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
X
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
X
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
X
1
 Original Container, Properly Labeled
*20
X
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
  
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
X
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
  
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:   pepper steak 170; rice 170; chili 38; perch 8; eggs 41; chicken 10
 
General Comments
Haccp: discussed the importance of hot water and proper dish washing methods.

PER THE DIRECTOR OF ENVIRONMENTAL HEALTH, FACILITY IS BEING GIVEN 10 DAYS TO CORRECT THE HOT WATER AND DISH WASHING METHODS. FACILITY MUST EITHER INSTALL A 3-BAY SINK OR MECHANICAL DISH WASHING MACHINE; MUST HAVE HOT AND COLD WATER UNDER PRESSURE TO ALL SINKS INCLUDING RESTROOMS. IF FACILITY FAILS TO INSTALL THE PROPER EQUIPMENT AS STATED IN THIS REPORT, FACILITIES 2011 FOOD LICENSE MAY BE SUSPENDED ALONG WITH A $500 FINE.

A FOLLOW UP WILL OCCUR IN 10 DAYS. 
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/23/2011 Time In  9:45 AM Time Out  11:30 AM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  77  
 
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
*1  Observed can of crushed tomatoes in dry storage with severe dent on side of can. Please provide food to be wholesome. Can discarded, see voluntary destruction agreement. (750.100) Immediate/Onsite
*20  Observed improper sanitizing of all dishware. Facilities mechanical dish machine is broken and there is only a 2-bay sink. All dishware must be sanitized in the following manner: 1. hot soapy water at 110F in 1st bay, 2. hot clean rinse water in 2nd bay, 3. sanitize in 3rd bay for immersing for one minute. Until a 3-bay sink or mechanical dish washing machine can be installed, please wash all dish ware in the following manner: 1. fill 1st bay with hot, soapy water @110F 2. fill 2nd bay with clear, hot rinse water 3. once all dishware is cleaned and rinsed, empty 2nd bay of clear rinse water and fill with sanitizer and immerse dishware for one minute then place on counter to air dry. Please provide either a 3-bay sink or mechanical dish machine for properly washing, rinsing and sanitizing all dish ware. (750.830) Observed no sanitizer set up for washing counter tops. Please keep set up at all times prior to all food prep and service. (750.830) 10 Days
*27  Observed no hot or cold water at hand sink in kitchen, mens and womens restrooms. Hot and cold water under pressure must be supplied at all times. Please provide immediately. (750.1030) 10 Days
2  Observed no labeling on repackaged chicken in chest freezer in back room. Please label with item and use by date. (750.120) Next Inspection
15  Observed the following non-food contact surfaces to be improper: 1. rust on metal racks in dry storage, 2. rust on inside of metal cabinet in dry storage, 3. chipped wood on shelves in dry storage. Repair, repaint or replace. (750.690) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1. black fan by 2-bay sink, 2. pot holders, 3. shelves in small store room by kitchen, 4. tops of white buckets in small store room, 5. shelves in small store room, 6. inside bottom of 2-door freezer in back. Please clean. (750.800) Next Inspection
29  Observed drain under 2-bay sink in kitchen in need of cleaning. Please keep clean at all times. (750.1060) Observed faucet on far left in ladies restroom leaking at faucet. Please repair and maintain. (750.1060) Next Inspection
34  Observed outside dumpster without lids. Please keep lids on at all times; dumpster is too small for this facility. Provide a larger dumpster!!! (750.1140) Next Inspection
36  Observed floors throughout kitchen, store rooms, mop sink room and back room in need of a thorough cleaning. Please clean. (750.1220) Next Inspection
37  Observed the walls in the mop sink room and back room in poor condition. Please repair and repaint. (750.1210) Observed hood and filters in kitchen and mens rest room ceiling vent in need of cleaning. Please clean. (750.1220) Next Inspection
38  Observed either missing or broken light shields in the following areas: 1. no light shield over freezers in back room, 2. no light shield in store room across from kitchen, 3. chipped light shield in mens restroom. Replace and provide light shields. (750.1240) Next Inspection
42  Observed mops and brooms stored improperly in mop sink area. Please clean and sanitize after every use; hang mops to dry. (750.1390) Next Inspection
     
     
     
     
     
Report and Instructions Received By   Sarah Graham /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/23/2011 Time In  9:45 AM Time Out  11:30 AM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  77  
 
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  02/23/2011 Time In  9:45 AM Time Out  11:30 AM Sanitation Score  77 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  77