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2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH) # of
Fail(s) Grade
1. Employee Facilities Score: Serious 1 B
1.1 Clean and organize all offices, remove outdated posters/memos
L/R Mgr, Engineers, Teachers, Main Office
Fail - Office has dust
X 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) 1 B
4.1 Food is protected from contamination 1 x $250
Fail - food is not covered/labeled/dated $250
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
X 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
X 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

1 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

5. Food Service Equipment & Vending Machines Score: Serious ($250) 1 C


5.1 Dish machine is utilized, if not working repair or remove 2 x $250
Fail - dish machine not reaching 180°F final rinse $500
Fail - dish machine not working
Fail - dish machine area not clean and or cluttered
5.2 Fail - slicer not clean and sanitized
5.3 Fail - exhaust fans and/or covers need cleaning
5.4 Fail - vending machines dusty and need cleaning
5.5 Clean space fans/check under units
Fail - space fans need cleaning
Fail - clean base of space fans
5.6 All pieces of equipment are clean to sight and touch
Fail - Cooler/freezer gaskets need cleaning
Fail - Evidence of mold and or mildew
Fail - Units need to be clean/organized
Fail - behind, under, beside, tops and above all equipment needs cleaning
Fail - equipment and food contact surfaces are dirty
Fail - units thermometers are not working inside
Fail - motor housing and grates need to be cleaned
Fail - light shield needed
Fail - milk barrels, coleman coolers, cambros not clean
Fail - food transfer boxes not clean
Fail - speed racks and push carts
Fail - gum/graffiti found on equipment
X Fail -Exhaust hood and or filters need cleaning
X Fail -Exhaust hood and fire suppression serviced within a year
Fail - cleaning needed behind plates and panels on
equipment
Fail - ice build up in coolers/freezers
Fail - water leaking from unit
X Fail - evidence of rust/slime observed in ice machine or other equipment
5.7 Clean range grease trap pans
Fail - grease trap pans are not clean
Fail - foil must be removed from pans
5.8 Remove and clean/vacuum/wash under serving line shelves & all ledges
Fail - serving line shelves and all ledges need cleaning
Fail - Shelves, Cabinets & Drawers need cleaning
5.9 Food is stored 6 inches off floor in walk-ins
Fail - milk stored on floor of walk-in
Fail - milk crates used to elevate food
Fail - food boxes on floor in walk-in
5.10 Racks are clean and free of rust
X Fail - evidence of rust on racks
Fail - racks need to be cleaned

2 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

6. Utensils and Equipment Score: Serious ($250) A


6.1 Fail - pots and pans not inverted or protected against dust and/or x $250
contamination
6.2 Fail - food transfer boxes are not in good/clean condition/gaskets missing or dirty
6.3 Drawers and racks are clean
Fail - drawers are dirty, cluttered, need to be organized, are lined with paper
Fail - kitchen racks need cleaning
7. General Cleaning and Sanitation Measures Score: Critical ($500) A
7.1 Three-compartment sink is properly set up and used only to (wash, rinse, x $500
sanitize)
Fail - 3 compartment sink not properly set up
Fail - Sanitizing solution is not at proper concentration
Fail - Solution water not at proper temp, 65-75 degrees
Fail - no sanitizer being used
Fail - Observed water backflow/sewage
Fail - Grease trap need to be cleaned, odor/rust free, nothing stored on top
7.2 Hand sink, hot water, soap, towels, hand wash sign
Fail - no hand sink in kitchen provided
Fail - no hand sink within 25ft of serving line
Fail - no observed handwashing/in between glove changing
Fail - no trash can, soap, towels, hand washing sign available
8. General Cleaning and Sanitation Measures Score: Critical ($500) B
8.1 Kitchen and lunchroom areas kept clean 1 x $500
X Fail - kitchen and lunchroom areas are not clean $500
Fail - Ala Carte areas are not clean
8.2 Teachers' lounge area kept clean
Fail - lounge area dusty/dirty needs cleaning
Fail - microwave & refrigerator dirty
9. Garbage Storage and Disposal Score: Critical ($500) D
9.1 Kitchen garbage cans are clean and have lids 3 x $500
Fail - garbage cans dirty $1,500
Fail - garbage cans have lids available
Fail - garbage cans are over-flowing
Fail - boxes and containers are present in food prep area
9.2 Dumpster is closed, lids are in good shape
X Fail - dumpster overflowing/area not clean
X Fail - dumpster lids not closed. Lids are broken/missing
X Fail - exterior grounds need to be clear of trash and in safe condition

3 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

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) 4 F
11.1 All areas are clean, organized and free of clutter 1 x $500
X Fail - missing lights $500
Fail - above areas are not clean/organized
X 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
X 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
X Fail - water leaking/stains
X Fail - First floor windows open no more than 6". Second floor and up windows closed.
12. ***Pest Control Score: Critical ($500) F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
12.1 Pest infestation signs were observed in the following areas: $500
Fail - Food Prep Area
Fail - Food Storage
Fail -Teachers Lounge
Fail - Student Lunchroom
Fail - Under/Inside/Behind Food Equipment & Serving Lines
X 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) F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
13.1 Fail - burrows found around exterior of the building $500
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
x 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

4 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

14. Pipes and Plumb Score: Critical ($500) 1 B


14.1 Fail - no hot water supplied for the lunchroom (110 degrees) x $500
x Fail - water leaking in the lunchroom (including restroom area)
Fail - Floor drains/Sinks/Equipment/ does not drain properly
Fail - water waste bubbling up from drain
Fail - drain covers needed
Fail - drains are clean, operational and odor free
Fail - water pressure is low
Fail - openings around pipes need to be stuffed and sealed

15.Ceiling & Walls Score: Critical ($500) F


15.1 X Fail - ceiling and walls have cracks and/or holes 4 x $500
X Fail - Ceiling and walls have chipping/peeling paint $2,000
Fail - Ceiling and walls are leaking and/or have water marks
X Fail - Ceiling and walls are not clean
Fail - light shields missing/dirty/cracked over food prep areas
X Fail - ceiling tiles missing and/or stained
16. Floors Score: Critical ($500) F
16.1 X Fail - floors are not clean 6 x $500
X Fail - floors under equipment are not clean and free of debris $3,000
Fail - floor tiles missing or broken
X Fail - stairs and stairwells not clean or free of clutter
X Fail - items stored 6" above the floor
Fail - floor has holes or cracks
X Fail - baseboards are not clean and/or away from the wall
X Fail - Corners where wall and floor meet are not clean

5 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

17. Restrooms Score: Serious ($250) 1 B


17.1 Fixtures, toilets & urinals, waste cans, floor, walls free of graffiti 1 x $250
Fail - observed gum/graffiti on walls, stall doors $250
X Fail - toilets,urinals, and sinks are not clean or leaking
X Fail - auto faucets do not stay on for 30 seconds
Fail - no trash cans
Fail - dust/dirt/odor observed in the restroom
18. ***Restrooms Score: Critical ($500) 1 F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
18.1 Hot and cold water available $500
X Fail - no hot and/or cold running water in the washroom
Fail - low water pressure in the restrooms
Fail - no soap, toilet paper, hand dryer, paper towels available
18.2 Employee/Staff restrooms clean
Fail - no soap, toilet paper, hand dryer, paper towels available
Fail - no hand washing sign in Foodservice Employee Restrooms

19. Basement / Engineering Facilities Score: Critical ($500) A


19.1 Fail - closet and crawl spaces are not clean/organized x $500
Fail - unused equipment needs to be removed
Fail - chemicals are not stored properly in the engineering areas
Fail - basement/bolier areas need detailed cleaning
Fail - water leaks observed in the basement/boiler area
Fail - Seal all holes and cracks throughout the basement area
Fail - Elevator is dirty
Fail - clutter in basement/boiler area
20. Safety Score: Serious ($250) A
20.1 Fail - employees (food and custodial) not wearing slip resistant shoes x $250
Fail - cut resistant gloves not in use (food service)
Fail - PPE's are not available or in use
Fail - Fire extinguisher tags are expired over a year
Fail - Fire extinguisher located 75 ft and inspected monthly by engineer.
Fail - fire suppression system is more than a year since last service
X Fail - AED is not operational
Fail - EPI pen not available, in identifiable location, expired over a year
Fail - Wet floor signs are not available or in use
Fail - Evacuation plan posted in each classroom.

6 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
1. Employee Facilities Score: Serious 1 B

Clutter in some classrooms and office areas.

2. Food Tempuratures Score: Critical A

3. Food Storage & Handling Score: Critical A

4. Dry Storage Score: Serious 1 B

Storage rack rusty. The area was dusty

5. Food Service Equipment & Vending Machines Score: Serious 1 C

Racks need to be cleaned. Ice machine has rust on it.A305+A279

7 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
6. Utensils and Equipment Score: Serious A

7. General Cleaning & Sanitation Measures Score: Critical A

8. General Cleaning & Sanitation Measures Score: Critical B

The is a leaking handle in the lunchroom serving area.

9. Garbage Storage & Disposal Score: Critical D

Garbage over flowing in the dumpster. Garbage can lid needed.

10. Manager Sanitation Certificate & CDPH Report Score: Critical A

8 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

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 4 F

Missing lights and Missing lights covers in classrooms. Dirty corners in classrooms. Windows open second floor.

12. Pest Control Score: Critical F

We noticed droppings in classrooms on the second floor in corners. Storage closet off of classroom had numerous droppings.

13. Pest Control Score: Critical F

Pest droppings found on heat rails

14. Pipes & Plumbing Score: Critical 1 B

Handle on three compartment sink has a leak even when it is turned off.

9 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
15. Ceilings & Walls Score: Critical F

Walls throughout numerous classrooms have chipped paint, missing ceiling tiles and are in need high dusting. Pain chipping from ceiling over pool.

16. Floors Score: Critical F

Floors dirty in numerous classrooms including debris especially in corners. Many heat rails contained debris and needed cleaning. Room 217 has a hole in the wall from
construction work. Engineer is aware and stated she will be covering it.

17. Restrooms Score: Serious 1 B

Second floor boys room has a broken toilet seat. Faucets do not remain on for 30 seconds.

18. Restrooms Score: Critical 1 F

No hot water in first floor girls and boys restroom. No hot water in Network 3 kitchen and bathroom. Second floor restrooms did not have consistent hot water.

19. Basement / Engineering Facilities Score: Critical A

20. Safety Score: Serious A

Green light not blinking on AED in main office. Battery low. AED beeping in pool area, battery low.

10 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

SCORING PAGE

Grade Score Grade Score Fines


1. Employee Facilities B
2. Food Temperatures (Critical: "A" or "F") A
3. Food Storage & Handling A
4. Dry Storage B $250
5. Food Service Equipment & Vending Services C $500
6. Utensils and Equipment A
7. General Cleaning and Sanitation Measures (Critical) A
8. General Cleaning and Sanitation Measures (Critical) B $500
9. Garbage Storage and Disposal D $1,500
10. Manger Sanitation & B.O.H. Report A
11. Classrooms/ Library/ Hallways/ Offices F $500
12. Pest Control (Critical: "A" or "F") F $500
13. Pest Control (Critical: "A" or "F") F $500
14. Pipes & Plumbing B
15. Ceiling & Walls F $2,000
16. Floors F $3,000
17. Restrooms (Serious) B $250
18. Restrooms (Critical: "A" or "F") F $500
19. Basement / Engineering Facilities A
20. Safety A

*Average Scores

**Total Score and Letter Grade

Total of Ticketable Offenses $10,000

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

11 of 12
2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 3 Oracle: 41051 School Name: Michelle Clark High School

Date: 12/20/17 CPS Inspection Team Members: Morgon Bell Albes, Thom Hermanson, Derryl Bolden, Martine Miller

Cooking Yes Sending Receiving


Conversion OKI Unmanned Site

Organization Name Signature Email


School Administrator

NSS Inspector
Facilities Inspector

Lunchroom Manager
Engineer

Other

Other

Additional Comments:

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