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1600 - Food Program
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PR0528477
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Last modified
4/28/2020 2:16:08 PM
Creation date
4/10/2019 11:25:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528477
PE
1628
FACILITY_ID
FA0019191
FACILITY_NAME
PRESTIGE SENIOR LIVING AT MANTECA
STREET_NUMBER
1130
STREET_NAME
EMPIRE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20850044
CURRENT_STATUS
01
SITE_LOCATION
1130 EMPIRE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Program Element: 1600 - FOOD PROGRAM <br />Telephone: (209) 239-4531 Owner/Operator: MANTECA VENTURES LLC <br />Address: 1130 EMPIRE AVE, MANTECA 95336 <br />Date: 06/26/2018Name of Facility: PRESTIGE SENIOR LIVING AT MANTECA <br />Food Program Complaint Inspection Report <br /> 6:07 pm <br /> 5:00 pm <br />Time Out: <br />Time In: <br />Complaint #: CO0046980 <br />The San Joaquin County Environmental Health Department received the following complaint: <br />CO0046980 states: "POSSIBLE NORO VIRUS OUTBREAK, 4 RESIDENTS IN THE MEMORY CARE UNIT WITH <br />VOMITING AND DIARRHEA." <br />DESCRIPTION OF COMPLAINT ALLEGATIONS <br />Environmental Health Department <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 />OVERALL INSPECTION NOTES AND COMMENTS <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 /> 160 141 <br /> 100 <br />Mark Grabowski September 23, 2020 <br />enchiladas -- 203.00º F 1 door True - dessert/tray unit -- 41.00º F <br />rice -- 165.00º F burger-hot hold -- 148.00º F <br />soup -- 178.00º F burger-cooked -- 180.00º F <br />employee restroom hand sink -- 100.00º F walk-in cooler -- 37.00º F <br />2 door True prep -- 41.00º F sliced tomatoes -- 39.00º F <br />beans -- 174.00º F 1 door True -- 39.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Per employees in the Memory Care ("Expressions") unit, there have been a total of 6 residents with the symptoms of vomiting <br />& diarrhea. One resident was taken to the hospital and returned same day. <br />Ill Expressions residents are being served meals in their rooms on disposables. <br />Meals for the Expressions unit are prepared in the main kitchen. <br />Per Expressions staff, there are no known ill employees. <br />Per kitchen staff, one employee had a potential food borne illness 3-4 days ago (employee attributes it to pizza). <br />All staff this date appear to be in good health. <br />It is unknown if facility staff are employed at other food facilities, daycare or healthcare facilities. <br />Page 1 of 2EHD 16-23 Rev. 06/30/15 Food Program Complaint Inspection Report <br />FA0019191 CO0046980 SC904 06/26/2018 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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