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
  
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
X
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
X
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
  
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
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 100-200 ppm                   Dishwasher Temperature   180F *see attached label on report in file °F or label
Food Temperatures:   hot dogs 148; baked beans 14; hamburger 10; turkey 9; milk 41
 
General Comments
Haccp: discussed keeping all doors closed in food service areas or near by. Doors cannot be propped open. Please provide screen doors with 16" mesh.

A follow up will occur in approximately 30 days for violation #35. 
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/05/2008 Time In  10:00 AM Time Out  11:45 AM Sanitation Score  87 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87  
 
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
*35  Observed air gap in back over head door. Please provide for all outer doors to be tight-fitting. Please repair. (750.1170) 30 Days
15  Observed the following non-food contact surfaces to be improper: 1. handle broken on refrigerator in kitchen, 2. chipped paint on chest freezer in corner in back room, 3. broken molding on front of wood shelves in dry storage room, 4. rust on inside of metal cabinet used for storing chemicals in dry storage room. Please repair, repaint or replace. (750.690) Next Inspection
16  Observed inside of mechanical dish machine with heavy lime build up; observed dried food debris on spray nozzle; observed underneath counters to be dirty. Please clean and maintain all dish washing equipment at all times. (750.830) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1. fan in kitchen, 2. outside of all seasoning containers in small store room, 3. mop sink in back room, 4. inside of handles of large storage cans in dry store room, 5. shelves in large, dry store room, 6. can rack in large, dry store room. Please clean. (750.800) Next Inspection
32  Observed 2nd stall in women''s restroom not flushing. Please repair. (750.1130) Next Inspection
36  Observed the following floors in need of cleaning: 1. around dish washing machine, behind hand sink in kitchen, 2. small dry store room by kitchen, 3. back room. Please clean. (750.1220) Next Inspection
37  Observed chipped/peeling paint in back room. Please repaint. (750.1210) Observed the following surfaces in need of cleaning: 1. walls behind and around dish machine, 2. mop sink room, 3. door to mop sink room, and back door on inside, 4. cobwebs on ceiling in back room. Please clean. (750.1220) Next Inspection
38  Observed the following light fixtures to be improper: 1. burned out light bulbs in mop sink room, 2. broken piece on corner of light shield in men''s restroom, 3. flickering lights/not coming on in dry store room. Please provide adequate lighting for all areas with food, food prep, food storage and equipment. (750.1240) Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/05/2008 Time In  10:00 AM Time Out  11:45 AM Sanitation Score  87 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87  
 
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  11/05/2008 Time In  10:00 AM Time Out  11:45 AM Sanitation Score  87 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87