LIVING WITNESS LEARNING DAY CARE Fails Health Inspection - Chicago Daycare (2 - 6 years)

PROCEDURES FOR RESPONDING TO VOMITING AND DIARRHEAL EVENTS - Comments: FOUND PROCEDURE/PLAN FOR RESPONDING TO VOMITING AND DIARRHEAL EVENTS ON SITE BUT IN-COMPLETE CLEAN-UP ITEMS.MUST PROVIDE AND MAINTAIN APPROPRIATE SUPPLIES OR KIT. (NECESSARY ITEMS AT A MINIMUM: GLOVES, FACE MASKS, DISPOSABLE MOPS AND APPROPRIATE SANITIZER THAT KILLS NOROVIRUS).PRIORITY FOUNDATION VIOLATION 7-38-005,NO CITATION ISSUED.

Vomit and diarrhea contain millions of viral particles. One incident can contaminate entire facility and cause outbreak affecting dozens.

Written procedures required for cleaning bodily fluid events to prevent disease transmission.

Written procedure must address: Isolating contaminated area; Removing and discarding affected food; Using proper PPE; Cleaning and sanitizing with appropriate concentration; Proper disposal of contaminated materials.

PROPER COLD HOLDING TEMPERATURES - Comments: OBSERVED REFRIGERATOR WITH AMBIENT AIR TEMPERATURE OF 50.0 F CONTAINING MILK AT 45.9F AND MAYO AT 46.6F. MANAGEMENT STATED THE REFRIGERATOR WAS TURNED TO THE WRONG TEMPERATURE. MANAGER VOLUNTARILY DISCARDED ALL FOOD. MANAGEMENT STATED FOOD WAS VALUED AT $10 AND WEIGHED 2 POUNDS. INSTRUCTED MANAGER THAT ALL TCS FOODS MUST MAINTAIN A TEMPERATURE OF 41 DEGREES OR COLDER AT ALL TIMES. PRIORITY VIOLATION 7-38-005, CITATION ISSUED.

Temperatures below 135°F allow bacteria to multiply, especially spore-formers that survive cooking.

Hot foods must be held at 135°F or above.

Maintain 135°F or above; Check temperatures regularly; Proper hot holding equipment; Cannot reheat in hot holding units.

PROPER COOLING METHODS USED; ADEQUATE EQUIPMENT FOR TEMPERATURE CONTROL - Comments: OBSERVED COOLER WITH AMBIENT AIR TEMPERATURE OF 50.0 F AND HEAVY ICE BUILD UP INSIDE WITH CONSISTENT LEAKS. LIGHT BULB INSIDE COOLER BLINKS ON AND OFF. THE REFRIGERATOR IS TAGGED AND HELD FOR INSPECTION. INSTRUCTED TO REPAIR OR REPLACE AND MAINTAIN COOLER AT 41F OR BELOW. PRIORITY VIOLATION 7-38-005,CITATION ISSUED.

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.

WAREWASHING FACILITIES: INSTALLED, MAINTAINED & USED; TEST STRIPS - Comments: AT THIS TIME OBSERVED 2 COMPARTMENT SINK WITH SPRAYER AND MOST RECENT OPEN KITCHENS CATERING SERVICE WAS 10/15/18 PER PROOF RECEIPTS PROVIDED. TODAY'S MENU IS CORN & BEANS, MACARONI AND BEEF, FRUITS, BREAD, AND MILK PER MENU POSTED. MANAGEMENT STATES THEY WILL HEAT IN MICROWAVE AND STATED THEY USE DISPOSABLE DISHWARE FOR STUDENTS. MANAGEMENT DECIDED AT THIS TIME TO ORDER PIZZA FOR CHILDREN FOR TODAY'S LUNCH. LITTLE CAESAR'S PIZZA, SALAD, JUICE, AND MILK WAS BROUGHT BACK AND SERVED ON DISPOSABLE PLATES AND DISHWARE. INSTRUCTED TO INSTALL SINK with at least 3 compartment for manually washing, rinsing, and SANITIZING EQUIPMENT and UTENSILS AND A GREASE TRAP. SINK MUST BE SUFFICIENT SIZE TO SUBMERGE THE LARGEST UTENSIL. PRIORITY FOUNDATION VIOLATION 7-38-025,CITATION ISSUED.

Cannot verify sanitization without test strips, risking contaminated equipment.

Warewashing facilities must be properly equipped and supplied.

3-compartment sink or dishwasher; Test strips for sanitizer; Thermometers for water temperature; Adequate drainboards; Proper detergents.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED PEALING AND CRACKED PAINT IN CORNER NEAR CHILDREN'S COTS. INSTRUCTED TO REPAIR AND MAINTAIN.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED BUILDUP OF FOOD SPLASH, GREASE AND DEBRIS ON WALL BEHIND STOVE AND ON AIR HOOD ABOVE STOVE. INSTRUCTED TO SPOT CLEAN AND MAINTAIN.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED BLACK BASEBOARD BEHIND TOILET IN IN TOILETROOM FALLING DOWN AND NONFUNCTIONING LIGHTBULB IN CEILING LIGHT IN ADJACENT ROOM. INSTRUCTED TO REPAIR AND REPLACE.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED HOLES AROUND PIPES IN EAST WALL OF CLASSROOM AND AROUND PIPES IN CEILING OF TOILETROOM IN ADDITIONAL CLASSROOM. INSTRUCTED TO FILL IN, REPAIR, AND MAINTAIN.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.

PHYSICAL FACILITIES INSTALLED, MAINTAINED & CLEAN - Comments: OBSERVED HOLES AROUND PIPES IN EAST WALL OF CLASSROOM AND AROUND PIPES IN CEILING OF TOILETROOM IN ADDITIONAL CLASSROOM. INSTRUCTED TO FILL IN, REPAIR, AND MAINTAIN.

Deteriorated facilities harbor pests and prevent proper cleaning.

Building must be maintained in good condition.

No holes in walls/ceilings; Doors and windows intact; Fixtures functional; No water damage; Surfaces intact.