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Environmental Health Department <br />Time In: <br />11:45 am <br />10:45 am <br />Time Out: <br />Program Element: 1628 - LICENSED HEALTH CARE FACILITY <br />Telephone: (209) 477-0271 Owner/Operator: GOLDEN LIVING CENTER HY-PANA <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 4545 SHELLEY CT, STOCKTON 95207 <br />Date: 04/18/2022Name of Facility: GOLDEN LIVING CENTER HY-PANA <br />Food Program Official Inspection Report <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 paper towel dispenser at the kitchen hand sink was empty. Provide paper towels in dispenser. <br />Corrected on site. <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(f)) <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Observed grease build up on exhaust hood filters. Clean within 1 week and maintain clean. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 126 <br /> 100 <br />Melissa Cerna May 10, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- employee restroom (R) -- 106.00º F tuna (hot hold) -- steam table -- 155.00º F <br />guacamole (hot hold) -- steam table -- 167.00º F prep sink -- 120.00º F <br />mop sink -- 120.00º F rice (hot hold) -- steam table -- 197.00º F <br />3 dr Traulsen -- 35.00º F 2 dr Traulsen -- 41.00º F <br />hand sink -- employee restroom (L) -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002493 PR0527290 SC001 04/18/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD