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Program Element: 1628 - LICENSED HEALTH CARE FACILITY <br />Telephone: (209) 368-7141 Owner/Operator: VIENNA CONVALESCENT HOSPITAL <br />Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <br />Address: 800 S HAM LN, LODI 95242 <br />Date: 12/23/2016Name of Facility: VIENNA CONVALESCENT HOSPITAL <br />Food Program Official Inspection Report <br />10:42 am <br />10:11 am <br />Time Out: <br />Time In: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Reinspection on or after: 12/30/2016 <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: Hand wash sink at kitchen warm water varies from 64F-122F. If this faucet is not on adjustable faucet <br />then water shall be at 100F-108F. <br /> Flow is approximately 5 seconds and shuts off and turns back on. Provide flow for at last 15 seconds at this sink for hand <br />washing (on automatic sensor). <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 />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 />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sin -- restroom -- 105.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />I received a call from "Al" saying that facility is ready for re-inspection. <br />Paper towels are now in dispenser at restroom. <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) 468-9851 <br />, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0000517 PR0527314 SC333 12/23/2016