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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' CaUNTY— <br /> Greoln+ess grows he,, . Time In: 9.11 am <br /> Time Out: 10:19 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MOUNTAIN HOUSE HIGH SCHOOL Date: 09/26/2023 <br /> Address: 1090 S CENTRAL PKWY, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST Telephone: (209)836-7400 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:The dish machine took three times to reach 160F. Ensure the dish machine reaches 160F (minimum) <br /> prior to use. <br /> Testing the machine daily with a thermolabel is recommended. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The hand sink in the Snack Shack is slow to drain. Ensure free flowing drain. Correct ASAP. <br /> The hand sink drain line in the Snack Shack is leaking water onto the floor. Repair leak ASAP. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rachelle Davis Expiration Date:August 11,2025 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 comp food prep sink--122.00°F 4 door Traulsen hot hold x2--146.00°F--146F&147F <br /> RPI coolers x2--33.00°F--33F&33F 1 comp food prep sink--120.00°F <br /> restroom hand sink--100.00°F walk-in cooler--36.00°F <br /> 4 door Traulsen x2--41.00°F--41 F&41 F 3 door Traulsen--40.00°F <br /> Snack Shack hand sink--104.00°F Snack Shack Structural Oasis x2--33.00°F--32F&33F <br /> steam table water--211.00°F diced chicken-cooling--117.00°F <br /> FA0022475 PR0539305 SCO01 09/26/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />