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Environmental Health Department <br />Time In: <br />10:48 am <br />10:24 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 468-3679 Owner/Operator: HSA-AGING & COMMUNITY SERVICES <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 11157 W LARCH RD, TRACY 95376 <br />Date: 07/17/2023Name of Facility: LARCH CLOVER CENTER <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 /> #6 Handwashing Facilities Supplied and Accessible <br />OBSERVATIONS: The employee men's restroom soap dispenser has come off the wall (squeeze hand soap is available). <br />Reattach the dispenser to the wall and provide pump style hand soap. Correct today. <br />The employee women's restroom has squeeze soap available. Provide pump style soap (refill dispenser). Correct today. <br />CALCODE DESCRIPTION: Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br />maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing, food preparation and the washing of <br />utensils and equipment. (113953, 113953.1, 114067(f)) <br /> #43 Toilet Facilites Clean/ Supplied/ Maintained <br />OBSERVATIONS: The toilet paper in some of the restrooms is not being stored in the toilet paper dispenser. Maintain toilet <br />paper in the dispenser. Refill today. <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 /> 120 <br /> 100 <br />Rebeca Ruiz Diaz August 26, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 door True -- 41.00º F chicken casserole at hot hold -- 189.00º F <br />restroom handsinks (x5) -- 100.00º F 2 door True -- 40.00º F <br />vegetables at hot hold -- 151.00º 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 />FA0003115 PR0163211 SC001 07/17/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD