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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 11.00 am <br /> Time Out: 11:33 am <br /> Food Program Official Inspection Report <br /> Name of Facility: BETHANY ELEMENTARY SCHOOL Date: 09/28/2022 <br /> Address: 570 ESCUELA DR, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST Telephone: (209)836-7400 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The soap dispenser in the restroom is empty. Refill the dispenser today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Megan Teese Expiration Date: November 11,2024 <br /> Warewash Chlorine(Cl): ppm Heat: 160'F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 1,005°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> chicken nuggets--140.00°F meatless nuggets--143.00°F <br /> walk-in cooler--40.00°F Metro C5 hot hold cabinet--143.00°F <br /> mac&cheese--142.00°F restroom hand sink--100.00°F <br /> True milk cooler--41.00°F 2 comp food prep sink--121.00°F <br /> NOTES <br /> wiping cloth bucket 200 ppm Quat/Quat sanitizer test strips are available <br /> Food is prepped on site <br /> Lunch service 11:15a-12:40p(3 groups)/Snack at 9:45a-10:30a (2 groups) <br /> NOTE:the dish machine took 3 cycles to reach 160F (has a P2 message at digital display) <br /> No signature obtained <br /> Inspection report typed in the office 4:42p-4:49p <br /> FA0018605 PR0527464 SCO01 09/28/2022 <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 />