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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Food Establishment Inspection Report |
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Establishment: SOUTH PEKIN GRADE SCHOOL CAFETERIA | Establishment #: 296 |
Water Supply: Public Private Waste Water System: Public Private | ||
Temperature Documentation: NO | License Posted: NO | Complaint Number: |
Sanitation Information | ||
Name: RACHEL STONE | ||
Name: JAMIE LOWE | ||
Name: BECKY PIRO |
Illinois Requirements: | Use of non-latex gloves for food handling and preparation 410 ILCS 180/10. |
Appropriate default beverage for children's meal 410 ILCS 620/21.5. |
SANITIZER OBSERVATIONS |
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Location | Location Desc. | Method Used | Chemical Sanitizer Used | PPM | Water Temp |
Sanitizer Bucket | prep area | Chemical Sanitizer | Quaternary Ammonium | 200.00 | 0.00 |
Dish Machine | dishwashing area | Chemical Sanitizer | Chlorine | 50.00 | 0.00 |
Sanitizer Bucket | Service station | Chemical Sanitizer | Quaternary Ammonium | 200.00 | 0.00 |
TEMPERATURE OBSERVATIONS |
Item/Location | Temp | Item/Location | Temp | Item/Location | Temp |
chili/hot holding | 144.00°F | Cheese/Clear door fridge | 41.00°F | air temp/Clear door fridge | 41.00°F |
Clear door fridge/walk-in cooler | 38.00°F | air temp/walk-in freezer | -8.00°F | air temp/milk cooler 1 | 37.00°F |
air temp/milk cooler 2 | 41.00°F | air temp/3 door cooler | 31.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Violations cited in this report must be corrected within the time frames below. |
28 |
**** A chemical working solution was found in a bottle that did have a legible label. COS, PIC was unsure of what solution was and properly labeled. **** - 7-102.11: Working containers used for storing POISONOUS OR TOXIC MATERIALS such as cleaners and SANITIZERS taken from bulk supplies shall be clearly and individually identified with the common name of the material. - V,COS |
55 |
**** An area by the window from the ceiling is leaking water behind and op top of the cabinets. Ensure that this leak is repaired and physical facilities are maintained in good condition. **** - 6-501.11: PHYSICAL FACILITIES shall be maintained in good repair. - V |
Inspection Comments |
-The facility had just received a shipment and had some boxes stored on the floor of the walk-in freezer, ensure that these boxes are stored 6in above the ground. -The facility has removed the kickplates from the 3 compartment sink and looking at purchasing new countertops. -The left side of the clear glass fridge holds employee food, ensure that this side is labeled "employee food only". -The hot pot cooker in the kitchen is actually operational per PIC, if the equipment does become inoperable, ensure that it is either repaired or removed. |
HACCP Topic: Equipment holding TCS food requires internal thermometers |
Person In Charge (Signature)Rachel Stone |
Date:02/19/2025 |
InspectorELLIOT LUSK |
Follow-up: Yes No Follow-up Date: |