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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SSfwS hemTimeln: 9-17am <br /> Time Out: 10:00 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MARY GRAHAM CHILDREN'S SHELTER Date: 10/20/2022 <br /> Address: 6861 W MARY GRAHAM LN, FRENCH CAMP 95231 <br /> Owner/Operator: SAN JOAQUIN CO HUMAN SERVICE Telephone: (209)468-6966 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jason Eala Expiration Date:January 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Cottage A-West-1 door Maytag--41.00°F Cottage A-East-sink--126.00°F <br /> Cottage A-East-1 door Maytag--41.00°F Cottage B-West-1 door Maytag--41.00°F <br /> Cottage B-East-1 door Maytag--41.00°F Cottage B-East-sink--131.00°F <br /> 1 door Kenmore @ pantry--30.00°F Cottage A-West-sink--121.00°F <br /> Cottage B-West-sink--137.00°F 2 door Arctic Air freezer--1.10°F <br /> NOTES <br /> Hot food comes from SJGH/daily lunch delivered around 11:30a-12 noon/served around 12-12:30p/dinner 3-4 times per <br /> week <br /> Warewashing occurs at the hospital <br /> no signature obtained <br /> report typed in the office 3:01 p-3:09p <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/Stephanie McCoy, Dir. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000094 PRO161147 SCO01 10/20/2022 <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 />