Food Establishment Inspection Report |
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FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
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GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. Mark "X" in box if numbered item is not in compliance Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: WASHINGTON SENIOR LIVING | Establishment #: 462 |
Water Supply: Public Private Waste Water System: Public Private | ||
Temperature Documentation: YES | License Posted: YES | Complaint Number: |
Sanitation Information | ||
Name: MICHAEL OLSON | ||
Name: MEGAN KEITHLEY | ||
Name: CARLA DURR | ||
Name: STEPHANIE STORM |
SANITIZER OBSERVATIONS |
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Location | Location Desc. | Method Used | Chemical Sanitizer Used | PPM | Water Temp |
Dish Machine | Hot Water | 0.00 | 180.00 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Sliced tomato/drawer/Prep Line | 39.00°F | Mixed veggies/Steam Table | 173.00°F | Air temp/Walk in Freezer | 0.00°F |
Hard boiled eggs/walk in cooler | 37.80°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Violations cited in this report must be corrected within the time frames below. |
HACCP Topic: Discussed employee illness policy |
Person In Charge (Signature)Mindy Kneer |
Date:10/21/2024 |
InspectorCourtney Schlossler |
Follow-up: Yes No Follow-up Date: |