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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 
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
  
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
 
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
X
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
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
  
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
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
 
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   Bleach 100 ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   Fish 37, Beef 36, Chicken 10, Ribs -12, Chicken 28, Plantain -1, Bacon 40, Cheese 42, Ice Cream -2, Milk 33.
 
General Comments
Paladin 630-554-3663

HACCP- Discussed sanitizers.

No follow up needed. 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/06/2009 Time In  9:45 AM Time Out  10:20 AM Sanitation Score  84 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  88  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*7  Observed soiled floor fan to be sitting on top of bags of onion. Be sure dirty equipment is never stored on food to protect it from contamination 750.120. *Fan was moved. Immediate/Onsite
*20  Observed sanitizer bucket at butcher area to be weak. Provide for sanitizer to be mixed properly, changing throughout day as often as needed 750.160. *Sanitizer was remade. Add 1/2 cap of bleach per 1 gallon of water. Immediate/Onsite
8  Observed bin of dried pinto beans to not be covered. Please keep cover 750.130. Next Inspection
14  Observed wood partitions at onion, potatoes, and peanuts to need to be sealed. Provide for all raw wood to be painted or sealed to provide a non absorbent material 750.600. Observed cardboard holding up produce. Provide for cardboard to be removed because the cardboard can absorb bacteria and contaminate produce 750.600. Next Inspection
15  Observed the following non food contact surfaces to be improper: 1. Torn gasket of meat freezer. 2. Bottom shelf of prep table across from 3 bay sink to be rusting. Provide for gasket to be replaced and prep table shelf to be sealed to provide a non absorbent, easily cleanable, and smooth surface 750.600. Next Inspection
21  Observed rags to be sitting on prep table top in butcher area. Provide for all wiping rags to be stored in sanitizer bucket 750.810. Next Inspection
23  Observed the following non food contact surfaces to need cleaning: 1. Outside of milk crate on bottom shelf of prep table across from 3 bay sink. 2. Shelf of ice cream cooler right inside back room door. 3. Inside plastic bin containing spices/condiments. Please clean and maintain 750.800. Next Inspection
36  Observed floor of walk in cooler to have paint chipping. Please reseal 750.1200. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/06/2009 Time In  9:45 AM Time Out  10:20 AM Sanitation Score  84 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  88  
 
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 #   BR085  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  SUPERMERCADO LA SIESTA Address  245 W BROADWAY ST
Owner or Operator   TREVINO, ARTURO City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/06/2009 Time In  9:45 AM Time Out  10:20 AM Sanitation Score  84 (100 Minus Demerits)
By  Sara Osthoff (Sanitarian) Adjusted Score  88