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
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
  
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
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
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
X
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
  
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
  
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   Quat 200-400 ppm                   Dishwasher Temperature   180 °F or label
Food Temperatures:  
 
General Comments
 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/12/2010 Time In  9:45 AM Time Out  11:30 AM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (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
*20  Observed the sanitizer solution to be too weak at the following location(s).Sanitizer was too weak at the three compartment sink. Provide for the sanitizer solution to be mixed to the appropriate leveel for the type of sanitizer being used. 750.830 Immediate/Onsite
*41  Observed the following toxic chemical container(s) to not be properly labeled: Chemical spray bottles under the handsink are not labeled. Provide for all chemical containers that no longer have the original label on them to be labeled with chemical content. 750.830 Immediate/Onsite
5  Observed no thermometer to be available in the following units. There was no visible thermometer for the ice cream freezer. Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods. 750.140 Next Inspection
22  Observed the following food contact surfaces to be unclean. 1. Large white containers have debris on them in the dry storage room. 2. Interior of reach-in cooler has food debris at the bottom of it. 3. Table around can opener has debris on it. 4. Interior of ovens has food debris on it. 5. Bottom of the Traulsen cooler has food debris on it. 6. Botto of the Alto Sham has burnt food debris on it. Clean & maintain this equipment. 750.800 Clean and maintain Next Inspection
23  Observed the following contact surfaces to be unclean. 1. Gas pipes behind flat stoves has grease & debris on it. 2. Seal gaskets on reach-in cooler & 4 door Traulsen cooler. 3. Interior of fryer cabinet has grease & debris on it. 5. Metal shelves above bakery prep table have debris on them. Clean & maintain equipment. 750.800 Clean and maintain. 750.800 Next Inspection
33  Observed trash can is full by prep sink. Empty trash can. 750.1150 Next Inspection
36  Observed the following floor areas to be unclean: 1. Floor under metal shelves in walk-in cooler. 2. Floor in walk-in freezer. 3. Floor under soda boxes. 4. Floor under fryer & grill has debris on it. 750.1220 Provide for all flooring areas to be in a clean condition Next Inspection
37  Obseved the following wall/ceilings, and attached equipment to be unclean: 1. Wall above & below three compartment sink has debris on it. 2. Wall around handsink. 3. Wall above prep sink. 4. Wall behind soup kettles. 5. Wall behind fryers & grill. Clean & maintain. (Repeat violations.) Provide for all walls, ceilings, and attached equipment to be in a clean condition Next Inspection
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/12/2010 Time In  9:45 AM Time Out  11:30 AM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (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  04/12/2010 Time In  9:45 AM Time Out  11:30 AM Sanitation Score  83 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  92