ALL AMERICAN NURSING HOME Fails Health Inspection - Chicago Long term care

SANITIZING RINSE FOR EQUIPMENT AND UTENSILS: CLEAN, PROPER TEMPERATURE, CONCENTRATION, EXPOSURE TIME - Comments: LOW TEMP DISH MACHINE NOT DISPENSING SANITIZING:0ppm, ALSO A LOT OF SOAP SUDS REMAINS INSIDE THE MACHINE EVEN THOUGHT FINAL RINSE WAS DONE. PRESENTLY MACHINE IN USE.INSTRUCTED TO USE THREE COMPARTMENT SINK.TECHNICIAN CALLED ***. CRITICAL VIOLATION:7-38-030

Improper sanitization fails to kill pathogens, allowing contaminated equipment to spread illness throughout facility.

Sanitizing solutions and rinse water must meet specific requirements for effectiveness.

Chemical sanitizers: Chlorine 50-100 ppm, Quaternary ammonium 200-400 ppm, Iodine 12.5-25 ppm; Hot water: 171°F for 30 seconds or 180°F at dish surface; Test strips required; Proper contact time.

ADEQUATE NUMBER, CONVENIENT, ACCESSIBLE, DESIGNED, AND MAINTAINED - Comments: DAIRY THREE COMPARTMENT SINK NOT MAINTAINED.FOUND MIDDLE COMPARTMENT SINK EXTREMELY SLOW DRAINING,ALSO WASTE WATER WITH FOOD PARTICLES BACKING UP INTO THE SINK COMPARTMENTS WHEN WATER IS RELEASED FROM ADJACENT COMPARTMENT OR FAUCET IS TURNED ON.INSTRUCTED TO REPAIR SAID SINK. TEMPORARILY TO USE THE OTHER THREE COMPARTMENT SINK OR LOW TEMP DISH MACHINE. ALSO OBSERVED DRAIN WATER PIPE FROM UNDER THE THREE COMPARTMENT SINK HEAVILY LEAKING AND UNSTEADY PIPES ARE HELD BY PLASTIC CRATES WITH A DIRTY CLOTH ON FLOOR AROUND THE CRATES DUE TO WATER LEAKING ON FLOOR FROM DRAIN PIPES.INSTRUCTED TO REPAIR PIPES. CRITICAL VIOLATION:7-38-030

Inadequate facilities lead to poor hygiene practices and potential fecal contamination.

Sufficient, properly maintained toilet facilities required.

Adequate number for staff; Convenient location; Self-closing doors; Toilet paper; Covered waste receptacles; Maintained clean; Proper ventilation.

FOOD PROTECTED DURING STORAGE, PREPARATION, DISPLAY, SERVICE AND TRANSPORTATION - Comments: FOOD(ICE) NOT PROTECTED DURING STORAGE.WE OBSERVED ICE MACHINE TOP PART WITH PINK SLIME BUILD-UP AND BLACK SLIME FROM ICE SHUTTERS/DISPENSERS.INSTRUCTED TO CLEAN,SANITIZE AND MAINTAIN UNIT.ICE IS USED FOR HUMAN CONSUMPTION SERIOUS VIOLATION:7-38-005(A)

Dirty equipment harbors and spreads pathogens, causing cross-contamination and illness.

All food contact surfaces must be properly cleaned and sanitized.

Wash, rinse, sanitize after each use; Clean between different raw foods; Every 4 hours for continuous use; When contaminated; Proper procedures and chemicals.

NO EVIDENCE OF RODENT OR INSECT OUTER OPENINGS PROTECTED/RODENT PROOFED, A WRITTEN LOG SHALL BE MAINTAINED AVAILABLE TO THE INSPECTORS - Comments: WE OBSERVED OVER 40 MICE DROPPINGS IN DIFFERENT LOCATIONS OF PREMISES:FOOD STORAGE IN THE KITCHEN,FOOD STORAGE OUT OF THE KITCHEN BY THE WALK-IN COOLER,MANAGER OFFICE,BY THE WALK-IN FREEZER AND WALK-IN COOLER.DROPPINGS WERE OBSERVED ON WALL LEDGE IN FOOD STORAGE ROOM,UNDER SHELVES AND MOSTLY ALONG WALLS AND CORNERS.FRONT SIDE PATIO DOOR REMAINS OPENED AT ALL TIMES FOR RESIDENT TO GO IN AND OUT TO SMOKE.INSTRUCTED TO KEEP DOOR CLOSED AT ALL TIMES.OBSERVED HOLES BY THE MAIN ENTRANCE DOOR SOUTH-EAST CORNER.FIVE SMALL FLIES WERE OBSERVED INSIDE THE MEN'S WASHROOM,FIRST FLOOR HALLWAY.INSTRUCTED TO REMOVE DROPPINGS AND FLIES.SEAL ALL HOLES.KEEP DOOR CLOSED AND SANITIZE ALL AREA MENTIONED. SERIOUS VIOLATIONS:7-38-020

Unprotected openings allow pest entry, leading to contamination of food and surfaces.

Building openings must be protected against pest entry.

Doors tight-fitting and self-closing; Windows screened; Openings sealed; Pest control log maintained; Regular monitoring; Professional service when needed.

FOOD AND NON-FOOD CONTACT SURFACES PROPERLY DESIGNED, CONSTRUCTED AND MAINTAINED - Comments: NO SPLASH GUARD PROVIDED BETWEEN PREP ONE COMPARTMENT SINK AND DRAIN BOARD OF THREE COMPARTMENT SINK(DAIRY AREA),BY THE CLEAN POTS AND PANS.SURFACE MUST BE SMOOTH,CLEANABLE AND NON-ABSORBENT MATERIAL. WOOD FLOOR,WOOD CEILING AND WOOD SHELVES IN POOR REPAIR INSIDE THE WALK-IN COOLER,SURFACE IS POROUS AND WOOD IS BROKE, UNABLE TO CLEAN.FOUND GRIMES BUILD-UP. NEED TO REPLACE WITH A SMOOTH,CLEANABLE AND NON-ABSORBENT MATERIAL. FOUND METAL RUSTY SHELVES INSIDE THE WALK-IN COOLER,INSTRUCTED TO REPAIR/REPLACE WITH A SMOOTH CLEANABLE AND NON-ABSORBENT MATERIAL.

Unapproved processes may lack critical safety controls.

Variance required before conducting specialized food processes.

Submit application to CDPH; Include HACCP plan; Await approval before starting; Maintain all required records.

FOOD AND NON-FOOD CONTACT EQUIPMENT UTENSILS CLEAN, FREE OF ABRASIVE DETERGENTS - Comments: EXCESS DUST BUILD-UP ON ELECTRICAL WIRES AND CHAINS HANGING FROM CEILING IN THE KITCHEN,VENT COVER AT SIDE OF POP MACHINE DISPENSER WITH DUST BUILD-UP,POP GUN DISPENSER WITH PINK SLIME BUILD UP, DISCHARGE HOSE AND WATER PIPE BEHIND THE ICE MACHINE WITH DUST BUILD-UP.INSTRUCTED TO CLEAN AND MAINTAIN SAID ITEMS.

Dirty equipment harbors bacteria and attracts pests.

All equipment and utensils must be clean and properly maintained.

Equipment clean to sight and touch; Free of food debris and grease; Maintained in good repair; Stored properly when clean.

FLOORS: CONSTRUCTED PER CODE, CLEANED, GOOD REPAIR, COVING INSTALLED, DUST-LESS CLEANING METHODS USED - Comments: NO FLOOR DRAIN PROVIDED AT HALLWAY BY THE MAINTENANCE OFFICE,INSTRUCTED TO PROVIDE. BROKEN FLOOR INSIDE THE CHEMICAL STORAGE AND WERE EMPLOYEE STORE THEIR PERSONAL ITEMS, INSTRUCTED TO REPAIR

Damaged floors harbor bacteria and create safety hazards.

Floors must be smooth, cleanable, and maintained.

Smooth, non-porous in food areas; Properly sloped to drains; Coving at wall junctures; Kept clean; Good repair.

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: MISSING WALL TILES IN DIFFERENT AREA OF THE WALLS IN KITCHEN(DISH MACHINE AREA,THREE COMPARTMENT SINK ETC.) NEED TO REPLACE MISSING WALL TILES.WALLS SURFACE MUST BE SMOOTH CLEANABLE AND NON-ABSORBENT MATERIAL.BLACK SLIME ON WALL TILE UNDER THE DISH MACHINE,INSTRUCTED TO CLEAN AND MAINTAIN. BROKEN WALL INSIDE THE CHEMICAL ROOM BY THE WALK-IN COOLER,MUST REPAIR WITH A SMOOTH,CLEANABLE AND NON-ABSORBENT MATERIAL

Damaged surfaces cannot be properly cleaned and may harbor pests.

Walls and ceilings must be smooth, cleanable, and in good repair.

Smooth, washable surfaces in food areas; Light colored; No holes or cracks; Clean and maintained.

LIGHTING: REQUIRED MINIMUM FOOT-CANDLES OF LIGHT PROVIDED, FIXTURES SHIELDED - Comments: NO LIGHT SHIELD PROVIDED ON LIGHT TUBES ABOVE PREP TABLES AND THREE COMPARTMENT SINKS,INSTRUCTED TO PROVIDE. NO LIGHT OR BURNED LIGHT IN BASEMENT AREA,INSTRUCTED TO PROVIDE.

Inadequate lighting prevents detection of contamination and pests.

Adequate protected lighting required in all areas.

50 foot-candles at prep surfaces; 20 foot-candles at 30 inches in storage; Shielded bulbs over exposed food; Clean fixtures.

VENTILATION: ROOMS AND EQUIPMENT VENTED AS REQUIRED: PLUMBING: INSTALLED AND MAINTAINED - Comments: FOUND EMPLOYEE USING PAPER OR CLOTH TOWELS INSTEAD OF DRAIN STOPPERS AT THREE COMPARTMENT SINKS,INSTRUCTED TO PROVIDE DRAIN STOPPERS FOR BOTH THREE COMPARTMENT SINKS. FAUCET AT MEAT THREE COMPARTMENT SINK IN POOR REPAIR, IS TIED WITH A DIRTY CLOTH TO STOP WATER TO LEAK,ALSO FAUCET IS SLOPPED INSIDE THE COMPARTMENT SINK.WATER SPRAYER BASE AT DISH MACHINE IS LEAKING,ALSO WATER LEAKING AT BASE OF DISH MACHINE.INSTRUCTED TO PROPERLY REPAIR ALL MENTIONED FAUCET AND DISH MACHINE.

Pests spread numerous diseases through contamination.

No pests or animals allowed in facility.

No evidence of pests; No live animals except service animals; Effective pest control program.

VENTILATION: ROOMS AND EQUIPMENT VENTED AS REQUIRED: PLUMBING: INSTALLED AND MAINTAINED - Comments: FOUND EMPLOYEE USING PAPER OR CLOTH TOWELS INSTEAD OF DRAIN STOPPERS AT THREE COMPARTMENT SINKS,INSTRUCTED TO PROVIDE DRAIN STOPPERS FOR BOTH THREE COMPARTMENT SINKS. FAUCET AT MEAT THREE COMPARTMENT SINK IN POOR REPAIR, IS TIED WITH A DIRTY CLOTH TO STOP WATER TO LEAK,ALSO FAUCET IS SLOPPED INSIDE THE COMPARTMENT SINK.WATER SPRAYER BASE AT DISH MACHINE IS LEAKING,ALSO WATER LEAKING AT BASE OF DISH MACHINE.INSTRUCTED TO PROPERLY REPAIR ALL MENTIONED FAUCET AND DISH MACHINE.

Pests spread numerous diseases through contamination.

No pests or animals allowed in facility.

No evidence of pests; No live animals except service animals; Effective pest control program.