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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 10:30 am <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Timee OOutut: 12:12 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: FAIRMONT REHABILITATION HOSPITAL Date: 05/02/2019 <br /> Address: 950 S FAIRMONT AVE, LODI 95240 <br /> Owner/Operator: LODI SKILLED NURSING SVC Telephone: (209)368-0693 <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:Mop sink and 2 comp sink have temp at 116F and 119F. Provide 120F or above today. <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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Staff rest rooms doors are kept open during my visit. Provide self closing doors in 1 week. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jay Malone Expiration Date: March 27,2024 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 119°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 6 D reach in cooler/under prep table--41.00°F Rice--Steam table--41.00°F <br /> Walk in cooler-- Hand sink--Rest room2--113.00°F <br /> Cooked spinash--Steam table--149.00°F Mop sink--116.00°F <br /> Hand sink--Rest room 1 --114.00°F <br /> NOTES <br /> Sanitizer spray bottle has QUAT 200 ppm. <br /> No major violations observed. <br /> FA0009730 PR0527300 SCO01 05/02/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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 />