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
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
  
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
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
  
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
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   Quat 400 ppm                   Dishwasher Temperature   160+ °F or label
Food Temperatures:   swiss and american cheddar cheese 39, meatloaf 210, vegetables 147, soup 155, chicken and rice soup 158, alfredo 158, rice 191.5, lemon meringue 41, raw chicken 38.5, egg mix 38, soup 141.5, ham 39, chicken 37, pudding 39, malt 2.5, yogurt 37.5, mayo 37.5, milk 32.5, soup 23, smoked ham 29, fried chicken 6.5, soup 187, egg salad 39, egg rolls 186, chicken 202, ham 41, deli turkey 39, parmesan cheese 43, pudding 28, diced chicken -7, mashed potatoes 147, turkey and cheese sandwich 43, mashed potatoes 155
 
General Comments
 
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/07/2011 Time In  9:30 AM Time Out  12:15 PM Sanitation Score  86 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  94  
 
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
*20  Observed the sanitizer solution to be too weak at the following location(s): sanitizer bucket in the cafe and salad prep area. Provide for the sanitizer solution to be mixed to the appropriate leveel for the type of sanitizer being used. Immediate/Onsite
2  Observed the following food products to have improper/no labeling information: chow mein noodles removed from the package on the shelf in the storage room. Provide for all bulk foods that have been removed from the original container to be labeled with the product contained. Immediate/Onsite
8  Observed the following foods to be stored without covers in the following locations: on a cart in the walk-in freezer. Provide for all food products in storage to have proper covers or overhead protection. Next Inspection
9  Observed employees using improper utensils to dispense food products in the following locations: single service articles in the powdered milk and powdered sugar. Provide suitable dispensing utensils to be used by employees/consumers. Immediate/Onsite
15  Observed the following improper non-food contact surfaces: peeling paint on the pot rack above the prep counter. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbant, corrosive resistant, and light colored. Next Inspection
23  Observed the following non-food contact surfaces to be unclean: oven handle and inside of small stainless freezer on the prep-line. Next Inspection
24  Observed cleaned and sanitized equipment to be handled in a manner that is condusive to causing contamination: forks stored food contact surface out in silverware bins. Provide for all untensils to be stored all in one direction with the handles presented up and out preventing contamination of the food contact surface. Immediate/Onsite
36  Observed the following floor areas to be in poor repair: cracked floor tile in the walk-in freezer. Provide for all flooring areas to be smooth, easily cleanable, non-absorbent, durable surfaces, and be maintained in good repair. Observed the following floor areas to be unclean: pretzels on the floor in the storage room. Provide for all flooring areas to be in a clean condition. Next Inspection
38  Observed the following light(s) to be improperly shielded: bulb inside the Frigidaire white upright freezer on ayr line. Provide for all lights to be shielded to protect against broken glass from falling. Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Kevin M. Kincaid /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  09/07/2011 Time In  9:30 AM Time Out  12:15 PM Sanitation Score  86 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  94  
 
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  09/07/2011 Time In  9:30 AM Time Out  12:15 PM Sanitation Score  86 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  94