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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0U ;N i Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: GOLDEN LIVING CENTER- PORTSIDE, 2740 N CALIFORNIA ST, STOCKTON 952045529 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Floor work was being done under sanitize 2 comp sink during the inspection and the 2 comp sink waste <br /> pipe was disconnected. Repair plumbing for 2 comp sink today. Email evidence of correction to dafonskaia@sjgov.org <br /> within 1 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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed foam on wall and damaged wall under dishwasher. Observed damaged wall under sanitize 2 <br /> comp sink. Remove foam and repair wall with cleanable material. Correct within 2 weeks. <br /> Lacking coving under sanitize 2 comp sink. Provide cove tiles under 2 comp sink within 2 weeks. <br /> Observed damaged floor tiles between prep sink and sanitize 2 comp sink. Repair/replace flooring within 3 weeks. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tammie Pfeifer Expiration Date: November 30,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> rice puree(hot hold)--steam table 187.00°F rice(hot hold)--steam table 199.00°F <br /> chicken(hot hold)--steam table--181.00°F hand sink- back restrooms- 100.00°F <br /> ground chicken(hot hold)--steam table--195.00°F hand sink- front restroom--100.00°F <br /> 2 comp sink--wash--120.00°F walk-in--41.00°F <br /> chicken puree(hot hold)--steam table--188.00°F 2 comp prep sink--122.00°F <br /> mop sink--124.00°F hand sink--kitchen--100.00°F <br /> NOTES <br /> FA0002069 PR0527292 SCO01 02/08/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program OIR <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 />