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Environmental Health Department <br />Facility Name and Address: CREEKSIDE CARE CENTER, 9107 N DAVIS RD, STOCKTON 95209 <br />Food Program Official Inspection Report <br /> #43 Toilet Facilites Clean/ Supplied/ Maintained <br />OBSERVATIONS: Restroom door does not self close. <br />Provide so that restroom door self-closes. <br />Observed flooring in restroom, one 4x4 tile square that is loose. <br />Provide so that tile is adhered to floor. <br />CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br />well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br />facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons: in <br />establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <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 /> 50 138 <br /> 88 <br />Dorothy Johnson January 19, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />walk-in -- 41.00º F 3 comp -- 138.00º F <br />hand sink -- restroom in break room -- 100.00º F 2 comp -- 123.00º F <br />hand sink -- near dry storage room -- 88.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <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:Phone: <br />Discussed with Dorothy Johnson, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0011254 PR0527310 SC001 10/25/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com