Professional Documents
Culture Documents
CPS
Inspectio
n Team
Date: 3/8/18 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1.1 Clean and organize all offices, remove outdated posters/memos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
Fail - Office has dust
Fail - Clutter must be removed
Fail - Office needs to be organized
1.2 Employee lockers clean in/out (no food storage-designated areas only)
Fail - dust & debris in locker
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
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
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
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
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
2. Food Tempuratures
4. Dry Storage
Main- Notice of paint chipping in dry storage. There is a hole to the left of the fuse box that needs to be plugged up. Hole
behind shelving that needs to be plugged. Opening outside of door #7 needs needs plugged. Utility sink needs to be clea
in dry storage. School records stored and could possibly be removed.
Annex- Refrigerator #1 has evidence of mold on inside vents and needs to be cleaned. Corrected Coolers need to be swe
on the floor of the walk in. Corrected Cleaning needs to take place behind , under and above all equipment. Corrected Sp
Corrected Milk crates are used to elevate food in the manager's office. Corrected Main-Cleaning needs to be done under
Equipment needs to be cleaned in the service area and free of dust. Corrected First freezer to the left of kitchen enteranc
cleaned. Corrected
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
Main- Grease traps need to be cleaned/ rust free and not leaking. Faucet on the 3 compartment sink is leaking and need
8. General Cleaning & Sanitation Measures
In both buildings, cafeteria's need to be cleaned. Floor's are dirty and there is evidence of food from the day before. Wind
need to be cleaned. The annex had trash cans stored in the corner of the cafeteria with food in them and no garbage ba
shields.Teacher's lounge in both buildings need to clean refrigerator's and microwaves. Walls were stained in the teacher's
Staff breakroom in the basement needs to clean out the refrigerators and the microwaves. Droppings were found behind t
floor is broken and needs to be removed/ disposed.
9. Garbage Storage & Disposal
For bothe buildings, Garbage cans are dirty and need to be cleaned out regularly. Dumperster near the annex was overflo
lids were not closed.
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
Main- Clutter stored to the right of the main stair well through double doors in front of air handler room. Corrected Em
corner by lunchroom. Corrected Clutter is found by entrance #3 in the corner were unused garbage cans are stored
records room, boxes are stored on the floor. Rm010 has reading supplies stored on the floor. "Gas room" is clutter
and out of the way of the main gas line. Air handler room has gym equipments stored on the floor. Room 030 has en
chairs and boxes stored on the ground. 050 or parent room has boxes stored on the floor, food stored inside, tables
Annex- Many of the rooms had items stored on the floor and were using milk crates for storage. The lunchroom had
sweepers/ brooms/ mops/ rakes..Corrected The library has chairs stored in the corner, shelves are dirty, tv on floo
using milk crates as storage and it is also very dusty.
Not a lot of pest activity was found during the inspection, few droppings here and there in the classrooms and basement a
droppings were found near the 3 compartment sink in the main building. 1-2 droppings were found in most classrooms. Ro
Corrected
Annex- The annex building could add doorsweeps to the classroom doors. Gaps were found in the corner of exterior door
and cracks around the base on the 1st floor, door sweeps need to be put on. Kitchen exterior door has gaps that need to
were found in the traps. Kitchen locker room had evidence of droppins.Main- Entrance #6 needs door sweeps added. Ext
removal equipment is stored needs to have a door sweep put on. Corrected
14. Pipes & Plumbing
Main-Duct work is needed for the hole near camera in lunchroom A. Toilet is leaking in downstairs girls restroom(3rd stall).
near clock.Insulation coming off piping above steam tables. Insulation coming off above the exit of lunchroom B. Pipe insu
#3.Boiler room has a leak in the hose connected to the sink. Room 030 has a hole in the wall near electrical piping. Anne
from the base of the toilet. 1st floor boiler room of the annex has a drain leak and is rusted. Cold water doesn't work in the
annex. Upstairs water fountaing is leaking ( lower one) .
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
Main- Paint is chipping in the dry storage room. Peeling paint is seen at entrance #2. Light bulbs are out in the girls restro
Light shiels are needed throughout most of the basement/boiler room area and lunchroom/ kitchen. Annex- #223 has chip
Ceiling tile stains can be found in the office. Walls are stained in the teacher's lounge. Kitchen is missing ceiling tiles in ma
16. Floors
In both buildings, the lunchroom floors are noticeably dirty and debris/food particles can be found. Annex- 2nd floor boiler
and need to be vacuumed and cleaned regularly. Classroom floors in the main building and annex need to be cleaned mo
cafeteria and outside cafeteria doors.
17. Restrooms
Schools auto faucets do not stay on for 30 seconds. In the annex, room 125 has water leaking from the base of the toilet
a cover on the radiator. Left urinal had trouble flushing.
18. Restrooms
Annex- Boiler room on the first floor has boxes stored on the ground and cluttered that needs to be organized. 2nd floor b
unorganized and has a lot of clutter. Sink needs to be cleaned, dirty mops are stored near entrance, computers are stored
disposal. Main- Sweping needs done behing boilers. Old equipment needs to be picked up. A lot of clutter stored in basem
Chairs are stored all over, gym mats are stored directly on the floor. Milk crates are being used for storage.
Annex- Boiler room on the first floor has boxes stored on the ground and cluttered that needs to be organized. 2nd floor b
unorganized and has a lot of clutter. Sink needs to be cleaned, dirty mops are stored near entrance, computers are stored
disposal. Main- Sweping needs done behing boilers. Old equipment needs to be picked up. A lot of clutter stored in basem
Chairs are stored all over, gym mats are stored directly on the floor. Milk crates are being used for storage.
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
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 averag
** Total score will auto calculate
Organization Name
School Administrator
NSS Inspector
Alex
Facilities Inspector
Hamp
Lunchroom Manager
Ossie
Engineer
Alvarado
Jasan
Other FSD
Kraus
Other
Additional Comments:
"Keep Our Schools Clean"
Nathan Davis
Vaughn Iturralde/Engineer
Receivin
g
Unmanne
d Site
alth (CDPH) # of
Fail(s) Grade
Score:
Serious 1 B
original container
d between uses
fe condition
Score: Critical ($500) A
x $500
$0
to all customers
ly by engineer.
d over a year
Score:
1 B
Serious
Score:
0 A
Critical
Score:
0 A
Critical
Score:
2 B
Serious
needs to be plugged up. Hole was found in the floor/base next to electrical box
ed. Utility sink needs to be cleaned and leak needs to be fixed. Dirty mop found
Score:
0 A
Serious
rected Coolers need to be swept out and cleaned. Corrected Milk was stored
ve all equipment. Corrected Space fans need to be cleaned and free of dust.
ning needs to be done under steam tables and on the shelves. Corrected
to the left of kitchen enterance has mold on inside vents and needs to be
Score:
0 A
Serious
Score:
1 B
Critical
Score:
3 D
Critical
ter near the annex was overflowing and the area had trash around it. Dumpster
Score:
0 A
Critical
Score:
3 C
Critical
r handler room. Corrected Empty computer carts and fans are stored in
sed garbage cans are stored and chairs. Clutter is found in the student
e floor. "Gas room" is cluttered and junk needs to be cleaned and cleared
on the floor. Room 030 has engineering supplies on the floor. 040 has extra
oor, food stored inside, tables were dirty, old pear was found on the table.
storage. The lunchroom had clutter in the corner were they are keeping
, shelves are dirty, tv on floor that needs removed, stains on ceiling tiles,
Score:
0 A
Critical
Score:
0 A
Critical
d in the corner of exterior door in room 126 of the annex. Boiler room has holes
ior door has gaps that need to be sealed/ door sweeps to be put on. Roaches
eeds door sweeps added. Exterior door to boiler room where the winter snow
Score:
2 C
Critical
nstairs girls restroom(3rd stall). Holes near piping in service area above cart and
exit of lunchroom B. Pipe insulation needs to be fixed above entrance
all near electrical piping. Annex- In room #125 of the annex, water is leaking
Cold water doesn't work in the Women's staff restroom by the boiler room in the
Score:
5 F
Critical
bulbs are out in the girls restroom in the basement. Entrance #3 has light out.
kitchen. Annex- #223 has chipping paint. #231 has stains on ceiling tiles.
en is missing ceiling tiles in manager's office.
Score:
3 D
Critical
found. Annex- 2nd floor boiler room, floor is coming up. Library floors are filthy
annex need to be cleaned more regularly. Broken tiles are found in the annex
Score:
2 B
Serious
king from the base of the toilet. Boys restroom near 1st floor boiler room needs
Score:
0 A
Critical
Score:
5 F
Critical
Score:
0 A
Serious
2.83 1.71
2.83 C
$12,500
s follows:
be an F regardless of average
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