Food Establishment Inspection Report |
||||||||||||||||||||||||||
Page 1 of ????????? | ||||||||||||||||||||||||||
|
|
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. |
|
|
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 |
|
|
IOCI 17-356
![]() |
Food Establishment Inspection Report |
|
Page 2 of ?????? | |
Establishments: REFLECTIONS MEMORY CARE MORTON | Establishment #: 1848 |
Water Supply: Public Private Waste Water System: Public Private | ||
Temperature Documentation: NO | License Posted: NO | Complaint Number: |
Sanitation Information | ||
Name: LACEY KRANTZ | ||
Name: JEREMY SARGENT |
SANITIZER OBSERVATIONS |
|||||
Location | Location Desc. | Method Used | Chemical Sanitizer Used | PPM | Water Temp |
Sanitizer Bucket | kitchen | Chemical Sanitizer | Quaternary Ammonium | 200.00 | 0.00 |
Sanitizer Bucket | dining area | Chemical Sanitizer | Quaternary Ammonium | 300.00 | 0.00 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
air temp/cold holding, drawer | 39.00°F | air temp/cold holding, drawer | 41.00°F | air temp/walk in cooler | 33.00°F |
air temp/left vestibule, reach in cooler | 38.00°F | air temp/resident refrigerator | 38.00°F | air temp/right vestibule reach in cooler | 38.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Violations cited in this report must be corrected within the time frames below. |
10 |
Handsink in right vestibule did not have paper towels provided. ***COS Provided paper towels to right vestibule handsink. - 6-301.12 (A-D): Each HANDWASHING SINK or group of adjacent HANDWASHING SINKS shall be provided with: (A) Individual, disposable towels; (B) A continuous towel system that supplies the user with a clean towel; or (C) A heated-air hand drying device; or (D) A hand drying device that employs an air-knife system that delivers high velocity, pressurized air at ambient temperatures. - V,COS |
39 |
Boxes of food were observed directly on the floor of the walk in freezer. The person in charge stated they received a truck yesterday. Food should be off the floor the same day that they delivery arrives. - 3-305.11 (A) (B) (C): (A) Except as specified in ¶¶ (B) and (C) of this section, FOOD shall be protected from contamination by storing the FOOD: (1) In a clean, dry location; (2) Where it is not exposed to splash, dust, or other contamination; and (3) At least 15 cm (6 inches) above the floor. (B) FOOD in packages and working containers may be stored less than 15 cm (6 inches) above the floor on case lot handling EQUIPMENT as specified under § 4-204.122. (C) Pressurized BEVERAGE containers, cased FOOD in waterproof containers such as bottles or cans, and milk containers in plastic crates may be stored on a floor that is clean and not exposed to floor moisture. - V |
Inspection Comments | QT-10 papers were available upon request, but the proper concentration was unknown by the employees. The poster provided by the sanitizer distributor recommends QT-40 paper. The QT-10 paper of the inspector and the establishment did not give a proper reading, but QT-500 strips read 200-300 ppm. Purchase QT-40 paper as soon as possible, and test the sanitizer before it is used. |
HACCP Topic: Quat Test Strips |
Person In Charge (Signature)Rob Cade |
Date:12/10/2024 |
InspectorDAWN GIOVANETTO |
Follow-up: Yes No Follow-up Date: |