WINSTON MANOR 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 SANITIZER,0ppm. FOUND DISH MACHINE THAT WAS ALREADY USED(UTENSILS ON TRAYS).NO CHEMICAL(SANITIZER)PROVIDED AT UNIT.AFTER 6 AT TEMPS AND NEW SANITIZER BUCKET WAS PROVIDED FINALLY THE UNIT DISPENSED SANITIZER,100ppm. CRITICAL VIOALTION: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.

FOOD PROTECTED DURING STORAGE, PREPARATION, DISPLAY, SERVICE AND TRANSPORTATION - Comments: FOOD NOT PROTECTED DURING PREPARATION. FIRST EMPLOYEE PUT A WHOLE HEAD OF LETTUCE QUICKLY UNDER RUNNING WATER,REMOVED LEAFS NOT USABLE AND BROKE IN LARGE PIECES THE REST AND STORED THEM AT SERVING CONTAINER.DISCUSSED THE ISSUED WITH MANAGER,LETTUCE NO PROPERLY WASHED. MANAGER INSTRUCTED EMPLOYEE TO WASH LETTUCE INSIDE THE COLANDER.EMPLOYEE FOLLOWED HER ORDER AND PUT CONTAINER WITH LETTUCE INSIDE THE THIRD RIGHT COMPARTMENT SINK WHICH WAS ALREADY SET UP TO WASH DISHES.INFORMATION GIVEN HOW TO USE SAID SINK FOR SAFE PRODUCE WASHING.ICE MACHINE WITH A BLACK SLIME SUBSTANCE AT WATER RESERVOIR AND PANELS. SURFACE OF METAL PANEL HAS EXCESS RUST.INSTRUCTED TO CLEAN AND SANITIZE UNIT.ICE IS USED FOR FOOD AND 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 SMALL FLIES INSIDE THE DISPASABLE STORAGE ROOM BY THE REAR DOOR OUTSIDE THE KITCHEN. FLIES AT NORTH EAST AREA AND SOUTH WALL AND ON TOP BOXES.NUMEROUS TO COUNT.INSTRUCTED TO REMOVE ALL FLIES CLEAN AND SANITIZE AREA. MUST REMOVE BROKEN DIRTY CARD BOARD BOXES,ELEVATED 6" ALL STOCK FROM FLOOR,REMOVE WET DEBRIS FROM FLOOR AND KEEP FLOOR DRY AND CLEAN.FLIES ARE CONFINED ON THE MENTIONED STORAGE ONLY.PEST CONTROL SERVICDE THE PREMISES ON 9-7-16,INVOICE #33487 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.

OUTSIDE GARBAGE WASTE GREASE AND STORAGE AREA; CLEAN, RODENT PROOF, ALL CONTAINERS COVERED - Comments: NO WASTE OIL CONTAINER PROVIDED ON PREMISES. WASTE OIL IS PUT IN PLASTIC BAG AND TROW IT IN THE GARBAGE CONTAINER,PER MANAGER STATEMENT.INSTRUCTED TO PROVIDE A WASTE OIL CONTAINER,AND TEMPORALLY USE A BUCKET WITH LID TO DISCARDED WASTE OIL .DO NOT DISCARDER WASTE OIL IN THE GARBAGE CONTAINER. SERIOUS VIOLATION:7-38-020

Poor waste management attracts pests and creates breeding grounds for disease vectors.

Exterior waste areas must be clean and pest-proof.

Dumpsters on cleanable pad; Tight-fitting lids; Area kept clean; Grease containers covered; Regular pickup; No overflow.

* CERTIFIED FOOD MANAGER ON SITE WHEN POTENTIALLY HAZARDOUS FOODS ARE PREPARED AND SERVED - Comments: NO CERTIFIED FOOD MANAGER ON SITE UPON MY ARRIVAL. ADMINISTRATOR CONTACT MANAGER. KITCHEN OPENS TO PREPARE FOOD AT 5:30am. BREAKFAST WAS ALREADY PREPARED AND SERVED TO RESIDENTS. A LEAST ONE PERSON ON DUTY MUST BE CERTIFIED DURING ALL TIMES POTENTIALLY HAZARDOUS FOOD IS PREPARED, HANDLE AND SERVED. MANAGER REPORTED ON SITE AFTER 9am. SERIOUS VIOLATION:7-38-012(A)

Temperatures above 41°F allow rapid bacterial multiplication, doubling every 20 minutes.

Cold foods must be held at 41°F or below.

Maintain 41°F or below; Check temperatures regularly; Properly functioning refrigeration; Thermometers in all units; Keep doors closed.

WALLS, CEILINGS, ATTACHED EQUIPMENT CONSTRUCTED PER CODE: GOOD REPAIR, SURFACES CLEAN AND DUST-LESS CLEANING METHODS - Comments: BROKEN WALL AT EAST SIDE OF THE WALK-IN FREEZER AND PEELING PAINT AT WEST SIDE OF THE WALK-IN COOLER.SURFACE MUST BE SMOOTH,CLEANABLE AND NON-ABSORBENT SURFACE.

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 AT LIGHT FIXTURE ABOVE THE PREP AREA.INSTRUCTED TO PROVIDED.TUBE LIGHT SHIELD MUST HAVE END CAPS.

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: EXPOSED HAND SINK IN PREP AREA IS ALSO USED FOR "EYE WASH"STATION.INSTRUCTED TO REMOVE AND RELOCATE UNIT FOR EYE WASH OR INSTALL ADDITIONAL SINK FOR THAT PURPOSE. NO EXPOSED HAND SINK PROVIDED AT LOW TEMP DISH MACHINE AREA.INSTRUCTED TO INSTALL UNDER CITY PLUMBING CODE.PROVIDE SOAP AND PAPER TOWELS/HAND DRYING DEVICE.

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.

PREMISES MAINTAINED FREE OF LITTER, UNNECESSARY ARTICLES, CLEANING EQUIPMENT PROPERLY STORED - Comments: FOUND HOUSEKEEPING/CHEMICAL STORAGE WITH A LOT OF ITEMS ON FLOOR,INCLUDED DIRTY MOP.INSTRUCTED TO REMOVE MOP ELEVATE ITEMS 6"OFF THE FLOOR FOR CLEAN PURPOSE.

Contaminated cloths spread bacteria across multiple surfaces.

Wiping cloths must be properly sanitized and stored.

Store in sanitizer between uses (200ppm quat or 50-100ppm chlorine); Separate cloths for food and non-food surfaces; Test sanitizer concentration.

NO SMOKING REGULATIONS - Comments: WE (THE ADMINISTRATOR AND MY SELF)OBSERVED ASHTRAY WITH SMOKED CIGARETTE BUTT ON TOP THE TABLE IN MAIN(FIRST FLOOR)DINING AREA. ADMINISTRATE STATED:RESIDENTS SMOKE IN DINING AREA WHEN FOOD IS NOT SERVED(BREAKFAST,LUNCH AND DINNER. AT 11:01am RESIDENTS ARE IN DINING AREA AWAITING FOR CIGARETTE TO BE DISPENSED BY THE EMPLOYEE,16 BLACK ASHTRAY ON TOP THE TABLES RESIDENTS ARE SMOKING IN DINING AREA.ALSO ONE EMPLOYEE SMOKING. ALL ASHTRAY SHALL BE REMOVED FROM ANY AREA WHERE SMOKING IS PROHIBITED. CHICAGO CLEAN AIR ORDINANCE:7-32-020(C) FIRST OFFENSE FOR 2016

NO SMOKING REGULATIONS - Comments: WE (THE ADMINISTRATOR AND MY SELF)OBSERVED ASHTRAY WITH SMOKED CIGARETTE BUTT ON TOP THE TABLE IN MAIN(FIRST FLOOR)DINING AREA. ADMINISTRATE STATED:RESIDENTS SMOKE IN DINING AREA WHEN FOOD IS NOT SERVED(BREAKFAST,LUNCH AND DINNER. AT 11:01am RESIDENTS ARE IN DINING AREA AWAITING FOR CIGARETTE TO BE DISPENSED BY THE EMPLOYEE,16 BLACK ASHTRAY ON TOP THE TABLES RESIDENTS ARE SMOKING IN DINING AREA.ALSO ONE EMPLOYEE SMOKING. ALL ASHTRAY SHALL BE REMOVED FROM ANY AREA WHERE SMOKING IS PROHIBITED. CHICAGO CLEAN AIR ORDINANCE:7-32-020(C) FIRST OFFENSE FOR 2016