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
X
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
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
X
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
 
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 100 ppm                   Dishwasher Temperature   not set up at time of inspection °F or label
Food Temperatures:   beef -20, 39; shrimp 10, -18; menudo 165+; pork 41; cheese 39; chorizo 38; ice cream 0 milk 39
 
General Comments
Haccp: discussed proper hand washing.

No follow up required. 
Report and Instructions Received By   Arturo Trevino /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/14/2011 Time In  11:00 AM Time Out  12:15 PM Sanitation Score  85 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  85  
 
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 raw eggs stored above produce in walk in cooler. Store below or separate from ready to eat foods. (750.120) Eggs moved to lower shelf. Immediate/Onsite
2  Observed various repackaged frozen foods not labeled. Label w/item and date; observed salsa not properly labeled. Label w/ingredients, mfg address, phone no. and use by date. (750.100) Salsa labeled. Next Inspection
8  Observed the following food items stored improperly: 1) ice directly on chicken, 2) food uncovered in walk in cooler, 3) food on floor in walk in cooler, 4) tortilla's and Coke a cola on floor in store. Store foods protected at all time, remove ice and store all food 6" off the floor. (750.120/130) Next Inspection
15  Observed the following non-food contact surfaces to be improper: 1) rust on racks in meat case, 2) rust on lower prep tables in butchers area and back room, 3) rust on microwave and cart, 4) broken molding on inside of 2-door freezer, 5) heavy frost build up on upright freezer in back, 6) rust on wire racks in back and stored shelving, walk in cooler racks. Repair, repaint or replace. (750.690) Next Inspection
16  Observed faucet to 3-bay sink to be dirty and leaking. Repair and maintain. (750.830) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1) inside of upright freezer in back, 2) large ice machine in back, 3) inside bottom of upright freezer in store, 4) inside ledges of ice cream freezer in store, 5) pop stands in store, 6) produce shelves. Please clean. (750.800) Next Inspection
29  Observed base of faucet in rest room to be corroded. Replace and maintain. (750.l060) Next Inspection
36  Observed concrete flooring in back and mechanical room w/o a seal. Reseal. (750.1200) Observed floor outside of rest room in need of cleaning. Please clean. (750.1220) Next Inspection
37  Observed wall behind 3-bay sink and ceiling vent in rest room in need of cleaning. Please clean. (750.1220) Next Inspection
42  Observed mechanical room in need of organizing. Organize and remove unnecessary items. (750.1350) Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Arturo Trevino /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/14/2011 Time In  11:00 AM Time Out  12:15 PM Sanitation Score  85 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  85  
 
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   Arturo Trevino /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/14/2011 Time In  11:00 AM Time Out  12:15 PM Sanitation Score  85 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  85