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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 10.30 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 11:25 am <br /> Food Program Official Inspection Report <br /> Name of Facility: CRESTWOOD MANOR Date: 10/29/2020 <br /> Address: 1130 MONACO CT, STOCKTON 95207 <br /> Owner/Operator: CRESTWOOD MANOR Telephone: <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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Left hand wall in mop sink room is damaged. Paint or cover with fiber glass panel. Correct by 1 month. <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 /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:Mens rest room lacks hand wash sign. Post one by 2 days. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978). (c)Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381 (e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Raymond Nevarez Expiration Date:April 15,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 128°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> steam table--serve line-- 151.00°F steam table--serve line--157.00°F <br /> 2 door cooler#2--kitchen--41.00°F walk in--exterior--41.00°F <br /> 2 door cooler#4--back room--35.00°F steam table--serve line--174.00°F <br /> steam table--serve line--160.00°F 2 door cooler#3--serve line--38.00°F <br /> NOTES <br /> No comment entered. <br /> FA0018488 PR0527295 SCO01 10/29/2020 <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 />