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Program Element: 1628 - LICENSED HEALTH CARE FACILITY <br />Telephone: (510) 271-5800 Owner/Operator: KAISER FOUNDATION HOSPITAL <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1777 W YOSEMITE AVE, MANTECA 95337 <br />Date: 09/18/2017Name of Facility: KAISER FOUNDATION - MANTECA <br />Food Program Official Inspection Report <br />12:38 pm <br />10:55 am <br />Time Out: <br />Time In: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <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 commencing 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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 180 121 <br /> 100 <br />David Finnen February 15, 2021 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- 100.00º F walk-in -- 38.00º F <br />1 door True -- 38.00º F 2 door Traulsen -- 35.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />NOTE: Inspector shall check in with Administration - Room 105 prior to going back to the kitchen (obtain a visitor's badge). <br />Kitchen is shared with hospital cafeteria. Shared equip: walk-in cooler, dish machine, and 3 comp sink. <br />Nutrition side. <br />Tray assembly for patients. <br />Commissary is in San Francisco. <br />Food delivered daily. <br />All disposables <br />No ware washing (except for trays) <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist:Phone:(209) 468-0330 <br />David Finnen, Nutrition Super. <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0003978 PR0527313 SC001 09/18/2017