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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. Time In: 9.00 am <br /> Time Out: 9:49 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SENIOR COFFEE SHOP-HSA Date: 09/23/2020 <br /> Address: 102 S SAN JOAQUIN ST, STOCKTON 95202 <br /> Owner/Operator: SAN JOAQUIN GENERAL HOSPITAL Telephone: (209)468-7063 <br /> Program Element: 1632-EXEMPT FOOD <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 MAJOR <br /> OBSERVATIONS:The hot water for the 3-comparment sink is currently only reaching 110F at this time.The associate <br /> states that once the water gets hot that it begins to cool before getting warm again. The hot water shall reach the minimum <br /> 120F to be in compliance, the management services administrator was told of the issue and stated that the water heater will <br /> need to be replaced. Update inspector upon the status of the correction. <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 /> #32 Food Properly Labeled and Honestly Presented <br /> OBSERVATIONS:The hospital sent over slices of cake that appear to contain poppy seeds and possibly cream cheese. <br /> Provide labels or a description of the ingredients in order for the consumer to be aware of the product being purchased. <br /> CALCODE DESCRIPTION:Any food is misbranded if its labeling is false or misleading,if it is offered for sale under the name of another <br /> food, or if it is an imitation of another food for which a definition and standard of identity has been established by regulation. Food facilities <br /> with 19 or more chains in the state shall disclose nutritional information. (114087, 114089, 114089.1(a, b), 114090, 114093.1, 114094) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Gerald DeVoss Expiration Date:October 21,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 110°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr Atosa cooler--41.00°F Oatmeal--Sysco heat-n-serve- 140.00°F <br /> Pizza hot hold--144.00°F 1 Dr Hotpoint residental cooler 40.00°F <br /> NOTES <br /> FA0012171 PR0515476 SCO01 09/23/2020 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />