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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SSfwS hemTime In: 10.31 am <br /> Time Out: 10:55 am <br /> Food Program Official Inspection Report <br /> Name of Facility: WEST VALLEY YOUNG ADULT Date: 10/19/2022 <br /> Address: 780 W CLOVER RD, TRACY 95376 <br /> Owner/Operator: SJ CO OFFICE OF EDUCATION Telephone: (209)468-9061 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 117°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> restroom hand sink-- 110.00°F 1 comp sink/hand sink--117.00°F <br /> milk(in between two cartons)--43.00°F 1 door Frigidaire--41.00°F <br /> cheese calzone @ hot hold bag--136.00°F <br /> NOTES <br /> Pre-portioned and pre-packaged food comes from Lathrop HS (Manteca USD)-arrives around 10:15-10:20a <br /> Lunch is served around 11:15am <br /> No portioning of food <br /> On occasion, lunch is eaten by students with non-disposable utensils and on non-disposable plates.The utensils and plates <br /> are then run through the Amana dishwasher(household appliance)on high temp cycle and heated dry. Life skills for students. <br /> No signature obtained <br /> Report typed in the office 2:59p-3:13p <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: discussed w/Audra Angulo, SpEd tea <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0026913 PR0547356 SC101 10/19/2022 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />