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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0527301
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Last modified
3/31/2020 2:00:02 PM
Creation date
3/31/2020 1:59:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0527301
PE
1628
FACILITY_ID
FA0018492
FACILITY_NAME
GOOD SAMARITAN REHAB & CARE
STREET_NUMBER
1630
Direction
N
STREET_NAME
EDISON
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
13705001
CURRENT_STATUS
01
SITE_LOCATION
1630 N EDISON ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA NUJ OAHU I N Environmental Health Department <br /> L■ COUNT Y-- <br /> c/ `p' Greorne5S grows her,. Time In: 10:25 am <br /> Time Out: 11:20 am <br /> Food Program Official Inspection Report <br /> Name of Facility: GOOD SAMARITAN REHAB&CARE Date: 01/23/2020 <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 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 /> #4 Employee Eating,Tasting, Drinking or Tobacco Use <br /> OBSERVATIONS:Saw coffee cup on food prep table. Not allowed to have open cups. Ok to use cups with tight fitting lids <br /> for food prep employees. <br /> CALCODE DESCRIPTION:No employees shall eat, drink, or smoke in any work area. (113977) <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Saw some dead roaches on floor and one on a shelve. Remove and sanitize surfaces. Continue pest <br /> control. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS:Bag with corn meal is open. Once bags are open,food shall be transfered into sealed and labeled bins. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Metal cabinet shleve at cooks line is dusty. Clean/sanitize weekly. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Olivia Linayao Expiration Date:October 03,2024 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 120°F <br /> FA0018492 PR0527301 SCO01 01/23/2020 <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 <br />
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