Carson Blitz Form 12-13-17 Blitz

2017-2018 Blitz Inspection
"Keep Our Schools Clean"
Network: 9 Oracle: 22061 School Name: Carson
Date: 12/13/17 CPS Inspection Team Members: Rosario Signorile Tamara Castaneda
Cooking x Sending Receiving

Conversion OKI Unmanned Site
The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH) # of
Fail(s) Grade
1. Employee Facilities Score: Serious 7 F
1.1 Clean and organize all offices, remove outdated posters/memos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 Score: Critical ($500) O A
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** x $500
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 Score: Critical ($500) 3 D
3.1 There are no bulging or leaking canned goods or expired products in 3 x $500
storage $1,500
Fail - bulging, dented or leaking canned goods
x Fail - expired products in storage
3.2 Fail - canned foods stored in remarked containers, not in original container
3.3 x Fail - small equipment and utensils are not being sanitized between uses
x Fail - small equipment is not air dried
4. Dry Storage Score: Serious ($250) 3 C
4.1 Food is protected from contamination 3 x $250
Fail - food is not covered/labeled/dated $750
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
1 of 22

5. Food Service Equipment & Vending Machines Score: Serious ($250) 8 F

5.1 Dish machine is utilized, if not working repair or remove 8 x $250
Fail - dish machine not reaching 180°F final rinse $2,000
Fail - dish machine not working
x 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
x Fail - space fans need cleaning
x 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
x Fail - behind, under, beside, tops and above all equipment needs cleaning
Fail - equipment and food contact surfaces are dirty
x 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
x Fail - speed racks and push carts
Fail - gum/graffiti found on equipment
x Fail -Exhaust hood and or filters need cleaning
Fail -Exhaust hood and fire suppression serviced within a year
x 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
2 of 22

6. Utensils and Equipment Score: Serious ($250) O A

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) O A
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) 2 C
8.1 Kitchen and lunchroom areas kept clean 2 x $500
Fail - kitchen and lunchroom areas are not clean $1,000
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 Score: Critical ($500) 2 D
9.1 Kitchen garbage cans are clean and have lids 2 x $500
x Fail - garbage cans dirty $1,000
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
3 of 22

10. Manager Sanitation Certificate & CDPH Report Score: Critical ($500) O A
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
11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical ($500) 9 F
11.1 All areas are clean, organized and free of clutter 9 x $500
x Fail - missing lights $4,500
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
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
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
x Fail - First floor windows open no more than 6". Second floor and up windows closed.
12. ***Pest Control Score: Critical ($500) O A
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** x $500
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
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 Score: Critical ($500) 1 F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
13.1 Fail - burrows found around exterior of the building $500
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
4 of 22

14. Pipes and Plumb Score: Critical ($500) 3 D

14.1 Fail - no hot water supplied for the lunchroom (110 degrees) 3 x $500
Fail - water leaking in the lunchroom (including restroom area) $1,500
Fail - Floor drains/Sinks/Equipment/ does not drain properly
Fail - water waste bubbling up from drain
x Fail - drain covers needed
Fail - drains are clean, operational and odor free
x Fail - water pressure is low
x Fail - openings around pipes need to be stuffed and sealed
15.Ceiling & Walls Score: Critical ($500) 6 F

15.1 x Fail - ceiling and walls have cracks and/or holes 6 x $500
x Fail - Ceiling and walls have chipping/peeling paint $3,000
x Fail - Ceiling and walls are leaking and/or have water marks
x Fail - Ceiling and walls are not clean
x Fail - light shields missing/dirty/cracked over food prep areas
x Fail - ceiling tiles missing and/or stained
16. Floors Score: Critical ($500) 8 F
16.1 x Fail - floors are not clean 8 x $500
x Fail - floors under equipment are not clean and free of debris $4,000
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
5 of 22

17. Restrooms Score: Serious ($250) 4 F

17.1 Fixtures, toilets & urinals, waste cans, floor, walls free of graffiti 4 x $250
x Fail - observed gum/graffiti on walls, stall doors $1,000
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 Score: Critical ($500) 4 F
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 4 x $500
18.1 Hot and cold water available $2,000
x Fail - no hot and/or cold running water in the washroom
x Fail - low water pressure in the restrooms
x Fail - no soap, toilet paper, hand dryer, paper towels available
18.2 Employee/Staff restrooms clean
x Fail - no soap, toilet paper, hand dryer, paper towels available
Fail - no hand washing sign in Foodservice Employee Restrooms
19. Basement / Engineering Facilities Score: Critical ($500) 7 F

19.1 x Fail - closet and crawl spaces are not clean/organized 7 x $500
x Fail - unused equipment needs to be removed $3,500
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) 6 F
20.1 x Fail - employees (food and custodial) not wearing slip resistant shoes 6 x $250
x Fail - cut resistant gloves not in use (food service) $1,500
Fail - PPE's are not available or in use
x 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
x 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.
6 of 22

Details/Findings Page
Instructions: Fill in details from inspection/walk through in each appropriate category below
1. Employee Facilities Score: Serious 7 F
Please see additonal notes
2. Food Tempuratures Score: Critical O A
3. Food Storage & Handling Score: Critical 3 D
4. Dry Storage Score: Serious 3 C
5. Food Service Equipment & Vending Machines Score: Serious 8 F
7 of 22

6. Utensils and Equipment Score: Serious O A
7. General Cleaning & Sanitation Measures Score: Critical O A
8. General Cleaning & Sanitation Measures Score: Critical 2 C
9. Garbage Storage & Disposal Score: Critical 2 D
10. Manager Sanitation Certificate & CDPH Report Score: Critical O A
8 of 22

11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical 9 F
Pl
12. Pest Control Score: Critical O A
13. Pest Control Score: Critical 1 F
14. Pipes & Plumbing Score: Critical 3 D
9 of 22

15. Ceilings & Walls Score: Critical 6 F
16. Floors Score: Critical 8 F
17. Restrooms Score: Serious 4 F
18. Restrooms Score: Critical 4 F
19. Basement / Engineering Facilities Score: Critical 7 F
20. Safety Score: Serious 6 F
10 of 22

SCORING PAGE
Grade Score Grade Score Fines

1. Employee Facilities F 7
2. Food Temperatures (Critical: "A" or "F") A
3. Food Storage & Handling D 3 $1,500
4. Dry Storage C 2 $750
5. Food Service Equipment & Vending Services F 8 $2,000
6. Utensils and Equipment A
7. General Cleaning and Sanitation Measures (Critical) A
8. General Cleaning and Sanitation Measures (Critical) C 2 $1,000
9. Garbage Storage and Disposal D 2 $1,000
10. Manger Sanitation & B.O.H. Report A
11. Classrooms/ Library/ Hallways/ Offices F 9 $4,500
12. Pest Control (Critical: "A" or "F") A
13. Pest Control (Critical: "A" or "F") F 1 $500
14. Pipes & Plumbing D 3 $1,500
15. Ceiling & Walls F 6 $3,000
16. Floors F 8 $4,000
17. Restrooms (Serious) F 4 $1,000
18. Restrooms (Critical: "A" or "F") F 4 $2,000
19. Basement / Engineering Facilities F 7 $3,500
20. Safety F 6 $1,500
*Average Scores 4.50 3.21
**Total Score and Letter Grade 3.86 F
Total of Ticketable Offenses $27,750
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
11 of 22

Organization Name Signature Email

School Administrator
NSS Inspector Tamara Castaneda

Facilities Inspector Rosario Signorile
Lunchroom Manager Caprice Howard

Engineer Jose Delagarza
Other
Other
Additional 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
12 of 22

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 13 of 22


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 14 of 22

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
15 of 22

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

Extinguisher not checked
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 16 of 22

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
17 of 22

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 18 of 22

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 19 of 22


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
Open orange juice

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
20 of 22

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 21 of 22

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
22 of 22

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Carson Blitz Form 12-13-17 Blitz

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2017-2018 Blitz Inspection

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

5. Food Service Equipment & Vending Machines Score: Serious ($250) 8 F

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

6. Utensils and Equipment Score: Serious ($250) O A

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

14. Pipes and Plumb Score: Critical ($500) 3 D

15.Ceiling & Walls Score: Critical ($500) 6 F

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

17. Restrooms Score: Serious ($250) 4 F

19. Basement / Engineering Facilities Score: Critical ($500) 7 F

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

Please see additonal notes

2. Food Tempuratures Score: Critical O A

Please see additonal notes

3. Food Storage & Handling Score: Critical 3 D

Please see additonal notes

4. Dry Storage Score: Serious 3 C

Please see additonal notes

5. Food Service Equipment & Vending Machines Score: Serious 8 F

Please see additonal notes

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

Please see additonal notes

7. General Cleaning & Sanitation Measures Score: Critical O A

Please see additonal notes

8. General Cleaning & Sanitation Measures Score: Critical 2 C

Please see additonal notes

9. Garbage Storage & Disposal Score: Critical 2 D

Please see additonal notes

10. Manager Sanitation Certificate & CDPH Report Score: Critical O A

Please see additonal notes

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

12. Pest Control Score: Critical O A

Please see additonal notes

13. Pest Control Score: Critical 1 F

Please see additonal notes

14. Pipes & Plumbing Score: Critical 3 D

Please see additonal notes

"Keep Our Schools Clean"

Network: 9 Oracle: 22061 School Name: Carson

Cooking x Sending Receiving

Please see additonal notes

16. Floors Score: Critical 8 F

Please see additonal notes