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
 
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
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
  
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 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   Quat 200 ppm                   Dishwasher Temperature   160+ °F or label
Food Temperatures:   hard boiled egg 38°, cheese 39°, shredded cheese 42.5°, chicken breast 11°, honey mustard dressing 43°, ham 42°, soup 45°, ranch wrap 39.5°, vegetable beef soup 153°, minestrone soup 178°, potatoes 156°, chicken 185°, tomato soup 153°, creme pie 38°, hamburger 144.5°, chicken breast 169.5°, stuffing 42°, eggs 141.5°, fried chicken 8.5°, pastat 43°, milk 37.5°, pudding 38°, chocolate malt 2.5°, creme pie 36.5°, mayo 36°, milk 34°, meatballs 31°, salmon burger -8°, mashed potatoes 14.5°, bacon 134.5°, chicken breast 309.5°, mayo 38°, cheese 42°
 
General Comments
 
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/13/2010 Time In  9:15 AM Time Out  11:20 AM Sanitation Score  91 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  97  
 
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
*7  Observed raw foods stored above ready-to-eat foods in the following locations: raw meats stored above ice cream in the walk-in feezer and raw chicken stored above prepared baked beans in the walk-in cooler. Store all raw foods in a manner to prevent potential contamination of ready-to-eat foods. Immediate/Onsite
2  Observed the following bulk food products to not have proper labels on the container: dried noodles, granola, and croutons in plastic bins with red lids in the kitchen and raisins and brown sugar in plastic bins with green lids in the cafeteria. Label all bulk foods that have been removed from the original container. Next Inspection
14  Observed the following improper food contact surfaces: peeling teflon on multiple non-stick pans in the kitchen. Immediate/Onsite
23  Observed the following non-food contact surfaces to be unclean: inside bottom cabinet of the kitchen fryer and Carter Hoffmann warmer near the ice machine. Next Inspection
24  Observed the silverware to be stored food contact surface out in bins on the table near the dish washing area. Cleaned and sanitized equipment and utensils shall be handled in a way that protects them from contamination. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/13/2010 Time In  9:15 AM Time Out  11:20 AM Sanitation Score  91 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  97  
 
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  12/13/2010 Time In  9:15 AM Time Out  11:20 AM Sanitation Score  91 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  97