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rA �J�AQUIN Environmental Health Department <br /> COUNTY <br /> �+ Time In: 1:10 pm <br /> •'C1FaRrti`. Vrecitness grows here. <br /> Time Out: 1:50 om <br /> Food Program Complaint Inspection Report <br /> Name of Facility: WINDSOR ELMHAVEN CARE CENTER Date: 10/09/2020 <br /> Address: 6940 PACIFIC AVE, STOCKTON 95207 <br /> Owner/Operator: WINDSOR HEALTHCARE LLP Telephone: (209)477-4817 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00052785 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Complaint inspection. <br /> Visited facility and spoke with the individual in charge of the kitchen. I explained the reason for my visit, in which they <br /> explained that the dishwasher is always prepped for operation.We allowed the dishwasher to run while I observed if the <br /> facility contains their sanitizing strips. Once the dishwasher was done running,we placed the strips inside and observed that <br /> the dishwasher is dispensing 100 PPM of Chlorine at this time. Observed no damage to the dishwasher, all chemicals are <br /> dispensing properly and observed no errors in terms of the dishwasher. <br /> Official inspection report emailed. <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: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0011262 C00052785 SCO04 10/09/2020 <br /> EHD 16-23 Rev.9/16/2020 Page 1 of 1 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />