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Environmental Health Department <br />Time In: <br />10:30 am <br /> 9:36 am <br />Time Out: <br />Program Element: 1628 - LICENSED HEALTH CARE FACILITY <br />Telephone: (209) 948-8762 Owner/Operator: GOOD SAMARITAN REHAB & CARE <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1630 N EDISON ST, STOCKTON 95204 <br />Date: 11/14/2022Name of Facility: GOOD SAMARITAN REHAB & CARE <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 /> #36 Equipment/Utensils/Linens: Proper Storage / Use <br />OBSERVATIONS: Observed a scoop stored inside the brown sugar container with the handle touching the brown sugar. <br />Clean and sanitize the scoop and store in a cleanable container when not in use. This was corrected on site. <br />CALCODE DESCRIPTION: All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from <br />food and food-contact surfaces. (114185.3 - 114185.4) Utensils and equipment shall be handled and stored so as to be protected from <br />contamination. (114074 - 114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5) <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: The mop sink faucet was observed leaking and the cold water handle did not work. Repair mop sink <br />faucet so that it is in good working order within one week. <br />CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br />by applicable plumbing codes. (114192) All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br />ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br />used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br />114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <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 <br /> 300 <br /> 131 <br /> 123 <br />Olivia Linayao October 04, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Steam table -- Left side -- 166.00º F Steam table -- Center right side -- 174.00º F <br />Walk-in cooler -- 41.00º F Hand sink -- Restroom -- 100.00º F <br />Steam table -- Right side -- 159.00º F Mop sink -- 120.00º F <br />Steam table -- Center left side -- 154.00º 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 />FA0018492 PR0527301 SC001 11/14/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD