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SA NUJ OAHU I N Environmental Health Department
<br /> L■ COUNT Y--
<br /> c/ `p' Greorne5S grows hey,. Time In: 11.00 am
<br /> Time Out: 12:30 pm
<br /> Food Program Official Inspection Report
<br /> Name of Facility: Kindred Transitional Care and Rehabilitation Valley Gardens Date: 02/11/2019
<br /> Address: 1517 KNICKERBOCKER DR, STOCKTON 95210
<br /> Owner/Operator: VENTAS INC Telephone: (502)596-7300
<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 /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:Walk in freezer is showing condensation at the fans covers. Repair in 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, 114172, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:3 comp sink faucet is leaking after being turned off. Repair in 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:Walk in cooler floor is showing milk spills. Clean today.
<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 /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> OBSERVATIONS
<br /> Name on Food Safety Certificate: Analyn Aquino Expiration Date: November 12,2023
<br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 136°F
<br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 107°F
<br /> FA0009746 PR0527312 SCO01 02/11/2019
<br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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
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