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Time In: to 20 am <br /> Time Out: 11 15 am <br /> a�aeta. e — San Joaquin County - <br /> r' A; Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> F. a Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.s gov.org/ehd <br /> 1ciirA'A� <br /> Food Program Official Inspection Report <br /> Name of Facility: LINCOLN SQUARE POST ACUTE REHAB Date: 01/13/2016 <br /> Address: 1032 N LINCOLN ST,STOCKTON 95203 <br /> Owner/Operator: STOCKTON HEALTHCARE SERVICE Telephone: <br /> Program Element: 1628-LICENSED HEALTH CARE FACILITY <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit Reinspection on or after: ')1/20%20!r <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commenting with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization MAJOR <br /> OBSERVATIONS: Dish washer is not sanitizing. Level shall be a minimum of 50 ppm. Mean while sanitize at 3 comp with <br /> 200 ppm Quat for 1 minute. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized.(113984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101(b-d), 114105, 114109, 114111, 114113, 114115(a,b, d), 114117, 114125(b), 114135, 11414 1) <br /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS: Dish washer is leaking at hose bib. Re-pair by lweek. <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br /> by applicable plumbing codes.(114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials, labeled,property stored, and used for no other purpose.(114171, <br /> 114189.1, 114190, 114193, 1141931, 114199, 114201, 114269) <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS: One rest room door is not self closing. Provide device by 1 week. <br /> CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption.(114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jemme C Gregg Jackson Expiration Date: September 30,2019 <br /> Warewash Chlorine(Cl): 0 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM --LOCATION—TEMP°F—COMMENT <br /> FA0016491 PRO527298 Scoot 0113/2016 <br /> EHD 1623 Rev.06/30/15 Page 1 of 2 Food Program OR <br />