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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 10:10 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 10:45 am <br /> Food Program Official Inspection Report <br /> Name of Facility: KAISER FOUNDATION-MANTECA Date: 04/01/2021 <br /> Address: 1777 W YOSEMITE AVE, MANTECA 95337 <br /> Owner/Operator: KAISER FOUNDATION HOSPITAL Telephone: (510)271-5800 <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:2 comp prep sink and 3 comp sink have temp at 118F. 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: David Finnen Expiration Date:September 09,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 118°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Traulsen cooler--41.00°F 2 comp sink--118.00°F <br /> Hand sink--By walk in cooler--100.00°F Walk in cooler--36.00°F <br /> True Milk box/dairy--41.00°F <br /> NOTES <br /> Inpatient kitchen. <br /> Sanitizer bucket is set up with QUAT 200 ppm. <br /> QUAT test strips are available. <br /> Facility receive food prepackaged from commissary in South San Francisco to be kept in walk in cooler then heated in the <br /> microwave to be served to patients. <br /> Inspector needs to check in at room 105 Administration. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0003978 PR0527313 SCO01 04/01/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />