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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Time In: 200 pm <br /> ^'•ti7FOpt�� Greotness grows here, <br /> Time Out: 3:00 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI NURSING& REHABILITATION Date: 12/02/2020 <br /> Address: 1334 S HAM LN, LODI 95242 <br /> Owner/Operator: ALHL LLC Telephone: (949)347-7100 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Maria Shell Expiration Date: May 26,2022 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> arctic 1 door--40.00°F walk in--39.00°F <br /> true 2 door--38.00°F <br /> NOTES <br /> no signature due to covid 19 <br /> no violations during inspection <br /> *food served in residents room <br /> •no cases of covid 19 at this facility <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> EH Specialist: NICHOLAS WIESEMAN Phone: <br /> FA0018490 PR0527297 SCO01 12/02/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 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 />