THE ATRIUM HLTH CARE CTRS, INC Fails Health Inspection - Chicago Long term care

HANDS WASHED AND CLEANED, GOOD HYGIENIC PRACTICES; NO BARE HAND CONTACT WITH READY-TO-EAT FOODS. - Comments: POOR HYGIENIC PRACTICES.OBSERVED EMPLOYEE NOT WASHING HANDS AFTER HANDLING DIRTY DISHES AND CLEAN DISHES.EMPLOYEE AFTER PUT THROUGH DIRTY DISHES INSIDE THE HIGH TEMP MACHINE,PICKED-UP AN USED RAG FROM ON TOP THE DISH MACHINE WIPED HIS HANDS,PUT THE RAG BACK ON TOP THE UNIT AND HANDLED/STORED CLEAN DISHES,TRAYS AND MULTI USE UTENSILS,WITHOUT HANDS WASHING BETWEEN TASK.ALSO OBSERVED THE COOK WITH FOOD GLOVES ON WIPING PREP TABLE,STOVE ETC.,WITHOUT REMOVING GLOVES AND WASHING HANDS RETURNED TO PREP TABLE TO HANDLE FOOD(VEGETABLE AND FISH).EMPLOYEE MUST WASH THEIR HANDS AFTER EACH ACTIVITY TO MINIMIZE SOURCE OF CONTAMINATION.MANGER INSTRUCTED TO EMPLOYEE TO WASH HANDS BETWEEN TASK CRITICAL VIOLATION:7-38-010(a)

Hands are #1 vehicle for pathogen transfer. Bare hand contact with ready-to-eat foods causes majority of foodborne outbreaks.

Proper handwashing and no bare hand contact with ready-to-eat foods.

Wash hands for 20 seconds with soap and warm water; Use utensils, deli tissue, or gloves for ready-to-eat foods; Wash hands after restroom, handling raw foods, touching face/hair, and between tasks.

SANITIZING RINSE FOR EQUIPMENT AND UTENSILS: CLEAN, PROPER TEMPERATURE, CONCENTRATION, EXPOSURE TIME - Comments: FOUND HIGH TEMP DISH MACHINE AT(KOSHER SIDE)IN USE WITH FINAL RINSE BETWEEN 150F-155F. AFTER SEVERAL ATTEMPTS(6 OR MORE) FINAL RINSE REMAINED AT 155F.HIGH TEMP DISH MACHINE MUST MAINTAIN TEMP OF 180F.TAGGED UNIT "HELD FOR INSPECTION". DO NOT TO USE DISH MACHINE,AND TO WASH RINSE AND SANITIZE IN 3 COMPARTMENT SINK. ALSO INSTRUCTED MANAGER TO REPAIR AND MAINTAINED SAID DISH MACHINE. 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.

NO EVIDENCE OF RODENT OR INSECT OUTER OPENINGS PROTECTED/RODENT PROOFED, A WRITTEN LOG SHALL BE MAINTAINED AVAILABLE TO THE INSPECTORS - Comments: OBSERVED APPROXIMATELY 30-40 LIVE SMALL FLIES IN KITCHEN MOSTLY IN DISH ROOM UNDER DISH MACHINES, AROUND GREASE TRAP BOXES,FLOORS AND WALLS. INSTRUCTED MANAGER TO GET IN CONTACT WITH PEST CONTROL TO ELIMINATE THE SMALL FLIES.INSTRUCTED TO CLEAN AND SANITIZE AREAS MENTIONED. SERIOUS VIOLATION 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.

* INSPECTION REPORT SUMMARY DISPLAYED AND VISIBLE TO ALL CUSTOMERS - Comments: NO PREVIOUS SUMMARY REPORT NOT DISPLAYED FOR PUBLIC VIEW. ON PREMISES FROM 1-12-12 REPORT #659971.SUMMARY REPORT MUST BE DISPLAYED AND VISIBLE TO ALL CUSTOMERS AT ALL TIMES. NEW SUMMARY REPORT GIVEN AND DISPLAYED AND VISIBLE TO ALL CUSTOMER. SERIOUS VIOLATION 7-42-010 (B)

Unpasteurized products can contain dangerous pathogens.

Only pasteurized dairy and eggs in certain situations; no prohibited foods.

Pasteurized eggs for recipes not fully cooked; Pasteurized dairy products; No home-prepared foods.

FOOD AND NON-FOOD CONTACT SURFACES PROPERLY DESIGNED, CONSTRUCTED AND MAINTAINED - Comments: FOUND CUTTING BOARDS STORED BEHIND THE FAUCET ON BOTH 3 COMPARTMENT SINKS. INSTRUCTED MANAGER TO PROPERLY STORE ALL FOOD EQUIPMENT. FOUND TAPE ON FREEZER DOOR. INSTRUCTED MANAGER USE OF DUCT TAPE TO REPAIR IS PROHIBITED. FOUND DIRTY BROKEN ALUMINUM FOIL ON SHELVES IN COOLER ON KOSHER SIDE (NORTH WALL) OF THE KITCHEN AND ON GREASE TRAP PIPES AND ALL SHELVES IN THE KITCHEN. INSTRUCTED MANAGER TO REMOVE FOIL,SURFACE MUST BE SMOOTH,CLEANABLE AND NON-ABSORBENT MATERIAL. FOUND GREASE TRAP BOXES UNDER BOTH DISH MACHINES ARE RUSTY,FOOD LIQUID STAINS AND SEEPING SMALL AMOUNT WATER AROUND THE BASE OF GREASE TRAP. INSTRUCTED MANAGER TO CLEAN AND SEAL THE BASE OF GREASE TRAPS. OBSERVED EMPLOYEE NOT WASHING HANDS DUE TO EXPOSED HAND SINK INSTALLED AT LEAST 50 FEET FROM NORTH SIDE OF THE KITCHEN/PREP AREA.NO EXPOSED HAND SINK IN DISH ROOM .INSTRUCTED TO INSTALLED AN EXPOSED HAND SINK WITH HOT /COLD RUNNING WATER AND UNDER CITY PLUMBING CODE.SOAP AND PAPER TOWELS MUST BE PROVIDED.INSTALL ONE SINK CENTRAL PART OF THE KITCHEN/DISH ROOM OR TWO SINKS ONE IN PREP AREA AND ONE IN DISH ROOM AREA

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: FOUND CLEAN DISHES STORED INSIDE THE METAL CABINET ACROSS FROM DISH ROOM WITH FLOOR DEBRIS SPLATTERED ON THEM. INSTRUCTED MANAGER TO REMOVE DIRTY DISHES AND PROPERLY WASH, RINSE, SANITIZE AND MAINTAIN CLEAN DISH AREA AT ALL TIMES.

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: PLASTIC FLOORS TILES INSIDE WALK IN COOLER IN POOR REPAIR/BROKEN. INSTRUCTED MANAGER TO MAKE ALL SURFACES SMOOTH AND EASILY CLEANABLE. FOUND FLOOR BEHIND GREASE TRAPS UNDER BOTH DISH MACHINES WITH ACCUMULATIONS OF GREASE,ENCRUSTED FOOD,DEBRIS AND MULTI USE UTENSILS INSTRUCTED MANAGER TO CLEAN AND MAINTAIN MENTIONED AREA

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: WALLS INSIDE THE SMOKING ROOM ARE YELLOW/BROWN IN COLOR DUE TO CIGARETTE SMOKE.INSTRUCTED TO CLEAN / PAINT

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.

NO SMOKING REGULATIONS - Comments: SMOKING IN PUBLIC PLACE. WE(ENGINEER AND I)OBSERVED RESIDENTS SMOKING IN DINING/BREAK ROOM, ROOM WAS FULL OF SMOKING RESIDENTS(13 RESIDENTS)INSTRUCTED TO NOT ALLOW RESIDENTS TO SMOKE INSIDE. STRONG SMELL OF CIGARETTE SMOKE THROUGHOUT THE BASEMENT AREA, INCLUDING THE KITCHEN,DUE TO KITCHEN IS LOCATED IN BASEMENT AREA AND DOORS ARE OPENED. FIRST OFFENSE FOR 2015. FIRST OFFENSE FOR 2012,REPORT#659971 VIOLATION OF CLEAN INDOOR AIR ORDINANCE:7-32-015

NO SMOKING REGULATIONS - Comments: NO "NO SMOKING" SIGN POSTED ON THE DOOR NOR INSIDE THE ROOM.DOOR HAS SIGN POSTED "SMOKING SCHEDULE".MANAGEMENT WAS INSTRUCTED TO POST SIGNS AT DOOR, A "NO SMOKING" SIGN ON THE DOOR THAT IS BEING USED AS A SMOKING ROOM FOR RESIDENTS. ALSO POST AT FRONT AND REAR ENTRANCES THAT SMOKING IS ONLY ALLOWED OUTSIDE AT LEAST 15 FEET AWAY FROM ALL DOORS,WINDOWS AND VENTILATION INTAKES. FIRST OFFENSE FOR 2015. FIRST OFFENSE FOR 2012,REPORT #659971. CLEAN INDOOR AIR ORDINANCE VIOLATION:7-32-020(A)

NO SMOKING REGULATIONS - Comments: NO "NO SMOKING" SIGN POSTED ON THE DOOR NOR INSIDE THE ROOM.DOOR HAS SIGN POSTED "SMOKING SCHEDULE".MANAGEMENT WAS INSTRUCTED TO POST SIGNS AT DOOR, A "NO SMOKING" SIGN ON THE DOOR THAT IS BEING USED AS A SMOKING ROOM FOR RESIDENTS. ALSO POST AT FRONT AND REAR ENTRANCES THAT SMOKING IS ONLY ALLOWED OUTSIDE AT LEAST 15 FEET AWAY FROM ALL DOORS,WINDOWS AND VENTILATION INTAKES. FIRST OFFENSE FOR 2015. FIRST OFFENSE FOR 2012,REPORT #659971. CLEAN INDOOR AIR ORDINANCE VIOLATION:7-32-020(A)