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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0527313
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COMPLIANCE INFO_2023
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Last modified
8/4/2023 2:16:10 PM
Creation date
8/4/2023 2:14:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0527313
PE
1628
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br />10:37 am <br />10:02 am <br />Time Out: <br />Program Element: 1628 - LICENSED HEALTH CARE FACILITY <br />Telephone: (510) 271-5800 Owner/Operator: KAISER FOUNDATION HOSPITAL <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1777 W YOSEMITE AVE, MANTECA 95337 <br />Date: 07/17/2023Name of Facility: KAISER FOUNDATION - MANTECA <br />Food Program Official Inspection Report <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: 3 comp sink and 2 comp sink have temp at 117F, 118F respectively. Provide 120F or more to all ware <br />wash sinks 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 />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 /> 117 <br /> 104 <br />David Finnen September 09, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- By walk in cooler -- 110.00º F True Milk box/ dairy -- 41.00º F <br />2 comp sink -- 118.00º F 2 D Traulsen cooler -- Back -- 41.00º F <br />Walk in cooler -- 37.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Inpatient kitchen. <br />Sanitizer bucket is set up SmartPower at the recommended acceptable range by manufacturer. <br />SmartPower test strips are available. <br />Thermo label strips are available on site. <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 />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0003978 PR0527313 SC001 07/17/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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