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r I �,r Environmental Health Department <br /> SANJOAQUCUfT I� <br /> Grectrress grafts here, Time In: 12-59 tm <br /> Time Out: 1:48 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-PRIMARY YEARS ACADEMY Date: 09/25/2023 <br /> Address: 3830 WEBSTER AVE, STOCKTON 95202 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7000 <br /> Program Element: 1632-EXEMPT FOOD <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Paper towels were available in the restroom but not stocked inside the paper towel dispenser. Maintain <br /> paper towel dispenser stocked and in good working order at all times. Correct today. <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(0) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Valeria Quezada Expiration Date: May 19,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink--120.00°F Two door Traulsen cooler--By three compartment sink-left side <br /> 41.00°F <br /> Two door Traulsen cooler--Near prep sink--41.00°F Two door Traulsen cooler--By three compartment sink-right side <br /> --41.00°F <br /> Traulsen milk box--Right- 41.00°F Prep sink--120.00°F <br /> Traulsen milk box--Left--41.00°F Hand sink--Near three compartment sink--100.00°F <br /> Hand sink--Restroom--100.00°F <br /> NOTES <br /> Routine inspection. No major violations. Time given for correction of minor violations. No re-inspection. <br /> Discussed inspection report with Valeria Quezada(Kitchen Lead). Emailed official inspection report to operator. <br /> Maintain copy of inspection report on site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <br /> FA0002372 PRO160566 SCO01 09/25/2023 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />