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Time In: 9:20 am
<br /> Time Out: 10:20 am
<br /> San Joaquin County
<br /> W.
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<br /> Environmental Health Department
<br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> '�Gi F o RNA
<br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s*gov.org/ehd
<br /> Food Program Official Inspection Report
<br /> Name of Facility: GOOD SAMARITAN REHAB & CARE Date: 01/08/2016
<br /> Address: 1630 N EDISON ST,STOCKTON 95204
<br /> Owner/Operator: GOOD SAMARITAN REHAB & CARE Telephone: (209) 948-8762
<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 classed as"MAJOR"pose an immediate threat to public health
<br /> and have the potential to cause foodbome 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 was not sanitizing. Chlorine level was zero. Tech came in and repaired unit. New level is
<br /> 100 ppm. Check levels daily and make sure it is 50 ppm or higher.
<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, 114141)
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS: Large ice scoop is cracked. Replace by 1 week.
<br /> CALCODE DESCRIPTION.All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment
<br /> shall be approved, installed properly, and meet applicable standards.(114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5,
<br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Small water leak under rinse off sink. Repair by 1 week.
<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,properly stored, and used for no other purpose.(114171,
<br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269)
<br /> #45 Floors, Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Wall to the right of walk in is damaged. Repair and repaint by 2 weeks.
<br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor
<br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily
<br /> cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original
<br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d),
<br /> 114266, 114268, 114268.1, 114271, 114272)
<br /> FA0018492 PR0527301 SC001 O V08/2016
<br /> EHD 16-23 Rev.06/30115 Page 1 of 2 Food Program OIR
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