Beruflich Dokumente
Kultur Dokumente
CPS
Inspectio
n Team
Date: 3/7/18 Members:
Cooking x Sending
Conversion OKI
The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH)
1. Employee Facilities
1.1 Clean and organize all offices, remove outdated posters/memos
L/R Mgr, Engineers, Teachers, Main Office
x Fail - Office has dust
x Fail - Clutter must be removed
x Fail - Office needs to be organized
1.2 Employee lockers clean in/out (no food storage-designated areas only)
x Fail - dust & debris in locker
x Fail - clutter needs to be removed/organized
1.3 Tops/bottom of lockers clean & free of all materials
x Fail - remove all materials from top of lockers
x Fail - dust/dirt observed
2. ***Food Temperatures
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"***
2.1 Fail - Cold food are not held at 40°F or below
Fail - Hot foods are not held at 140°F or above
Fail - Frozen foods are not held at 0°F or below
3. Food Storage & Handling
3.1 There are no bulging or leaking canned goods or expired products in
storage
Fail - bulging, dented or leaking canned goods
Fail - expired products in storage
3.2 Fail - canned foods stored in remarked containers, not in original container
3.3 Fail - small equipment and utensils are not being sanitized between uses
Fail - small equipment is not air dried
4. Dry Storage
4.1 Food is protected from contamination
Fail - food is not covered/labeled/dated
x Fail - dirt/dust observed under and behind racks
4.2 Racks are clean and free of rust and/or painted shelves in good condition
Fail - racks dirty to sight and touch
Fail - rust on racks
Fail - exposed wood on painted shelves
4.3 Light shields and fixtures are in good condition and clean
Fail - light shields dirty and/or cracked.
Fail - light shields missing
4.4 Storage areas are kept clean
x Fail - area dusty/dirty
Fail - not organized/remove all clutter
4.5 Chemicals are stored away from food and other supplies
Fail - chemicals stored with food are not separated
Fail - food and supplies are not 6"from floor and wall and 18" from the ceiling
x Fail - food stored in non-designated food service areas
5. Food Service Equipment & Vending Machines
5.1 Dish machine is utilized, if not working repair or remove
Fail - dish machine not reaching 180°F final rinse
Fail - dish machine not working
Fail - dish machine area not clean and or cluttered
5.2 Fail - slicer not clean and sanitized
5.3 Fail - exhaust fans and/or covers need cleaning
5.4 Fail - vending machines dusty and need cleaning
5.5 Clean space fans/check under units
Fail - space fans need cleaning
Fail - clean base of space fans
5.6 All pieces of equipment are clean to sight and touch
Fail - Cooler/freezer gaskets need cleaning
Fail - Evidence of mold and or mildew
Fail - Units need to be clean/organized
Fail - behind, under, beside, tops and above all equipment needs cleaning
Fail - equipment and food contact surfaces are dirty
Fail - units thermometers are not working inside
Fail - motor housing and grates need to be cleaned
Fail - light shield needed
Fail - milk barrels, coleman coolers, cambros not clean
Fail - food transfer boxes not clean
Fail - speed racks and push carts
Fail - gum/graffiti found on equipment
Fail -Exhaust hood and or filters need cleaning
Fail -Exhaust hood and fire suppression serviced within a year
Fail - cleaning needed behind plates and panels on
equipment
Fail - ice build up in coolers/freezers
Fail - water leaking from unit
Fail - evidence of rust/slime observed in ice machine or other equipment
5.7 Clean range grease trap pans
Fail - grease trap pans are not clean
Fail - foil must be removed from pans
5.8 Remove and clean/vacuum/wash under serving line shelves & all ledges
Fail - serving line shelves and all ledges need cleaning
Fail - Shelves, Cabinets & Drawers need cleaning
5.9 Food is stored 6 inches off floor in walk-ins
Fail - milk stored on floor of walk-in
Fail - milk crates used to elevate food
Fail - food boxes on floor in walk-in
5.1 Racks are clean and free of rust
Fail - evidence of rust on racks
Fail - racks need to be cleaned
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
1. Employee Facilities
Mouse droppings in Main office, Hallways had milk dripping from Garbage bags. Hallway floors were dirty. Offices had clutter,
olb building.
Mouse droppings in Main office, Hallways had milk dripping from Garbage bags. Hallway floors were dirty. Offices had clutter,
olb building.
2. Food Tempuratures
4. Dry Storage
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
6. Utensils and Equipment
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
11. All Rooms, Closets, Offices, Gym, Auditorium, Other
Droppings found in old building throughout offices and classrooms.50+ Big improvement sisce last blitz.
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
15. Ceilings & Walls
16. Floors
Missing floor tiles and floors sinking in classrooms causing openings for rodents.
17. Restrooms
Many leaks in most bathrooms sinks urinals toilets. Clogged custodial sinks in old building 2nd floor. Clogged sink in teachers
18. Restrooms
Need clutter removed, cleaning needed throughout boiler Leaks need to be repaired.
20. Safety
SCORING PAGE
1. Employee Facilities
2. Food Temperatures (Critical: "A" or "F")
3. Food Storage & Handling
4. Dry Storage
5. Food Service Equipment & Vending Services
6. Utensils and Equipment
7. General Cleaning and Sanitation Measures (Critical)
8. General Cleaning and Sanitation Measures (Critical)
9. Garbage Storage and Disposal
10. Manger Sanitation & B.O.H. Report
11. Classrooms/ Library/ Hallways/ Offices
12. Pest Control (Critical: "A" or "F")
13. Pest Control (Critical: "A" or "F")
14. Pipes & Plumbing
15. Ceiling & Walls
16. Floors
17. Restrooms (Serious)
18. Restrooms (Critical: "A" or "F")
19. Basement / Engineering Facilities
20. Safety
*Average Scores
x Check here if failures were marked in sections 2, 12, 13 and 18. A re-inspection must be completed
1) Assign a score for each grade under Serious and Critical on the Scoring Page as follows:
A=4
B=3
C=2
D=1
*Average scores for Serious and Critical colums will auto calculate
2) Assign a total letter grade using the chart below based on the total score:
A=4
B = 3-3.9
C = 2-2.9
D = 1-1.9
F = 0-0.99
**If you grade an F in sections 2, 12, 13 and 18, final grade must be an F regardless of average
** Total score will auto calculate
Organization Name
School Administrator
NSS Inspector
Facilities Inspector Vaughn Iturralde
Lunchroom Manager
Engineer Jose Delagarza
Other
Other
Previous Comments
Room 306
Closets clutter
Dirty floors
Bugs in light shields
Window does not close
Crack paint
Shelves need to be dusted
Vents need cleaning
Room 300
Floors dirty
Shelves need dusting
Cracked ceiling
Shelving blocking electrical panel
Dirty floors underneath equipment
Missing window shades
Room 305
Storage closet clutter needs to be off floor
Window sills dirty
Missing two shades for windows
Room 304
Storage closets clutter
All items off the ground
Light shield missing
Vents dirty
Light shield has bugs in it
Ledges dirty
Room 401
Cold drafts
Windows do not close- staff wearing winter gear
Clutter throughout
Floors dirty
Window lock broken
Classroom 307
Vents are dirty
8 light shields missing
Light bulbs
Clutter on ground
Computers are dusty
Pencil shavings need to be empty
Items need to off the floor
Windows are left open no screens
Closets dirty- open the door items fall off
Room 303
Floors dirty
Ballast is out-3
Huge Cover missing
Supplies and clutter
Window open- from last night
Vents dirt
Electrical cover missing wire exposed
Storage closet- dirty closet, clutter
Room 308
Lights are out
Floors dirty
Clutter on the ground
Pencil sharpening needs to be empty
Closets full of clutter
Shelving dusty
Classroom 302
Floors are dirty
Items need to be off the floor
Window open
Ledges dirty
Bugs in light shield
Classroom 309
Floors dusty
Windows open
5 light shields missing lights missing
Windows do not shut
Classroom was missing breakfast kitchen ran out
Classroom 310
Space heater
Kitchen sink dirty
Room is very cold
Lots of clutter
Items on the floor
Light shields dirty
Room 301
Peeling paint
Blinds dirty
Room 201
Vents dirty
Light shield popping out
Missing floor tiles
Floors dirty
Closets packed need to be
2nd floor
Lights out by stair ways
Light shields missing
Lights out
Baseboards dirty
Vents dirty
Fire extinguisher no inspection checked by engineer
Ledges dirty
Water fountain has debris in it
Classroom 210
Vents dirty
Storage closets dirty
2 blinds missing
Light shields dirt
Ledges dirty
Shelving needs dusting
Window will not close
Storage closet blocked with clutter
Classroom 209
Ballast out
Light shields are dirty
Ledges dirty
Floors dirty
Peeling paint
Vents are dirty
Classroom 202
Girl's bathroom
Peeling paint
Ledges dirty
No toilet seat last stall
Toilets dirty
Vents dirty
Storage closet on 2nd floor
Clutter and very dirty
Giant hole needs to be filled
Room 208
Baseboard missing right outside
Electrical panel blocked in corner of room
Floors dirty
Storage closet full clutter needs to be off the floor
Room 203
Light bulbs out
Blind shields missing
Clutter off floor
Floors dirty
Outlet need to be repaired open old exposed light switch
Clutter in closets
Room 207
Bound is broken
Ledges dirty
Storage closets floors dirty
Light shields dirty
Vents are dirty
Room 204
Missing blinds
Dirty light shields
Room 205
Floors dirty
Window blinds missing
Light shields dirty
Vents dirty
Mdf room
Light shields missing
Lights out
Need blind
Clutter items need to be off the ground
Room 206
Hole in closet door
Closets full
Two blinds missing
Ledges dirty
Outside hallway trim piece missing
Counselor room
Tiles flooring need repair
Huge hole
Peeling paint
Cracked wall
Need shade
Holes in walls
Gym
Vent rusty dirty
Space fab dirty top and bottom
Gym closet dirty
Peeling paint
Ceiling tiles
Very cold
Bathroom in operable
Garbage cans full
Light shield hanging
Gym closet
Peeling
Door has damage in corner
Vents dirty
So much stuff can bob safely walk
Baseboard damage
Pneumatic line damage
Door 4
Tiles missing closet cob webs
Storage closet filled with clutter
Tiles missing
Boy's bathroom
Light shields dirty
Holes in wall
Rusted vent
Relying paint
Storage room outside of auditorium - needs to be cleaned and de clutter
Classroom 110
Vents dirty
Floors dirty clutter on in corners
Doors blocked
Bathroom
No running water hot or cold
Classroom 101
Floors dirt
Storage closets dirty
Vents dirty
1st floor
Water fountain not working
Low water pressure
Boiler room
Not locked
Water leaking down base of stairs- huge safety issue
Peeling paint
Standing water
Dirty floors
Holes in door
Missing tiles
New light fixture needed
Drain dry odor
No covers on fan guard's huge safety issue
Entrance to engineer
Floors and storage room dirty
Electrical cover needed
Bathroom men's
Missing handle men's bathroom
Gym office clutter
Gym
AED defibrillator not working
Stairway
Stair wells with clutter
Ceiling tile cracked
Ceiling tiles bowed
Classroom 127
Blinds missing
Classrooms 128
No hot water
Clutter
Classrooms 125
Storage closet clutter dirty
Classrooms 123
Storage closets clutter
No paper towels
Classroom 122
Vents need cleaning
Water fountain
Low water pressure in hallway
Girl's bathroom
Faucet timing needs
Room 121
Rugs dirty
Heating issues
Blinds need
Floors dirty
Vents dirty
Storage closet clutter
Water fountain- bad odor coming every time sink
Teachers' lounge
No hot water
Low water pressure
Clutter on the floor
Microwave
Water damage on carpet
Hallway
Vents need clean
Girl's bathroom
Need to fix fixture
Boy's bathroom
Need to fix fixture
Electrical room
Need to remove items and floor dirty
Room 230
Storage closet
Water sink in classroom no hot water
Water fountain doesn't work dirty
Room 132
Closet- clutter
No hot water in sink
Ceiling tile popping out
Need a clean out cover
Floors dirty clutter
Multi-purpose room
Multi-purpose room
Storage closet dirty clutter
Ceiling tiles popping out
Storage room
Floors dirty
Room 130
Peeling paint
Water fountain dirty
Fridge needs to be removed
Room 131
Missing blinds-
Rugs dirty
Not hot water in bathroom
Vents dirty
Room 228
Missing blind
Ceiling tiles
Room 229
Vents dirty
Lights out
Room 226
Clutter on ground
Ceiling tiles
Blinds missing
Room 227
Adjust door closer
Rugs are dirty
Water leak ceiling tile
Blinds missing
Floors dirty
Room 225
Clutter on floors
Shelving need cleaning
Ballast out
Vents dirty
Room 224
Pencil shavings need to be emptied
Clutter on ground
Lights out- 2 ballasts
Vents dirty
Room 223
Vents dirty
Blinds need to fixed
Floors dirty
Room 222
Computers dusty
Rugs dirty
Floors dirty
Computer lab
Concentrator making noise
Carpets dirty
Blinds removed
Space fan dirty
Seminar room
Vents dirty
Lights flickering
Library
Floors dirty
Vents dirty
Mdf IT room
Dirty floors
Clutter
Mini fridge needs to be removed
Handicap bathroom
Floors dirty
Electrical room
Needs to have clutter removed
Computer lab
Vents dirty
Lights out
Extinguisher on the ground
Room 236
Vents dirty
Floors are dirty
Blinds missing
Room 234
Dirty floor
Vents dirty
Science/art
Ballast out
Storage closet dirty and lots of clutter
Storage closet next to science dirty clutter
Room
230
Light out
Dirty vent
Shades missing
Room 232
Ceiling tile
Shades missing
Vents dirty
Kitchen issues New Carson's:
Carson
Receiving
Unmanne
d Site
h (CDPH) # of
Fail(s) Grade
Score:
Serious 7 F
iginal container
between uses
ng stored on top
o all customers
by engineer.
Score:
7 F
Serious
were dirty. Offices had clutter, missing floor tiles. Baseboards needed throughout
were dirty. Offices had clutter, missing floor tiles. Baseboards needed throughout
Score:
O A
Critical
Score:
A
Critical
Score:
3 C
Serious
Score:
A
Serious
Score:
O A
Serious
Score:
O A
Critical
Score:
2 C
Critical
ed or removed.
Score:
2 D
Critical
Score:
O A
Critical
Score:
7 F
Critical
Score:
1 F
Critical
Score:
1 F
Critical
Score:
1 B
Critical
Score:
4 F
Critical
Score:
8 F
Critical
Score:
4 F
Serious
Score:
1 F
Critical
Score:
6 F
Critical
Score:
2 B
Serious
2.67 2.36
2.51 C
$18,750
n must be completed
llows:
e an F regardless of average
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