2017-2018 Blitz Inspection "Keep Our Schools Clean"

Unmanned Site: _________

Sending: ________ Receiving: _______

Cooking:X_ Conversion: ____ OKI: _________
Reg/Area: Network 9 Oracle: School:_Hendrick ES_______________

Date: 12/11/17 CPS Inspection Team Members Kevin Craft Danny Echols
The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH) # of
Fail(s) Grade
1. Employee Facilities Score: Serious 6 F
1.1 Clean and organize all offices, remove outdated posters/memos
L/R Mgr, Engineers, Teachers, Main Office
Fail - Office has dust
Fail - Clutter must be removed
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
Fail - dust/dirt observed
2. ***Food Temperatures Score: Critical ($500) F
***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)
3.1 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)
4.1 Food is protected from contamination 3 x $250
Fail - food is not covered/labeled/dated $750
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
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: Hendricks ES

Date: 12/11/17 CPS Inspection Team Members Kevin Craft Danny Echols

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 5 x $250
Fail - dish machine not reaching 180°F final rinse $1,250
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
 "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School: Hendricks

Date: 12/11/17 CPS Inspection Team Members Kevin Craft Danny Echols
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)
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
Fail - lounge area dusty/dirty needs cleaning
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
 "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School: Hendricks ES

Date: 12/11/17 CPS Inspection Team Members Kevin Craft Danny Echols

11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical ($500)
11.1 All areas are clean, organized and free of clutter 8 x $500
Fail - missing lights $4,000
Fail - above areas are not clean/organized
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
Fail - areas found to be dusty/dirty
Fail - waste cans/pencil sharpeners are not dumped
Fail - chalk rails/boards are not clean
Fail - dirty/stinky mops, buckets, custodial carts in use.
Fail - custodial closets dirty/dusty or in poor condition
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)
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 1 x $500
12.1 Pest infestation signs were observed in the following areas: $500
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)
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** 5 x $500
13.1 Fail - burrows found around exterior of the building $2,500
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 Score: Critical ($500)
14.1 Fail - no hot water supplied for the lunchroom (110 degrees) x $500
Fail - water leaking in the lunchroom (including restroom area)
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
 "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)

15.1 Fail - ceiling and walls have cracks and/or holes 5 x $500
Fail - Ceiling and walls have chipping/peeling paint $2,500
Fail - Ceiling and walls are leaking and/or have water marks
Fail - Ceiling and walls are not clean
Fail - light shields missing/dirty/cracked over food prep areas
Fail - ceiling tiles missing and/or stained
16. Floors Score: Critical ($500)
16.1 Fail - floors are not clean 5 x $500
Fail - floors under equipment are not clean and free of debris $2,500
Fail - floor tiles missing or broken
Fail - stairs and stairwells not clean or free of clutter
Fail - items stored 6" above the floor
Fail - floor has holes or cracks
Fail - baseboards are not clean and/or away from the wall
Fail - Corners where wall and floor meet are not clean
17. Restrooms Score: Serious ($250)
17.1 Fixtures, toilets & urinals, waste cans, floor, walls free of graffiti 3 x $250
Fail - observed gum/graffiti on walls, stall doors $750
Fail - toilets,urinals, and sinks are not clean or leaking
Fail - auto faucets do not stay on for 30 seconds
Fail - no trash cans
Fail - dust/dirt/odor observed in the restroom
18. ***Restrooms Score: Critical ($500)
***IF CHECKED A REINSPECTION MUST BE CONDUCTED, AUTOMATIC "F"*** x $500
18.1 Hot and cold water available
Fail - no hot and/or cold running water in the washroom
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
Fail - no hand washing sign in Foodservice Employee Restrooms
 "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)

19.1 Fail - closet and crawl spaces are not clean/organized 6 x $500
Fail - unused equipment needs to be removed $3,000
Fail - chemicals are not stored properly in the engineering areas
Fail - basement/bolier areas need detailed cleaning
Fail - water leaks observed in the basement/boiler area
Fail - Seal all holes and cracks throughout the basement area
Fail - Elevator is dirty
Fail - clutter in basement/boiler area
20. Safety Score: Serious ($250)
20.1 Fail - employees (food and custodial) not wearing slip resistant shoes x $250
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
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
Fail - Evacuation plan posted in each classroom.
Chicago Public Schools "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

High and Low Dusting. Clutter needs to be removed. All items

Corrective Action Needed: should be removed from floors. Within multiple rooms storage
areas held personal items and school items that weren't well
organized. Some items require binds with lids.

2. Food Tempuratures Score: Critical

Corrective Action Needed:

3. Food Storage & Handling Score: Critical

Corrective Action Needed:

4. Dry Storage Score: Serious

Review Master Cleaning and have new Porter to remove all
Equipment at a minimum weekly to ensure dust under
Corrective Action Needed: equipment. Review with SDM proper storage of storage of
personal / staff food/items.

5. Food Service Equipment & Vending Machines Score: Serious

Submit work orders for cleaning motor housing / Exhaust
hoods. Review Master Cleaning Schedule with SDM and Team
Corrective Action Needed: for Daily, Weekly, and Monthly requirements for High and Low
Dusting. SDM submit for Dunnage Racks.

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

Review Admin and daily cleaning requirements for all staff for
Corrective Action Needed: microwave and refrigerator . Custodial staff need to increase
frequency of high and low dusting.
Chicago Public Schools
Corrective Action Plan
Reg/Area: Oracle:
Date:
9. Garbage Storage & Disposal
Corrective Action Needed:
10. Manager Sanitation Certificate & CDPH Report
Corrective Action Needed:
11. All Rooms, Closets, Offices, Gym, Auditorium, Other
Corrective Action Needed:
12. Pest Control
Corrective Action Needed:
13. Pest Control
Corrective Action Needed:
14. Pipes & Plumbing
Corrective Action Needed:
15. Ceilings & Walls
Corrective Action Needed:
16. Floors
"Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____
School:
CPS Inspection Team Members
Score: Critical
Score: Critical
Score: Critical
Overall, spaces need to be high and low dusted. Storage closet
need to be clutter-free. Numerous classrooms had items on
floors, Items must be removed from floors to proper shelving.
Remove all non-approve cleaning products should be removed
from classrooms. Limited classrooms and food items within
classrooms. One class had personal refrigerator. Student
lockers were in bad condition and safey hazard. Lockers had
sharp corners, rusty edges and the paneling inside of the
lockers are damaged.
Score: Critical
There are multiple storage lockers inside of classrooms that
had visible signs of rodent activiity. Need to organized and
clean storage lockers in addition to the removal of clutter.
Score: Critical
Found exterior doors has damaged door sweeps that would
need to be replaced. Exterior window screen is damage on the
eastside of the building and would need to be replaced. Dock
area had debris and clutter that would need to be removed.
Cracks/Holes in the exterior/foundation of the school on the
west side of the building.
Score: Critical
Score: Critical
Engineer needs to revisit and fix classrooms that had water
damage, peeling paint to ceiling/wall. In addition, would need to
replace missing tiles in multiple classrooms.
Score: Critical
 All floor underneath equipment needs to be clean. There were
items store on floor in multiple rooms and would need to be
Corrective Action Needed: removed and stored 6" above floor. All baseboards in majority
of classroom require a wipe down. Floors need to be detailed
clean in mostly corners of the classrooms.
Chicago Public Schools "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

Restroom toilets were leaking at 1st and 3rd floor. Multiple

restroom toilets were covered with black trash bags indicating
Corrective Action Needed: they were out of commission. Auto faucets do not run for 30
secs. Dust and dirt found in multiple restroom corners and
underneath toilets and urinals.

18. Restrooms Score: Critical

Corrective Action Needed:

19. Basement / Engineering Facilities Score: Critical

Need to organize, clean and remove clutter from basement
storage spaces. Need seal all holes and cracks throughout the
Corrective Action Needed:
basement. Crawl spaces need to be clean and organize. Need
to remove non-working equipment for basment area.

20. Safety Score: Serious

Corrective Action Needed:

 2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ____ Receiving: ____
Cooking:____Conversion: ____ OKI: ____

Reg/Area: Oracle: School:

Date:
Serious Critical Fines
1. Employee Facilities 6
2. Food Temperatures (Critical: "A" or "F") 1 F
3. Food Storage & Handling
4. Dry Storage 3 D $750
5. Food Service Equipment & Vending Services 5 F $1,250
6. Utensils and Equipment
7. General Cleaning and Sanitation Measures (Critical)
8. General Cleaning and Sanitation Measures (Critical) 2 C $1,000
9. Garbage Storage and Disposal
10. Manger Sanitation & B.O.H. Report
11. Classrooms/ Library/ Hallways/ Offices 8 F $4,000
12. Pest Control (Critical: "A" or "F") 1 B $500
13. Pest Control (Critical: "A" or "F") 5 F $2,500
14. Pipes & Plumbing
15. Ceiling & Walls 5 F $2,500
16. Floors $2,500
17. Restrooms (Serious) 3 F $750
18. Restrooms (Critical: "A" or "F")
19. Basement / Engineering Facilities 6 F $3,000
20. Safety

Average Grades 2.8 B 2 C

Overall Grade 2.4 C

Total of Ticketable Offenses 18750

***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 = 4, Bas= 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 Critical

A
B 1
C 2
D 3
F 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 Signature
School Administrator
NSS Inspector
Facilities Inspector
Lunchroom Manager
Engineer
Other
Other

Additional Comments