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 #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 
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
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
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
X
1
 Thermometers provided and conspicuous
37
  
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
X
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
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
X
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
X
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
 
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
  
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     No X Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
X
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Quat 200-400 ppm                   Dishwasher Temperature   120-140 °F or label
Food Temperatures:   Brown gravy 120, mashed potatoes 121, raw chicken 52, raw fish 52, chicken gravy 151, chili 150, roast beef 41, raw chicken 41, turkey 40, raw beef 40, turkey 40, raw beef 40, grilled chicken 32, ham 31, hot dog 38, mushroom 29, chili 178, mashed potatoes 121
 
General Comments
Will do a follow up within 10 days to check on the temperature of dishwasher. Dishwasher must reach 120F or above for final rinse. 
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/15/2011 Time In  1:30 PM Time Out  3:20 PM Sanitation Score  76 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  85  
 
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 #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*3  Observed the following potentially hazardous foods to be held at improper temperatures. 1. Raw chicken was found at 52F in small reach in cooler. 2. Raw fish was found at 52F on top of reach-in cooler. Provide for all cold potentially hazardous foods to be held at 41°F or below at all times except during necessary periods of preparation. 750.120 Immediate/Onsite
*7  Observed raw beef was stored over grilled chicken in small reach-in cooler. Employee stored beef in another cooler. 750.150 Immediate/Onsite
*20  Observed the dish machine final rinse water to not reach the proper temperature to sanitize the dishes. Dishwasher was only reaching 90F for final rinse. Provide for the dish machine final rinse water to reach the minimum required temperature to assure that the dishes are properly sanitized. 750.830 Immediate/Onsite
*45  Provide 1 food certificater per shift. Manager will fax's me other employees food certificates. Next Inspection
5  Observed no thermometer to be available in the following units. There is no visible thermometer for front reach-in cooler. Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods Next Inspection
8  Observed the following food products to be improperly stored. Soda lines were found on floor in back dry storage area. Provide for all food products to be stored at least six inches off of the floor. 750.130 Next Inspection
9  Observed food service employees to be handling ready-to-eat foods without minimizing direct hand contact with the food product. Cups were found in flour & fish pescado. 2. Cups are being used for candy bar pieces in walk-in freezer. Food employees shall avoid direct contact with ready-to-eat food whenever possible and, to the extent possible, shall handle ready-to-eat food only with suitable utensils such as a deli tissue, spatulas, tongs, or single-use gloves. 750.280 Next Inspection
17  Observed no test kit to be available for testing the chemical sanitizer. Provide for a test kit or other device that accurately measures the parts per million concentration of the sanitizer solution to be available. 750.690 Next Inspection
23  Observed the following contact surfaces to be unclean. Seal gasket on beef cooler had food debris in it. Clean and maintain Next Inspection
33  Observed trash was full on cook line. Empty all trash cans. 750.1150 Next Inspection
36  Observed the following floor areas to be unclean: Floor in walk-in freezer has food debris on it. 2. Food debris on the floor under equipment on cook line. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
40  Observed no available storage area for personal belongings: Jackets were stored on back dry storage shelf. A designated storage area shall be provided for all personal belongings to be stored. An area shall be so designated as long as the contamination of food. 750.820 Next Inspection
     
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/15/2011 Time In  1:30 PM Time Out  3:20 PM Sanitation Score  76 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  85  
 
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 #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
     
     
Report and Instructions Received By   /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/15/2011 Time In  1:30 PM Time Out  3:20 PM Sanitation Score  76 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  85