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
  
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
 
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
  
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
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   Quat 200 ppm                   Dishwasher Temperature   160+ °F or label
Food Temperatures:   milk 41, chicken ranch wrap 43, mashed potatoes 156, breaded chicken 18, chicken breast 165, white cheddar cheese 39, cheddar cheese 40, vegetable chili 147.5, chocolate cheesecake 7.5, chocolate pudding 39, vegetable soup 28.5, deviled eggs 41.5, milk 34, ham 38, chili 166, gravy 143, white bean chili 148, lasagna 202, cookie dough 41, hamburger 196, meatloaf 35, ham 40, alfredo sauce 37, sausage 34, scrambled eggs 206, chicken strips 9, ice cream -1, Ensure 38, milk 37, jello salad 43, shredded chicken -16
 
General Comments
Suggest finding a way for employees to dispose of garbage without having to touch lids of cans. Currently, garbage can lids cover entire top of can and employees can not easily dispose of garbage without touching lids. 
Report and Instructions Received By   Mike DeBella /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/15/2011 Time In  9:00 AM Time Out  11:45 AM Sanitation Score  89 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  98  
 
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): on and at the end of the prep line near the microwave. Provide for the sanitizer solution to be mixed to the appropriate leveel for the type of sanitizer being used. Immediate/Onsite
9  Observed employees using improper utensils to dispense food products: single service cups in the bread crumbs on the prep line and store room. Immediate/Onsite
15  Observed the following improper non-food contact surfaces: peeling paint on the pot rack above the prep counter and rusty shelf and torn door gasket of the small Delfield prep cooler. Next Inspection
24  Observed the following equipment to be improperly stored: dishes for pot pies stored food contact surface up on the top shelf on the prep line. Store in a manner to prevent potential 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. Next Inspection
38  Observed the following light(s) to be improperly shielded: bulb inside the Frigidaire white upright freezer on the AYR line. Provide for all lights to be shielded to protect against broken glass from falling. Immediate/Onsite
42  Observed the following maintenance equipment to be improperly stored: in a drawer with sandwich bags, wooden skewers, and jello. Provide for all maintenance equipment to be stored in a manner that will prevent contamination of food,equipment, utensils and single service articles. Immediate/Onsite
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Mike DeBella /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/15/2011 Time In  9:00 AM Time Out  11:45 AM Sanitation Score  89 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  98  
 
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   Mike DeBella /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/15/2011 Time In  9:00 AM Time Out  11:45 AM Sanitation Score  89 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  98