuous
37
  
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
X
1
 Lighting provided as required - Fixtures shielded
8
X
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
X
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
  
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
 
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
  
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   Quatt 200 ppm                   Dishwasher Temperature   180+ °F or label
Food Temperatures:   Cheese 39, Lunch Meat 38, Chili 156, Milk 39, Beef 10.
 
General Comments
HACCP- Handling of equipment

No follow up needed 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/26/2007 Time In  9:00 AM Time Out  10:45 AM Sanitation Score  87 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  92  
 
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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*12  Observed employee of facility, not kitchen staff, reached into box of plasticware for spoon, fork, and knife in dry storage room across hall. Provide a separate container with handles of plasticware facing up as to prevent contamination of food contact surface 750.880. Next Inspection
5  Observed no thermometer in the Ice cream freezer. Provide an acurate and conspicuous thermometer in all cooling units 750.140. Next Inspection
8  Observed coffee filters by coffee station to be uncovered. Keep coffee filters covered and protected to prevent contamination 750.120. Next Inspection
15  Observed Rusty shelves in dish area. Provide for surfaces to be smooth, easily cleanable, and non absorbent 750.600. Next Inspection
21  Observed wiping cloths to be stored throughout kitchen on counter tops. Provide for all wiping cloths to be stored in sanitizer solution when not in use 750.810. Next Inspection
23  Observed the folowing non food contact surfaces that need cleaning: 1. Top of dunnage racks in dry storage 2. Shelf with clean dishes facing doors to livingroom 3. Inside of Ice cream freezer 4. Outside of big mixers 5. Outer rim of bulk sugar and cake flour container 6. Inside of Cambro case in hallway 7. Inside cabinet under salad bar Please clean 750.800. Next Inspection
36  Observed the following floors to need cleaning: 1. Floor in cabinet under pop in boxes 2. Floor of walk-in freezer 3. Floor of dry storage across the hall Please clean 750.1220. Next Inspection
38  Observed a cracked and sagging light shield in dry storage off of kitchen. Please replace light shield 750.1240. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/26/2007 Time In  9:00 AM Time Out  10:45 AM Sanitation Score  87 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  92  
 
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 #   KK019  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  RIVERSIDE SENIOR LIFE COMMUNITIES AT WESTWOOD Address  100 WESTWOOD OAK CT
Owner or Operator   RIVERSIDE MEDICAL CENTER City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/26/2007 Time In  9:00 AM Time Out  10:45 AM Sanitation Score  87 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  92