Employee Facilities Score: Serious

2017-2018 Blitz Inspection "Keep Our Schools Clean"
Unmanned Site: _________
Sending: ________ Receiving: _______

Cooking:_X__ Conversion: ____ OKI: _________
Reg/Area: 9 Oracle: 25371 School:________Shoesmith________
Date: 12/12/17 CPS Inspection Team Members Scott/Vivian/Jasan

The bolded items reflect ticketable offenses with the Chicago Department of Public Health (CDPH) # of
Fail(s) Grade
1. Employee Facilities Score: Serious 2 B
1.1 Clean and organize all offices, remove outdated posters/memos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) 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) A
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) 2 B
4.1 Food is protected from contamination 1 x $250
Fail - food is not covered/labeled/dated $250
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
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) 11 F
5.1 Dish machine is utilized, if not working repair or remove 6 x $250
Fail - dish machine not reaching 180°F final rinse $1,500
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

6. Utensils and Equipment 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 1 B
7.1 Three-compartment sink is properly set up and used only to (wash, rinse, x $500
sanitize) $500
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 1 B
8.1 Kitchen and lunchroom areas kept clean 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
Fail - microwave & refrigerator dirty
9. Garbage Storage and Disposal 1 B
9.1 Kitchen garbage cans are clean and have lids x $500
Fail - garbage cans dirty $500
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 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 3 D

11.1 All areas are clean, organized and free of clutter 1 x $500
Fail - missing lights $500
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 pre-k
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 2 F
12 Pest infestation signs were observed in the following areas: $1,000
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 1 F
13 Fail - burrows found around exterior of the building $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 A
14 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

15.Ceiling & Walls 3 D

15 Fail - ceiling and walls have cracks and/or holes x $500
Fail - Ceiling and walls have chipping/peeling paint $1,500
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 4 F
16.1 Fail - floors are not clean x $500
Fail - floors under equipment are not clean and free of debris $1,000
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) A
17.1 Fixtures, toilets & urinals, waste cans, floor, walls free of graffiti x $250
Fail - observed gum/graffiti on walls, stall doors
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 A
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

19. Basement / Engineering Facilities 2 C

19 Fail - closet and crawl spaces are not clean/organized x $500
Fail - unused equipment needs to be removed $1,000
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 A
20 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 2017-2018 Blitz Inspection "Keep Our Schools Clean"

Corrective Action Plan Sending: ____ Receiving: ____
Cooking:__X__Conversion: ____ OKI: ____
Reg/Area: 9 Oracle: 25371 School: Shoesmith

Date: 12/12/17 CPS Inspection Team Members Scott
Vivian
Jasan
1. Employee Facilities Score: Serious 2 B
Corrective Action Needed:
Lockers in employee break/ washroom need to be cleaned and free of dirt. Tops of lockers need to be cleaned and free of
materials
2. Food Tempuratures Score: Critical A

3. Food Storage & Handling Score: Critical A

4. Dry Storage Score: Serious 2 B

Sweep and dust behind and under racks in the dry storage room.
5. Food Service Equipment & Vending Machines Score: Serious 11 F

Hood covers need to be removed and cleaned to get rid of dust. Space fan in the kitchen needs to be free
of dust. Cooler/freezer gaskets need to be cleaned and repaired. Stangard refrigerator needs a light and
inside vents need cleaned to get rid of mold/mildew. Mold is found in the middle refrigerator vent in the
cafeteria and needs to be cleaned and removed. 2 door True freezer inside kitchen needs to be repaired or
removed, middle casing is broken and it is standing on wood blocks. All equipment needs to be cleaned and
sanitized inside, outside and around. Equipment needs to be pulled out and cleaned behind. Grates on
equipment need to be cleaned. Ice build up is seen in the far right freezer in the cafeteria and needs to be
thawed and removed. Water can be seen leaking from the refrigerator and freezer against the wall in the
kitchen. Drip pans need to be order for these instead of using sheet pans. Dunnage racks should be ordered
to remove emergency water that is stacked on milk crates in dry storage.
6. Utensils and Equipment Score: Serious A

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

Have grease trap cleaned out and around.

8. General Cleaning & Sanitation Measures Score: Critical 1 B
Lunchroom has evidence of pests(Ants) along the sides of the wall and the lunchroom floor was dirty with debris/ food particles
upon arrival. Kitchen is dusty and needs to be cleaned thoroughly. Floor in kitchen needs to be deep cleaned along with walls.


9. Garbage Storage & Disposal Score: Critical 1 B

Lids need to be supplied for the two rubbermaid garbage cans in the lunchroom.
10. Manager Sanitation Certificate & CDPH Report Score: Critical A

11. All Rooms, Closets, Offices, Gym, Auditorium, Other Score: Critical 3 D
Classrooms have clutter that needs to be removed and picked up off the floor. All materials 3ft in front and on top of ALL uni
vents must be removed asap. Food and garbage was found in the pre-k cubbies and needs to be removed asap. Teachers
should take note that food should not be stored in classrooms. Strainers in custodial closets need to be cleaned and closet
organized. Ceiling tiles and wall panel were missing and need replacing. IT equipment(by elevator,auditorium, boiler room) must
be sent to acid disposal.
12. Pest Control Score: Critical 2 F
Pest activity can be found in the dry storage room underneath the racks and needs to be swept and documented daily. In the
lunchroom, ants can be found on the wall dividing the kitchen and cafeteria. Pest control needs to be called.
13. Pest Control Score: Critical 1 F

Caulk gaps around ceiling perimeter to prevent ants. Ant infestation is major concern
14. Pipes & Plumbing Score: Critical A

15. Ceilings & Walls Score: Critical 3 D

Kitchen ceiling needs repaired around hood vent. Light shields above serving line need to be cleaned. Light shield in hood
needs to be replaced. Dry storage area in the kitchen needs to have tile replaced. Ceiling tile in custodial closets needs to be
replaced
16. Floors Score: Critical 4 F
Equipment needs to be pulled out and cleaned underneath. Floors should be swept and mopped on a daily basis. Classrooms,
closets, storage areas need items to be 6" off the floor. Stairway by the elevator needs to have a tread cover.


17. Restrooms Score: Serious A

18. Restrooms Score: Critical A

19. Basement / Engineering Facilities Score: Critical 2 C

Remove unused equipment. Detailed cleaning needs to be done around work area in the back
20. Safety Score: Serious A


Serious Critical Fines
1. Employee Facilities 3 B
2. Food Temperatures (Critical: "A" or "F") 4 A
3. Food Storage & Handling 4 A
4. Dry Storage 2 C 250.00
5. Food Service Equipment & Vending Services F 1,500.00
6. Utensils and Equipment 4 A
7. General Cleaning and Sanitation Measures (Critical) 3 B 500.00
8. General Cleaning and Sanitation Measures (Critical) 3 B 500.00
9. Garbage Storage and Disposal 3 B 500.00
10. Manger Sanitation & B.O.H. Report 4 A
11. Classrooms/ Library/ Hallways/ Offices 1 D 500.00
12. Pest Control (Critical: "A" or "F") F 1,000.00
13. Pest Control (Critical: "A" or "F") F 500.00
14. Pipes & Plumbing 4 A
15. Ceiling & Walls 1 D 1,000.00
16. Floors F 2,000.00
17. Restrooms (Serious) 4 A
18. Restrooms (Critical: "A" or "F") 4 A
19. Basement / Engineering Facilities 2 C 1,000.00
# Safety 4 A
Average Grades 2.8 C 2.4 C
Overall Grade 2.6 C

Total of Ticketable Offenses 9,250.00
***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 as follows:
A= 4
B= 3 - 3.9
C= 2 - 2.9
D= 1 -1.9
F= O
4) Calculate Overall Grade by adding Average Grades for each category (Serious, Critical) and dividing by 2.
Reg/Area: 9 Oracle: 25371 School: Shoesmith

Date: 12/12/17 CPS Inspection Team Members Scott
Vivian
Jasan
Organization Name Signature

School Administrator
NSS Inspector
Facilities Inspector
Lunchroom Manager
Engineer
Other
Other
Additional Comments

Employee Facilities Score: Serious

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2017-2018 Blitz Inspection "Keep Our Schools Clean"

Unmanned Site: _________

Sending: ________ Receiving: _______

Date: 12/12/17 CPS Inspection Team Members Scott/Vivian/Jasan

Reg/Area: Oracle: School:

Reg/Area: Oracle: School:

Reg/Area: Oracle: School:

11. All Rooms, Closets, Offices, Gym, Auditorium, Other 3 D

Reg/Area: Oracle: School:

15.Ceiling & Walls 3 D

Reg/Area: Oracle: School:

19. Basement / Engineering Facilities 2 C

Unmanned Site: _________

Reg/Area: 9 Oracle: 25371 School: Shoesmith

2. Food Tempuratures Score: Critical A

3. Food Storage & Handling Score: Critical A

4. Dry Storage Score: Serious 2 B

5. Food Service Equipment & Vending Machines Score: Serious 11 F

6. Utensils and Equipment Score: Serious A

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

Have grease trap cleaned out and around.

Unmanned Site: _________

Reg/Area: Oracle: School:

9. Garbage Storage & Disposal Score: Critical 1 B

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

13. Pest Control Score: Critical 1 F

14. Pipes & Plumbing Score: Critical A

15. Ceilings & Walls Score: Critical 3 D

Unmanned Site: _________

Reg/Area: Oracle: School:

17. Restrooms Score: Serious A

18. Restrooms Score: Critical A

19. Basement / Engineering Facilities Score: Critical 2 C

20. Safety Score: Serious A

Reg/Area: Oracle: School:

Overall Grade 2.6 C

1) Assign Final School Inspection Rating/Grades as follows:

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

3) Assign Average Grade for each Category as follows:

Reg/Area: 9 Oracle: 25371 School: Shoesmith

Organization Name Signature

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Sending: __ Receiving: _