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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 
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
  
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
X
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
X
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
  
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
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
  
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     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   Quat 200 ppm                   Dishwasher Temperature   160+ °F or label
Food Temperatures:   turkey 41°, cheese 165.5°, casserole 289.5°, turkey 221.5°, lemon meringue 42.5°, meatloaf 37°, ham 27°, bacon 150°, malt -4°, sausage 32°, ham 36°, meatloaf 42°, fried chicken 8.5°, pudding 36.5°, apple juice 38.5°, sherbet 4.5°, mashed potatoes 133°, ham 40°, green beans 4°,milk 33°
 
General Comments
 
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/09/2010 Time In  8:50 AM Time Out  11:00 AM Sanitation Score  93 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  96  
 
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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
2  Observed the following food products to have improper/no labeling information: square plastic bins with green lids containing bulk items such as brown sugar. Next Inspection
5  Observed no thermometer to be available in the following units: the cooler at the end of the prep line nearest the 3-bay dish washing room and the Coca-Cola cooler containing the juice and milk in the kitchen. Immediate/Onsite
14  Observed the following improper food contact surfaces: the cutting board in the cafeteria with deep knife nicks that make cleaning difficult. Please resurface or replace to provide a smooth, easily cleanable surface. Next Inspection
23  Observed the following non-food contact surfaces to be unclean: the cabinet of the kitchen fryer, the stove drip trays, the grill drip pans, and the inside bottom of the Carter Hoffmann warmer near the ice machine. Next Inspection
24  Observed the following dishware items stored uncovered, food contact surface up: plates on a cart in the corner storage room and black plate covers on the prep line. Please store all dishware items in a manner to prevent possible contamination. Immediate/Onsite
25  Observed the following single service articles to be improperly stored: multiple types of single service containers stored uncovered, food contact surface up on the shelves of the prep-line. Please store all single service articles in a manner to prevent possible contamination. Immediate/Onsite
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/09/2010 Time In  8:50 AM Time Out  11:00 AM Sanitation Score  93 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  96  
 
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 #   KK169  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  ASCENSCION SAINT MARY-KANKAKEE Address  500 W COURT ST
Owner or Operator   ASCENSION SAINT MARY-KANKAKEE City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/09/2010 Time In  8:50 AM Time Out  11:00 AM Sanitation Score  93 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  96