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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> Vrept�+fSS growshere. Time In: 9.42 am <br /> Time Out: 10:15 am <br /> Food Program Official Inspection Report <br /> Name of Facility: VINCENT SHAVLEY ACADEMY Date: 03/30/2023 <br /> Address: 10038 N HWY 99 , STOCKTON 95212 <br /> Owner/Operator: ASPIRE PUBLIC SCHOOL Telephone: (209)944-5590 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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 /> #39 Thermometers Provided/Accurate/Easily Visible <br /> OBSERVATIONS:Did not see thermometer inside Galaxy refrigerator. Provide accurate thermometer inside unit within 1 <br /> week. <br /> CALCODE DESCRIPTION:An accurate easily readable metal probe thermometer suitable for measuring temperature of food shall be <br /> available to the food handler. A thermometer+/-2#F shall be provided for each hot and cold holding unit of potentially hazardous foods <br /> and high temperature warewashing machines. (114157, 114159) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Amanda Ibarra Expiration Date: December 10,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Crescor warmer--cafeteria--150.00°F Residential Galaxy refrigerator--cafeteria--41.00°F <br /> 2 comp sink--cafeteria storage area--130.00°F hand sink--staff restroom--100.00°F <br /> 2 D True--cafeteria storage area--41.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility receives premade/packaged food items from Lodi USD Central kitchen daily,they receive the lunch for the day and <br /> the breakfast for the next day. PHFs are kept hot/cold until served. <br /> Breakfast is served from 7:15-7:45 AM and lunch is served from 11:15 AM- 12:45 PM. <br /> Currently cafeteria is only used to dispense meals and students eat either outside or in classrooms. <br /> All utensils are disposable and no warewashing occurs on site,trays are sent back to LUSD Central Kitchen. <br /> Discussed report with Summer Varner. <br /> No signature captured. <br /> FA0012248 PR0515610 SC101 03/30/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />