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
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
 
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
X
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
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
  
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     No X 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   180F *See label on report in file °F or label
Food Temperatures:   corn 153; mayo 40; Salisbury steak 156; hamburger 20; chicken 41; vegetables 27; liver 15
 
General Comments
Haccp: discussed proper storage of all potentially hazardous foods.

No follow up required. 
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/01/2010 Time In  10:40 AM Time Out  11:40 AM Sanitation Score  91 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91  
 
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
*45  Facility needs to acquire one more certified food handler. Next Inspection
2  Observed frozen foods not properly labeled in upright freezers in back room. Once removed from original packaging, please label with item and date. (750.100) Next Inspection
15  Observed the following non-food contact surfaces to be improper: 1. rust on lower shelf under dish washing counter, 2. gaskets torn and handle cracked to refrigerator in kitchen, 3. inside lower shelf cracked of 2 door freezer next to chest freezer in back room, 4. rust on inside and out of chest freezer in back, 5. chipped wood on wood shelves in dry storage room, 6. rust on inside shelves of chemical cabinet. Please repair, repaint or replace. (750.690) Next Inspection
16  Observed heavy lime build up on inside of mechanical dish washing machine. Please remove lime or replace machine. (750.830) Next Inspection
24  Observed utensils stored in different direction and knife put away wet and dirty in same drawer. Please store all utensils in one direction and store clean and dry. (750.850) Next Inspection
29  Observed hand sink in kitchen to be leaking; hot water faucet in men''s restroom to be leaking. Please repair and maintain at all times. (750.1060) Next Inspection
36  Observed unfinished floor in dry storage room. Please finish to allow for floor to be easily cleanable and non-absorbent. (750.1200) Next Inspection
37  Observed the following surfaces to be improper: 1. peeling/chipped paint on kitchen ceiling, 2. chipped paint on walls to utility room and back room, 3. chipped paint on walls to dry storage rooms. Please repair and repaint. (750.1210) Next Inspection
38  Observed no light to 3 door cooler in back room; no light and shield in dry storage room; broken light shield in men''s restroom. Please provide lighting to all food areas and food storage areas; repair or replace broken shield. (750.1240) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/01/2010 Time In  10:40 AM Time Out  11:40 AM Sanitation Score  91 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91  
 
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  02/01/2010 Time In  10:40 AM Time Out  11:40 AM Sanitation Score  91 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  91