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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 1020 am <br /> ^'•ti7F Opt�� Greotness grows here, <br /> Timee OOutut: 11:05 am <br /> Food Program Official Inspection Report <br /> Name of Facility: PLYMOUTH SQUARE Date: 11/15/2019 <br /> Address: 1319 N MADISON ST, STOCKTON 95202 <br /> Owner/Operator: RETIREMENT HOUSING FOUNDATION Telephone: (562)257-5100 <br /> Program Element: 1628-LICENSED HEALTH CARE FACILITY <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Hand sink at coffee prep station lacks warm water. Repair emaxx water heater, immediately.Water shall <br /> be between 100-108 F <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Alex Musico Tompong Expiration Date: May 15,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 129°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door traulsen--kitchen--41.00°F 1 door cooler--kitchen--41.00°F <br /> walk in--kitchen--38.00°F kenmore with creamers dinning--42.00°F <br /> steam table--kitchen--180.00°F <br /> NOTES <br /> No comment entered. <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 /> _�F_ <br /> Received by: Name and Title: Alex Tompong, dietary manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0003728 PR0527308 SCO01 11/15/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />