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 #   SA013  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  DIXIE DELITE Address  6726 S ROUTE 1
Owner or Operator   LEUELLEN, COURTNEY City   ST. ANNE Zip Code   60964
 
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
X
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
  
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
X
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
X
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
X
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   Chlorine 100-200 ppm                   Dishwasher Temperature   120F °F or label
Food Temperatures:   milk 41; italian beef 167; chili sauce 150; nacho cheese 140; soup & chili 10; moz. sticks 10; ice cream 10; hot dogs 41; mac bites 18; milk 41
 
General Comments
Haccp: discussed keeping sanitizer set up at all times.

No follow up required. 
Report and Instructions Received By   Courtney Wright /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/15/2009 Time In  2:00 PM Time Out  3:15 PM Sanitation Score  81 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  81  
 
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 #   SA013  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  DIXIE DELITE Address  6726 S ROUTE 1
Owner or Operator   LEUELLEN, COURTNEY City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  OBSERVED CHEESEBURGER CHOWDER SOUP BEING REHEATED ON STEAM TABLE. ALL POTENTIALLY HAZARDOUS FOODS MUST BE REHEATED IN THE FOLLOWING MANNER: STOVE, OVEN OR MICROWAVE. SOUP PLACED ON STOVE. (750.210) IMMEDIATE/ONSITE
2  OBSERVED VARIOUS FOOD ITEMS IN UPRIGHT FREEZER BY STOVE NOT PROPERLY LABELED. ONCE OUT OF ORIGINAL CONTAINER PLEASE LABEL WITH ITEM AND USE BY DATE. (750.100) NEXT INSPECTION
8  OBSERVED VARIOUS FOOD ITEMS IN UPRIGHT FREEZER BY STOVE NOT STORED PROPERLY. PLEASE COVER ALL ITEMS ALL TIMES DURING STORAGE. (750.120) OBSERVED POP-IN-BOX STORED ON FLOOR IN CLOSET. PLEASE STORE 6" OFF THE FLOOR AT ALL TIMES. (750.130) NEXT INSPECTION
13  OBSERVED NO HAIR RESTRAINT ON EMPLOYEE WITH LONG HAIR. PLEASE PROPERLY RESTRAIN ALL LONG HAIR DURING ALL FOOD PREP AND SERVICE. (750.520) NEXT INSPECTION
14  OBSERVED CONTAINER TO BE BROKEN ON CORNER IN UPRIGHT FREEZER BY STOVE, TOP SHELF. PLEASE REPLACE. (750.600) NEXT INSPECTION
15  OBSERVED THE FOLLOWING NON-FOOD CONTACT SURFACES TO BE IMPROPER: 1. RUST ON DRAINING RACK ON 3-BAY SINK, 2. RUST ON RACKS BY WALL WITH CANNED GOODS (BY BACK DOOR), 3. TORN GASKET TO DOOR ON RIGHT IN PREP COOLER IN FRONT COUNTER, 4. RUST SHELVES ON RACKS TO FRONT PREP COOLER - ON LEFT, 5. BROKEN INNER MOLDING TO CHEST FREEZER IN OFFICE. PLEASE REPAIR, REPLACE OR REPAINT. (750.690) NEXT INSPECTION
22  OBSERVED INSIDE, BACK PANEL LOWER EDGE OF ICE MACHINE IN NEED OF CLEANING. PLEASE CLEAN. (750.800) NEXT INSPECTION
23  OBSERVED GASKETS TO 6-DOOR COOLER IN NEED OF CLEANING. PLEASE CLEAN. (750.800) NEXT INSPECTION
26  OBSERVED STYROFOAM CUPS BEING USED TO HOLD SINGLE SERVICE SILVERWARE IN DRIVE-THRU AND FRONT COUNTER. NO RE-USE OF ANY SINGLE SERVICE ITEMS. PLEASE REPLACE WITH A PROPER HOLDER. (750.600) NEXT INSPECTION
37  OBSERVED STAINED CEILING TILE IN KITCHEN; COVE BASE NOT ADHERED TO WALL BY ICE MACHINE. PLEASE REPLACE TILE AND REPAIR COVE BASE. (750.1210) NEXT INSPECTION
42  OBSERVED SOILED WATER IN MOP BUCKET; EMPLOYEE COAT HANGING ON RACK WITH BREAD. PLEASE EMPTY AND SANITIZE BUCKETS AFTER EVERY USE; STORE ALL PERSONAL BELONGINGS COMPLETELY SEPARATE FROM ALL FOOD PREP AREAS, FOOD STORAGE AREAS, SINGLE SERVICE ITEMS, FOOD ITEMS AND FOOD EQUIPMENT. (750.1350) NEXT INSPECTION
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Courtney Wright /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/15/2009 Time In  2:00 PM Time Out  3:15 PM Sanitation Score  81 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  81  
 
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 #   SA013  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  DIXIE DELITE Address  6726 S ROUTE 1
Owner or Operator   LEUELLEN, COURTNEY City   ST. ANNE Zip Code   60964
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   Courtney Wright /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  10/15/2009 Time In  2:00 PM Time Out  3:15 PM Sanitation Score  81 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  81