2017-2018 Blitz Inspection "Keep Our Schools Clean"

Unmanned Site: _________

Sending: ________ Receiving: _______

Cooking:__x__
Conversion: ____ OKI: _________
Reg/Area: Oracle: 43671 School:_King College Prep_______________

Date: 12/11/17 CPS Inspection Team Members Martine Miller and Rachel Armstrong
The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH) # of
Fail(s) Grade
1. Employee Facilities Score: Serious 3 C
1.1 Clean and organize all offices, remove outdated posters/memos
L/R Mgr, Engineers, Teachers, Main Office
Fail - Office has dust
xx Fail - Clutter must be removed
xx 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
xx Fail - dust/dirt observed
2. ***Food Temperatures Score: Critical ($500) F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
2.1 Fail - Cold food are not held at 40°F or below $500
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)
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 x $250
Fail - food is not covered/labeled/dated
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
xX 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
Fail - area dusty/dirty
Fail - not organized/remove all clutter
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

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
5. Food Service Equipment & Vending Machines Score: Serious ($250)
5.1 Dish machine is utilized, if not working repair or remove x $250
Fail - dish machine not reaching 180°F final rinse
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
Fail -Exhaust hood and or filters need cleaning
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
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
Fail - evidence of rust on racks
Fail - racks need to be cleaned
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members
6. Utensils and Equipment Score: Serious ($250)
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)
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) 1 B
8.1 Kitchen and lunchroom areas kept clean 1 x $500
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
x Fail - microwave & refrigerator dirty
9. Garbage Storage and Disposal Score: Critical ($500)
9.1 Kitchen garbage cans are clean and have lids x $500
Fail - garbage cans dirty
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
Fail - dumpster overflowing/area not clean
Fail - dumpster lids not closed. Lids are broken/missing
Fail - exterior grounds need to be clear of trash and in safe condition
10. Manager Sanitation Certificate & CDPH Report Score: Critical ($500)
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
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical ($500) 6 F
11.1 All areas are clean, organized and free of clutter 3 x $500
x Fail - missing lights $1,500
x 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
x Fail - classrooms used for feeding are dirty/not maintained
Fail - lockers are not clean/food present
x Fail - areas found to be dusty/dirty
x Fail - waste cans/pencil sharpeners are not dumped
x Fail - chalk rails/boards are not clean
Fail - dirty/stinky mops, buckets, custodial carts in use.
x Fail - custodial closets dirty/dusty or in poor condition
x Fail - water leaking/stains
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"*** 4 x $500
12 Pest infestation signs were observed in the following areas: $2,000
Fail - Food Prep Area
x 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
x Fail - evidence of rodent dropping found in the custodial closets
Fail - rodent droppings found in heating units
x 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"*** 5 x $500
13 Fail - burrows found around exterior of the building $2,500
x Fail - doors need to be rodent proof (light observed) or propped open
x 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
x Fail - cracks and holes need to be sealed to prevent rodent entry
x Fail - holes and cracks observed around the foundation
Fail - no pest control and or log book on premises
14. Pipes and Plumb Score: Critical ($500) 1 B
14 Fail - no hot water supplied for the lunchroom (110 degrees) 2 x $500
Fail - water leaking in the lunchroom (including restroom area) $1,000
Fail - Floor drains/Sinks/Equipment/ does not drain properly
Fail - water waste bubbling up from drain
x Fail - drain covers needed
x Fail - drains are clean, operational and odor free
Fail - water pressure is low
x Fail - openings around pipes need to be stuffed and sealed
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

15.Ceiling & Walls Score: Critical ($500) 5 F

15 x Fail - ceiling and walls have cracks and/or holes 5 x $500
x Fail - Ceiling and walls have chipping/peeling paint $2,500
x 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 7 x $500
x Fail - floors under equipment are not clean and free of debris $3,500
x Fail - floor tiles missing or broken
x Fail - stairs and stairwells not clean or free of clutter
Fail - items stored 6" above the floor
x 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
17. Restrooms Score: Serious ($250) 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
Fail - auto faucets do not stay on for 30 seconds
Fail - no trash cans
x Fail - dust/dirt/odor observed in the restroom
18. ***Restrooms Score: Critical ($500) F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
18.1 Hot and cold water available $500
Fail - no hot and/or cold running water in the washroom
Fail - low water pressure in the restrooms
x 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
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

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

19 x Fail - closet and crawl spaces are not clean/organized 6 x $500
x Fail - unused equipment needs to be removed $3,000
x Fail - chemicals are not stored properly in the engineering areas
x Fail - basement/bolier areas need detailed cleaning
x Fail - water leaks observed in the basement/boiler area
x Fail - Seal all holes and cracks throughout the basement area
x Fail - Elevator is dirty
x Fail - clutter in basement/boiler area
20. Safety Score: Serious ($250) B
20 Fail - employees (food and custodial) not wearing slip resistant shoes 1 x $250
Fail - cut resistant gloves not in use (food service) $250
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
Fail - AED is not operational
x 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.
Chicago Public Schools 2017-2018 Blitz Inspection "Keep Our Schools Clean"

Unmanned Site: _________

Corrective Action Plan Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

1. Employee Facilities Score: Serious 3 B

Corrective Action Needed: Main office has cubicles with standing clutter on floors, must be removed. Main Office must be deep cleaned.

2. Food Tempuratures Score: Critical 1 F

Corrective Action Needed: Cold items temped at 68 and 53 degrees. Ensure all food items in ice baths are temped at 40 or below

3. Food Storage & Handling Score: Critical

Corrective Action Needed:

4. Dry Storage Score: Serious 1 B

Corrective Action Needed: Multiple racks in dry storage presented with rust, replace or paint.

5. Food Service Equipment & Vending Machines Score: Serious

Corrective Action Needed:

6. Utensils and Equipment Score: Serious

Corrective Action Needed:

7. General Cleaning & Sanitation Measures Score: Critical

Corrective Action Needed:

8. General Cleaning & Sanitation Measures Score: Critical 1 B

Corrective Action Needed: Microwave and Refrigerator in Teacher's Lounge need to be cleaned.
Chicago Public Schools 2017-2018 Blitz Inspection "Keep Our Schools Clean"

Unmanned Site: _________

Corrective Action Plan Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

9. Garbage Storage & Disposal Score: Critical

Corrective Action Needed:

10. Manager Sanitation Certificate & CDPH Report Score: Critical

Corrective Action Needed:

11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical 9 F
Corrective Action Needed: Multiple Rooms need lights replaced. Multiple closets need to be decluttered and cleaned. Classrooms

12. Pest Control Score: Critical 4 F

Corrective Action Needed: Porters and Custodians must sweep up pest evidence daily. Report all sightings of pest and pest evide

13. Pest Control Score: Critical 4 C

Corrective Action Needed: Replace door sweeps on doors 12 and 19. Seal cracks in floors and ceiling. Seal areas around pipes c

14. Pipes & Plumbing Score: Critical 1 B

Corrective Action Needed: Seal openings around pipes coming in on walls and from ceilings.

15. Ceilings & Walls Score: Critical 6 F

Corrective Action Needed: Walls need to be cleaned, there is dirt build up from ceiling to floor. Multiple walls have holes that need

16. Floors Score: Critical 7 F

Corrective Action Needed: Floors throughout school need to be swept and mopped and maintained. Stairwells need to be declut
Chicago Public Schools 2017-2018 Blitz Inspection "Keep Our Schools Clean"

Unmanned Site: _________

Corrective Action Plan Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

17. Restrooms Score: Serious 2 B

Corrective Action Needed: Custodial bathrooms in Engineer wing need to be cleaned. Restrooms in Locker Rooms need to be cle

18. Restrooms Score: Critical 2 F

Corrective Action Needed: No soap in the south side Girls restroom. Not hot water as well. Engineer must adjust water temperatur

19. Basement / Engineering Facilities Score: Critical 6 F

Corrective Action Needed: Clean and organize boiler room. Remove unused equipment. Store equipment and chemicals properly

20. Safety Score: Serious 2 B

Corrective Action Needed: Nurse must store epipen in designated area. All staff must be aware of where this area is. All custodial
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

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

Average Grades 1.5 D 3.07 B

Overall Grade 2.285 F

Total of Ticketable Offenses 18000

***Check here if deficiencies were found in sections 2, 12, 13 and 18 a re-inspection must be completed.***

1) Assign Final School Inspection Rating/Grades as follows: A = 4, B = 3, C = 2, D = 1, F = 0

2) Calculate Average Rating Score for each Category (Serious, Critical)

3) Assign Average Grade for each Category

A = as
4, B
follows:
= 3-3.9, C = 2-2.9, D = 1-1.9, F = 0

4) Calculate Overall Grade by adding Average Grades for each category (Serious, Critical) and dividing by 2.

Overall Grading Chart Serious Critical

A
B 1 to 2 1
C 3 to 4 2
D 5 3
F 6+ 4+
*Food Temperatures, Restrooms, Pest Control (sections 2, 12, 13 and 18)
A
F 1+
* Any failures in these areas are an automatic fail and a reinspection must be conducted
 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date: CPS Inspection Team Members

Organization Name Signature

School Administrator
NSS Inspector
Facilities Inspector
Lunchroom Manager
Engineer
Other
Other

Additional Comments