School

Network: 9 Oracle: 22061 Name:

CPS
Inspectio
n Team
Date: 3/7/18 Members:

Cooking x Sending

Conversion OKI

The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH)

1. Employee Facilities
1.1 Clean and organize all offices, remove outdated posters/memos
L/R Mgr, Engineers, Teachers, Main Office
x Fail - Office has dust
x Fail - Clutter must be removed
x Fail - Office needs to be organized
1.2 Employee lockers clean in/out (no food storage-designated areas only)
x Fail - dust & debris in locker
x Fail - clutter needs to be removed/organized
1.3 Tops/bottom of lockers clean & free of all materials
x Fail - remove all materials from top of lockers
x Fail - dust/dirt observed
2. ***Food Temperatures
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"***
2.1 Fail - Cold food are not held at 40°F or below
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
3.1 There are no bulging or leaking canned goods or expired products in
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
4.1 Food is protected from contamination
Fail - food is not covered/labeled/dated
x 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
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
x Fail - area dusty/dirty
Fail - not organized/remove all clutter

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
x Fail - food stored in non-designated food service areas
5. Food Service Equipment & Vending Machines
5.1 Dish machine is utilized, if not working repair or remove
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
5.1 Racks are clean and free of rust
Fail - evidence of rust on racks
Fail - racks need to be cleaned

6. Utensils and Equipment

6.1 Fail - pots and pans not inverted or protected against dust and/or
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
7.1 Three-compartment sink is properly set up and used only to (wash, rinse,
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
8.1 Kitchen and lunchroom areas kept clean
 Fail - kitchen and lunchroom areas are not clean
Fail - Ala Carte areas are not clean
8.2 Teachers' lounge area kept clean
x Fail - lounge area dusty/dirty needs cleaning
x Fail - microwave & refrigerator dirty
9. Garbage Storage and Disposal
9.1 Kitchen garbage cans are clean and have lids
x 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
x 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
10.1 Current Sanitation and Food handlers Certificate
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

11. All Rooms, Closets, Offices, Gym, Auditorium, Other

11.1 All areas are clean, organized and free of clutter
x Fail - missing lights
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
Fail - classrooms used for feeding are dirty/not maintained
Fail - lockers are not clean/food present
x Fail - areas found to be dusty/dirty
Fail - waste cans/pencil sharpeners are not dumped
Fail - chalk rails/boards are not clean
x 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
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"***
12.1 Pest infestation signs were observed in the following areas:
Fail - Food Prep Area
Fail - Food Storage
Fail -Teachers Lounge
 Fail - Student Lunchroom
Fail - Under/Inside/Behind Food Equipment & Serving Lines
1 Fail - Any classroom, office, closet, gym, auditorium, other
Fail - rodent droppings found around the loading dock/dumpster area
Fail - evidence of rodent dropping found in the custodial closets
Fail - rodent droppings found in heating units
Fail - evidence of rodent activity in the basement areas
13. ***Pest Control
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"***
13.1 Fail - burrows found around exterior of the building
x Fail - doors need to be rodent proof (light observed) or propped open
Fail damaged windowscreens
Fail - dock area has debris, clutter, not clean
Fail - Dock/dumpster area has leaking liquid waste
Fail - pest evidence found in heating units, drains, exit doors, other
Fail - cracks and holes need to be sealed to prevent rodent entry
Fail - holes and cracks observed around the foundation
Fail - no pest control and or log book on premises
14. Pipes and Plumb
14.1 Fail - no hot water supplied for the lunchroom (110 degrees)
Fail - water leaking in the lunchroom (including restroom area)
X Fail - Floor drains/Sinks/Equipment/ does not drain properly
Fail - water waste bubbling up from drain
Fail - drain covers needed
Fail - drains are clean, operational and odor free
Fail - water pressure is low
Fail - openings around pipes need to be stuffed and sealed

15.Ceiling & Walls

15.1 x Fail - ceiling and walls have cracks and/or holes
x Fail - Ceiling and walls have chipping/peeling paint
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
16.1 x Fail - floors are not clean
x Fail - floors under equipment are not clean and free of debris
x Fail - floor tiles missing or broken
x Fail - stairs and stairwells not clean or free of clutter
x 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
 17.1 Fixtures, toilets & urinals, waste cans, floor, walls free of graffiti
x Fail - observed gum/graffiti on walls, stall doors
x Fail - toilets,urinals, and sinks are not clean or leaking
x 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
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"***
18.1 Hot and cold water available
Fail - no hot and/or cold running water in the washroom
x Fail - low water pressure in the restrooms
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
X Fail - no hand washing sign in Foodservice Employee Restrooms

19. Basement / Engineering Facilities

19.1 x Fail - closet and crawl spaces are not clean/organized
x Fail - unused equipment needs to be removed
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
Fail - Elevator is dirty
x Fail - clutter in basement/boiler area
20. Safety
20.1 Fail - employees (food and custodial) not wearing slip resistant shoes
Fail - cut resistant gloves not in use (food service)
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
x Fail - AED is not operational
Fail - EPI pen not available, in identifiable location, expired over a year
Fail - Wet floor signs are not available or in use
x Fail - Evacuation plan posted in each classroom.

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
1. Employee Facilities

Mouse droppings in Main office, Hallways had milk dripping from Garbage bags. Hallway floors were dirty. Offices had clutter,
olb building.
Mouse droppings in Main office, Hallways had milk dripping from Garbage bags. Hallway floors were dirty. Offices had clutter,
olb building.

2. Food Tempuratures

3. Food Storage & Handling

4. Dry Storage

5. Food Service Equipment & Vending Machines

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
6. Utensils and Equipment

7. General Cleaning & Sanitation Measures

Classrooms and hallways throughout need good cleaning.

8. General Cleaning & Sanitation Measures

Teachers lounge appliances need cleaning. Appliances not in common areas need to be cleaned or removed.

9. Garbage Storage & Disposal

Cans are dirty, compactor not working. PO in place to repair.

10. Manager Sanitation Certificate & CDPH Report

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
11. All Rooms, Closets, Offices, Gym, Auditorium, Other

Droppings found in old building throughout offices and classrooms.50+ Big improvement sisce last blitz.

12. Pest Control

Droppings found in old building throughout offices and classrooms.50+ Big improvement sisce last blitz.

13. Pest Control

5 Door sweeps needed in new building.

14. Pipes & Plumbing

Leaks in old building boiler room area.

Leaks in old building boiler room area.

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
15. Ceilings & Walls

Peeling paint throughout old building

16. Floors

Missing floor tiles and floors sinking in classrooms causing openings for rodents.

17. Restrooms

Many leaks in most bathrooms sinks urinals toilets. Clogged custodial sinks in old building 2nd floor. Clogged sink in teachers

18. Restrooms

19. Basement / Engineering Facilities

Need clutter removed, cleaning needed throughout boiler Leaks need to be repaired.
20. Safety

Please see additonal notes

SCORING PAGE

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

*Average Scores

**Total Score and Letter Grade

Total of Ticketable Offenses

x Check here if failures were marked in sections 2, 12, 13 and 18. A re-inspection must be completed

1) Assign a score for each grade under Serious and Critical on the Scoring Page as follows:
A=4
B=3
C=2
D=1
*Average scores for Serious and Critical colums will auto calculate
2) Assign a total letter grade using the chart below based on the total score:
A=4
B = 3-3.9
C = 2-2.9
D = 1-1.9
F = 0-0.99
**If you grade an F in sections 2, 12, 13 and 18, final grade must be an F regardless of average
** Total score will auto calculate

Organization Name
School Administrator
NSS Inspector
Facilities Inspector Vaughn Iturralde
Lunchroom Manager
Engineer Jose Delagarza
Other
Other

Previous Comments

Old Carson building:

Stair way from Principal office
Cracked ceiling
Dirty stair treads and corners

*floors are dirty in all classrooms

*all vents need to be cleaned

Room 306
Closets clutter
Dirty floors
Bugs in light shields
Window does not close
Crack paint
Shelves need to be dusted
Vents need cleaning

Room 300
Floors dirty
Shelves need dusting
Cracked ceiling
Shelving blocking electrical panel
Dirty floors underneath equipment
Missing window shades

Room 305
Storage closet clutter needs to be off floor
Window sills dirty
Missing two shades for windows

Room 304
Storage closets clutter
All items off the ground
Light shield missing
Vents dirty
Light shield has bugs in it
Ledges dirty

Room 401
Cold drafts
Windows do not close- staff wearing winter gear
Clutter throughout
Floors dirty
Window lock broken

Hallway 3rd floor cracked tiles

Dirty vase boards
Water fountain dirty
Ballast is out

3rd floor bathroom

Need clean out cover
Garbage on ledges
Vents dirty
No paper towels hand dryer does not work
Light out
Toilet paper on walls
Missing tile

Classroom 307
Vents are dirty
8 light shields missing
Light bulbs
Clutter on ground
Computers are dusty
Pencil shavings need to be empty
Items need to off the floor
Windows are left open no screens
Closets dirty- open the door items fall off

Room 303
Floors dirty
Ballast is out-3
Huge Cover missing
Supplies and clutter
Window open- from last night
Vents dirt
Electrical cover missing wire exposed
Storage closet- dirty closet, clutter

Room 308
Lights are out
Floors dirty
Clutter on the ground
Pencil sharpening needs to be empty
Closets full of clutter
Shelving dusty

3rd floor custodial closet

Ceiling damage
Holes need to be stuffed
Floors dirty
Garbage on floor
Slip sink dirty

3rd floor bathroom

No paper towels
No hand dryer
One sink water does not turn on
Door stall two needs to be repaired does not close
Vents n ledges dirty
Water not hot
Peeling paint

Teacher's toilet girl

Toilet dispenser needs to be fixed
Base boards dirty need repair

Classroom 302
Floors are dirty
Items need to be off the floor
Window open
Ledges dirty
Bugs in light shield

Classroom 309
Floors dusty
Windows open
5 light shields missing lights missing
Windows do not shut
Classroom was missing breakfast kitchen ran out

Could not access 402

Stairway lights are out in both stair ways on 3rd floor

Base board damage

Classroom 310
Space heater
Kitchen sink dirty
Room is very cold
Lots of clutter
Items on the floor
Light shields dirty

Storage on 3rd floor lots of clutter

Door is blocked
Floors are dirty

Room 301
Peeling paint
Blinds dirty

Elevator on 3rd floor

Hallway dirty
Certificate for elevator inspection is expired 8/29/15
Floors are dirty in elevator

Elevator room 2nd floor

Hallway clutter
Elevator machine room blocked from musical equipment- clutter
Floors are dirty
Door needs to be fixed

Room 201
Vents dirty
Light shield popping out
Missing floor tiles
Floors dirty
Closets packed need to be

2nd floor
Lights out by stair ways
Light shields missing
Lights out
Baseboards dirty
Vents dirty
Fire extinguisher no inspection checked by engineer
Ledges dirty
Water fountain has debris in it

Classroom 210
Vents dirty
Storage closets dirty
2 blinds missing
Light shields dirt
Ledges dirty
Shelving needs dusting
Window will not close
Storage closet blocked with clutter

Classroom 209
Ballast out
Light shields are dirty
Ledges dirty
Floors dirty
Peeling paint
Vents are dirty

Classroom 202

Floors are dirty

Clutter
Items need to be off floors in storage closet

Girl's bathroom
Peeling paint
Ledges dirty
No toilet seat last stall
Toilets dirty
Vents dirty
Storage closet on 2nd floor
Clutter and very dirty
Giant hole needs to be filled

Room 208
Baseboard missing right outside
Electrical panel blocked in corner of room
Floors dirty
Storage closet full clutter needs to be off the floor

Room 203
Light bulbs out
Blind shields missing
Clutter off floor
Floors dirty
Outlet need to be repaired open old exposed light switch
Clutter in closets

Room 207
Bound is broken
Ledges dirty
Storage closets floors dirty
Light shields dirty
Vents are dirty

Boy's bathroom 2nd floor

Missing tiles
Base boards tiles need to be repaired
Peeling paint
Light shields
Dirty
Cover needs to be put on

2nd floor hallway

0

Room 204
Missing blinds
Dirty light shields

Room 205
Floors dirty
Window blinds missing
Light shields dirty
Vents dirty

Mdf room
Light shields missing
Lights out
Need blind
Clutter items need to be off the ground
Room 206
Hole in closet door
Closets full
Two blinds missing
Ledges dirty
Outside hallway trim piece missing

Counselor room
Tiles flooring need repair
Huge hole
Peeling paint
Cracked wall
Need shade
Holes in walls

Main office bathroom

Cracked wall
Dust cobwebs
No hot water
No light shields
Cracked ceiling

Epi pen kept in drawer not in a yellow box not mounted

Fridge dirty
Vents dirty

So office clutter on floor

Base board corner missing in main office

Main entrance breeze way

Doors are not marked
No main entrance sign
Missing mortar in brick
Light out

Gym
Vent rusty dirty
Space fab dirty top and bottom
Gym closet dirty
Peeling paint
Ceiling tiles
Very cold
Bathroom in operable
Garbage cans full
Light shield hanging
Gym closet
Peeling
Door has damage in corner
Vents dirty
So much stuff can bob safely walk
Baseboard damage
Pneumatic line damage

Girl's locker room

Stuffed in closets
Peeling paint
Holes floors
Exit door block
Vents dirty
Gym door closer need to be repaired

AED defibrillator is not working- by gym

Floors are damage

Door 4
Tiles missing closet cob webs
Storage closet filled with clutter
Tiles missing

Boy's bathroom
Light shields dirty
Holes in wall
Rusted vent
Relying paint
Storage room outside of auditorium - needs to be cleaned and de clutter

Classroom 110
Vents dirty
Floors dirty clutter on in corners
Doors blocked
Bathroom
No running water hot or cold

Classroom 101
Floors dirt
Storage closets dirty
Vents dirty

1st floor
Water fountain not working
Low water pressure

Girl's bathroom first floor

Light shields are filthy
Ledges dirty
No hot water

Boiler room
Not locked
Water leaking down base of stairs- huge safety issue
Peeling paint
Standing water
Dirty floors
Holes in door
Missing tiles
New light fixture needed
Drain dry odor
No covers on fan guard's huge safety issue

New Carson Building:

Door 10
Graffiti
Stair well
Clutter under stair wells

Fire pump room

Light shields needed

Entrance to engineer
Floors and storage room dirty
Electrical cover needed

Bathroom men's
Missing handle men's bathroom
Gym office clutter
Gym
AED defibrillator not working

Stairway
Stair wells with clutter
Ceiling tile cracked
Ceiling tiles bowed

Hallways ceiling tiles popping out

Classroom 127
Blinds missing

Classrooms 128
No hot water
Clutter

Classrooms 125
Storage closet clutter dirty

Classrooms 123
Storage closets clutter
No paper towels

Classroom 122
Vents need cleaning

Water fountain
Low water pressure in hallway

Storage closet in hallway vents lights

Electrical room - dirty clutter

Girl's bathroom
Faucet timing needs

Room 121
Rugs dirty
Heating issues
Blinds need
Floors dirty
Vents dirty
Storage closet clutter
Water fountain- bad odor coming every time sink

Teachers' lounge
No hot water
Low water pressure
Clutter on the floor
Microwave
Water damage on carpet

Hallway
Vents need clean

Main entrance not labeled

Need new door sweeps exterior doors
Light fixture out
Dirty vents
Windows need to be cleaned
Ceiling tile out

Main office storage

Clutter
Items need to be off the floor
Storage closet clutter
Unable to look at principal office
Outlet cover

Epi pens not tag

Student services room

Floors need cleaning

Girl's bathroom
Need to fix fixture

Boy's bathroom
Need to fix fixture

Electrical room
Need to remove items and floor dirty

Elevator pump room

Need to remove clutter and put cover back on panels
Door 9
Vents need to be clean

Elevator is broken- not functioning

Room 230
Storage closet
Water sink in classroom no hot water
Water fountain doesn't work dirty

Room 132
Closet- clutter
No hot water in sink
Ceiling tile popping out
Need a clean out cover
Floors dirty clutter

Multi-purpose room

Multi-purpose room
Storage closet dirty clutter
Ceiling tiles popping out

Storage room
Floors dirty

Room 130
Peeling paint
Water fountain dirty
Fridge needs to be removed

Room 131
Missing blinds-
Rugs dirty
Not hot water in bathroom
Vents dirty

Stair way up to second floor

Water stain ceiling tile
Lights are out
Ceiling tiles popping out
Vents dirty extremely dirty
Window ledges
All Mechanical room
Clutter
Dirty
Nothing should be in this room

Room 228
Missing blind
Ceiling tiles

Room 229
Vents dirty
Lights out

Room 226
Clutter on ground
Ceiling tiles
Blinds missing

Room 227
Adjust door closer
Rugs are dirty
Water leak ceiling tile
Blinds missing
Floors dirty

Room 225
Clutter on floors
Shelving need cleaning
Ballast out
Vents dirty

Room 224
Pencil shavings need to be emptied
Clutter on ground
Lights out- 2 ballasts
Vents dirty

Room 223
Vents dirty
Blinds need to fixed
Floors dirty

Room 222
Computers dusty
Rugs dirty
Floors dirty

Computer lab
Concentrator making noise
Carpets dirty
Blinds removed
Space fan dirty

Seminar room
Vents dirty
Lights flickering

Library
Floors dirty
Vents dirty

Mdf IT room
Dirty floors
Clutter
Mini fridge needs to be removed

Handicap bathroom
Floors dirty

Electrical room
Needs to have clutter removed

Computer lab
Vents dirty
Lights out
Extinguisher on the ground

Room 236

Vents dirty
Floors are dirty
Blinds missing

Room 234
Dirty floor
Vents dirty
Science/art
Ballast out
Storage closet dirty and lots of clutter
Storage closet next to science dirty clutter

Room
230
Light out
Dirty vent
Shades missing

Room 232
Ceiling tile
Shades missing
Vents dirty
Kitchen issues New Carson's:

Expired foods- hot sauce expired Nov 2017

2 door cooler no thermometer

Utensils need to be sanitized in between service periods

Exhaust hood needs to be cleaned

Should not be air drying dishes on towels

Fire extinguisher is tagged from 2016

Items store too high in dry storage on rack

Cook was burned, need new supplies and oven mitts

Need to sweep and mop underneath

Old Carson Kitchen:

Space fans need to be cleaned
Garbage cans need to be cleaned
Lra not wearing slip resistant shoes
 "Keep Our Schools Clean"

Carson

Vaughn Iturralde Jose deLaGarza

Receiving
Unmanne
d Site

h (CDPH) # of
Fail(s) Grade
Score:
Serious 7 F

Score: Critical ($500) O A

ED, AUTOMATIC "F"*** 0 x $500
$0

Score: Critical ($500) A

x $500
$0

iginal container
between uses

Score: Serious ($250) 3 C

3 x $250
$750

8" from the ceiling

Score: Serious ($250) A

x $250
$0

equipment needs cleaning

 d within a year

chine or other equipment

s & all ledges

Score: Serious ($250) O A

x $250
$0
askets missing or dirty

lined with paper

Score: Critical ($500) O A

0 x $500
$0

ng stored on top

Score: Critical ($500) 2 C

2 x $500
 $1,000

Score: Critical ($500) 2 D

2 x $500
$1,000

Score: Critical ($500) O A

0 x $500
$0

o all customers

Score: Critical ($500) 7 F

7 x $500
$3,500

or and up windows closed.

Score: Critical ($500) 1 F
1 x $500
$500
Score: Critical ($500) 1 F
1 x $500
$500

Score: Critical ($500) 1 B

1 x $500
$500

Score: Critical ($500) 4 F

4 x $500
$2,000

Score: Critical ($500) 8 F

8 x $500
$4,000

Score: Serious ($250) 4 F

 4 x $250
$1,000

Score: Critical ($500) 1 F

ED, AUTOMATIC "F"*** 1 x $500
$500

Score: Critical ($500) 6 F

6 x $500
$3,000

Score: Serious ($250) 2 B

2 x $250
$500

by engineer.

Score:
7 F
Serious

were dirty. Offices had clutter, missing floor tiles. Baseboards needed throughout
were dirty. Offices had clutter, missing floor tiles. Baseboards needed throughout

Score:
O A
Critical

Score:
A
Critical

Score:
3 C
Serious

Score:
A
Serious

Score:
O A
Serious

Score:
O A
Critical

Score:
2 C
Critical
ed or removed.

Score:
2 D
Critical

Score:
O A
Critical

Score:
7 F
Critical

nt sisce last blitz.

Score:
1 F
Critical

Score:
1 F
Critical

Score:
1 B
Critical
 Score:
4 F
Critical

Score:
8 F
Critical

Score:
4 F
Serious

floor. Clogged sink in teachers restroom on 2nd floor.

Score:
1 F
Critical

Score:
6 F
Critical
 Score:
2 B
Serious

Grade Score Grade Score Fines

F 7
A 0 $0
A 0 $0
C 3 $750
A 0 $0
A 0 $0
A 0 $0
C 2 $1,000
D 2 $1,000
A 0 $0
F 7 $3,500
F 1 $500
F 1 $500
B 1 $500
F 4 $2,000
F 8 $4,000
F 4 $1,000
F 1 $500
F 6 $3,000
B 2 $500

2.67 2.36

2.51 C
$18,750

n must be completed

llows:
e an F regardless of average

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