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Environmental Health Department <br />Time In: <br />10:53 am <br />10:24 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 836-7400 Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 570 ESCUELA DR, MOUNTAIN HOUSE 95391 <br />Date: 09/26/2023Name of Facility: BETHANY ELEMENTARY SCHOOL <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 />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 /> 200 <br /> 160 120 <br /> 120 <br />Ashley Daneker August 11, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />restroom hand sink -- 100.00º F walk-in cooler -- 34.00º F <br />rice @ hot hold -- 180.00º F veggie dumplings @ hot hold -- 129.00º F <br />rice @ line -- 179.00º F broccoli @ line -- 143.00º F <br />teriyaki chicken @ line -- 137.00º F -- 137-143F range (2 pans)True milk cooler -- 35.00º F <br />2 comp food prep sink -- 120.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth bucket 200ppm Quat / sanitizer test strips are available <br />Food is prepped on site <br />Lunch service times: 11:10a/11:30a/12:10p (3 groups) <br />No signature obtained <br />Report typed in the office 3:00p-3:05p <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist:Phone:(209) 616-3025 <br />discussed w/ Ashley Daneker, Lead <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0018605 PR0527464 SC001 09/26/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD