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Food Program Service Request Inspection Report Facility Name and Address: PLACE OF REFUGE CHURCH (REFUGE CHURCH), 486 BUTTON AVE , MANTECA 95336 Environmental Health Department OBSERVATIONS: Floor and hard to reach corners in the walk in cooler and walk in freezer, have build up, debris and ice build up. Clean the floor before operating. I observe 2 broken tiles in front and on the right side of the ice maker. Repair floor before operating. CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), 114266, 114268, 114268.1, 114271, 114272) #47 Signs Posted; Last Inspection Report Available OBSERVATIONS: Rest room hand sink is lacking hand wash sign. Post the sign before operating. CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of nutritional information at facilities with 20 or more chains in California (114094). OVERALL INSPECTION NOTES AND COMMENTS 0Chlorine (Cl): Name on Food Safety Certificate Expiration Date: ppmQuaternary Ammonia (QA): Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F Hand Sink Temp:º F OBSERVATIONS Required 120 120 2 comp prep sink -- 103º Fahrenheit Walk in cooler -- 41º Fahrenheit Hand sink -- Rest room -- 104º Fahrenheit Front hand sink -- 120º Fahrenheit FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS NOTES Kitchen reactivation to be used for catering. Provide a valid food manager certificate within 60 days and rest of volunteers to provide valid food handler cards within 30 days. Okay to operate. Obtain permit before operating your business. PE1680 $358 for the new permit + $15 technology fee. 5021 form to be updated. Page 3 of 4EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report FA0020582 SR2501463 SC521 09/12/2025