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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 11 <br /> E"ram <br /> ^'•ti7F Opt�� Greotness grows here, <br /> Timee OOutut: 11::3535 am <br /> Food Program Official Inspection Report <br /> Name of Facility: KAISER FOUNDATION-MANTECA Date: 10/31/2018 <br /> Address: 1777 W YOSEMITE AVE, MANTECA 95337 <br /> Owner/Operator: KAISER FOUNDATION HOSPITAL Telephone: (510)271-5800 <br /> Program Element: 1628-LICENSED HEALTH CARE FACILITY <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hot water at the 3 comp and prep sinks is less than 120F. Increase hot water temperature to <br /> minimum 120F. Correct today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: David Finnen Expiration Date: February 15,2021 <br /> Warewash Chlorine(Cl): ppm Heat: 170°F Water/Hot Water Ware Sink Temp: 116°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk in--39.00°F 2 dr Traulsen--37.00°F <br /> hand sink--by walk in--100.00°F 2 comp prep sink--117.00°F <br /> NOTES <br /> Wiping cloth buckets at 200ppm quat. Test strips are available. <br /> Commissary is located in South San Francisco. <br /> NOTE: Inspector shall check in and out with Adminstration Rm 5 before and after inspection. <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: David Finnen, Nutrition Supervisor <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0003978 PR0527313 SCO01 10/31/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />