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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 
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
X
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
  
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
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
  
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   not in service at time of inspection °F or label
Food Temperatures:   hot dogs 53-54*; shredded cheeses 54*; milk 41; pie 10; pork chops 19; chicken breast; eggs 53
 
General Comments
Haccp: discussed proper holding temps for all potentially hazardous foods.

No follow up required. 
Report and Instructions Received By   Latoya Brown /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/11/2009 Time In  10:30 AM Time Out  11:45 AM Sanitation Score  90 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  95  
 
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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  OBSERVED HOT DOGS, CHEESE, AND EGGS BETWEEN 53-54F. ALL POTENTIALLY HAZARDOUS FOOD MUST BE HELD AT 41F OR BELOW. FOOD DISCARDED, SEE VOLUNTARY DESTRUCTION AGREEMENT. (750.120) IMMEDIATE/ONSITE
15  OBSERVED THE FOLLOWING NON-FOOD CONTACT SURFACES TO BE IMPROPER: 1. INSIDE OF KITCHEN CABINETS - RAW/ROUGH SURFACES, 2. UNFINISHED SURFACE ON SHELVES IN DRY GOOD STORAGE ROOMS IN BASEMENT, 3. BROKEN REFRIGERATOR DOOR IN KITCHEN, 4. RUST ON OUTSIDE OF METAL FOOD STORAGE CABINET IN BASEMENT. PLEASE PROVIDE FOR ALL SURFACES TO BE SMOOTH, EASILY CLEANABLE, CORROSIVE FREE AND NON-ABSORBENT. REPAIR, REPAINT OR REPLACE. (750.690) NEXT INSPECTION
23  OBSERVED THE FOLLOWING NON-FOOD CONTACT SURFACES IN NEED OF CLEANING: 1. TOP SHELF OF CHEMICAL STORAGE CLOSET IN RESTROOM, 2. INSIDE OF CHEST FREEZER. PLEASE CLEAN. (750.800) NEXT INSPECTION
36  OBSERVED FLOORS IN DRY GOOD STORAGE ROOMS IN BASEMENT IN NEED OF RESEALING. CONCRETE FLOORS MUST BE SEALED, SMOOTH AND EASILY CLEANABLE. (750.1200) NEXT INSPECTION
37  OBSERVED CEILING PIPE IN DRY GOOD STORAGE ROOM DISCONNECTED AND IN NEED OF CEILING REPAIR. PLEASE REPAIR. (750.1210) OBSERVED WALL BEHIND DISH DRAINER IN KITCHEN IN NEED OF CLEANING. PLEASE CLEAN. (750.1220) NEXT INSPECTION
42  OBSERVED MOP STORED BY WATER COOLER IN KITCHEN. PLEASE STORE ALL CLEANING EQUIPMENT SEPARATE FROM ALL FOOD SERVICE AREAS, FOOD AND FOOD EQUIPMENT. PLEASE SANITIZE MOP AFTER EVERY USE AND HANG TO DRY. (750.1390) NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Latoya Brown /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/11/2009 Time In  10:30 AM Time Out  11:45 AM Sanitation Score  90 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  95  
 
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 #   MM016  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  GARDEN OF PRAYER YOUTH CENTER 1 Address  16424 E ROUTE 114
Owner or Operator   JEFFERSON, NIKO City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Latoya Brown /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/11/2009 Time In  10:30 AM Time Out  11:45 AM Sanitation Score  90 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  95