Professional Documents
Culture Documents
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH) # of
Fail(s) Grade
1. Employee Facilities Score: Serious A
1.1 Clean and organize all offices, remove outdated posters/memos
L/R Mgr, Engineers, Teachers, Main Office
Fail - Office has dust
Fail - Clutter must be removed
Fail - Office needs to be organized
1.2 Employee lockers clean in/out (no food storage-designated areas only)
Fail - dust & debris in locker
Fail - clutter needs to be removed/organized
1.3 Tops/bottom of lockers clean & free of all materials
Fail - remove all materials from top of lockers
Fail - dust/dirt observed
2. ***Food Temperatures Score: Critical ($500) A
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** x $500
2.1 Fail - Cold food are not held at 40°F or below
Fail - Hot foods are not held at 140°F or above
Fail - Frozen foods are not held at 0°F or below
3. Food Storage & Handling Score: Critical ($500) A
3.1 There are no bulging or leaking canned goods or expired products in x $500
storage
Fail - bulging, dented or leaking canned goods
Fail - expired products in storage
3.2 Fail - canned foods stored in remarked containers, not in original container
3.3 Fail - small equipment and utensils are not being sanitized between uses
Fail - small equipment is not air dried
4. Dry Storage Score: Serious ($250) A
4.1 Food is protected from contamination x $250
Fail - food is not covered/labeled/dated
Fail - dirt/dust observed under and behind racks
4.2 Racks are clean and free of rust and/or painted shelves in good condition
Fail - racks dirty to sight and touch
Fail - rust on racks
Fail - exposed wood on painted shelves
4.3 Light shields and fixtures are in good condition and clean
Fail - light shields dirty and/or cracked.
Fail - light shields missing
4.4 Storage areas are kept clean
Fail - area dusty/dirty
Fail - not organized/remove all clutter
4.5 Chemicals are stored away from food and other supplies
Fail - chemicals stored with food are not separated
Fail - food and supplies are not 6"from floor and wall and 18" from the ceiling
Fail - food stored in non-designated food service areas
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
10. Manager Sanitation Certificate & CDPH Report Score: Critical ($500) A
10.1 Current Sanitation and Food handlers Certificate x $500
Fail - certified manager is not on the premises
Fail - expired manager sanitation certificate
Fail - staff does not have food handlers certificate
Fail - original sanitation license is not on the premises
Fail - CDPH Summary Report is not displayed and visible to all customers
Fail - previous CDPH violations not corrected by due dates
11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical ($500) 1 B
11.1 All areas are clean, organized and free of clutter x $500
X Fail - missing lights
Fail - above areas are not clean/organized
Fail - clutter found, must be removed
Fail - food items are being stored in the classrooms/student desk
Fail - classrooms used for feeding are dirty/not maintained
Fail - lockers are not clean/food present
Fail - areas found to be dusty/dirty
Fail - waste cans/pencil sharpeners are not dumped
Fail - chalk rails/boards are not clean
Fail - dirty/stinky mops, buckets, custodial carts in use.
Fail - custodial closets dirty/dusty or in poor condition
Fail - water leaking/stains
Fail - First floor windows open no more than 6". Second floor and up windows closed.
12. ***Pest Control Score: Critical ($500) A
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** x $500
12.1 Pest infestation signs were observed in the following areas:
Fail - Food Prep Area
Fail - Food Storage
Fail -Teachers Lounge
Fail - Student Lunchroom
Fail - Under/Inside/Behind Food Equipment & Serving Lines
Fail - Any classroom, office, closet, gym, auditorium, other
Fail - rodent droppings found around the loading dock/dumpster area
Fail - evidence of rodent dropping found in the custodial closets
Fail - rodent droppings found in heating units
Fail - evidence of rodent activity in the basement areas
13. ***Pest Control Score: Critical ($500) A
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** x $500
13.1 Fail - burrows found around exterior of the building
Fail - doors need to be rodent proof (light observed) or propped open
Fail damaged windowscreens
Fail - dock area has debris, clutter, not clean
Fail - Dock/dumpster area has leaking liquid waste
Fail - pest evidence found in heating units, drains, exit doors, other
Fail - cracks and holes need to be sealed to prevent rodent entry
Fail - holes and cracks observed around the foundation
Fail - no pest control and or log book on premises
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
1. Employee Facilities Score: Serious A
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
6. Utensils and Equipment Score: Serious A
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical 1 B
Missing lights and some dirty covers. See notes for specific details.
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
15. Ceilings & Walls Score: Critical C
Stained ceiling tiles around school. Chipping paint on walls in some classrooms and halls. See notes for details.
Several faucet sensors were not working for the sinks. Emergency lights in some restrooms not working. See notes for spcific details.
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
SCORING PAGE
Check here if failures were marked in sections 2, 12, 13 and 18. A re-inspection must be completed
1) Assign a score for each grade under Serious and Critical on the Scoring Page as follows:
A=4
B=3
C=2
D=1
*Average scores for Serious and Critical colums will auto calculate
2) Assign a total letter grade using the chart below based on the total score:
A=4
B = 3-3.9
C = 2-2.9
D = 1-1.9
F = 0-0.99
**If you grade an F in sections 2, 12, 13 and 18, final grade must be an F regardless of average
** Total score will auto calculate
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2017-2018 Blitz Inspection
Date: 1/26/18 CPS Inspection Team Members: Thom Hermanson and Derryl Bolden
NSS Inspector
Facilities Inspector
Lunchroom Manager
Engineer
Other
Other
Additional Comments:
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