Rappahannock Area Health District
1320 Central Park Blvd, Suite 300, Fredericksburg, VA 22401 | Visit Official Website

Livingston Elementary School

6057 Courthouse Road Spotsylvania, VA 22553
Status: Permitted

Educational Facility Food Service | Risk Factor

April 3, 2023
Score & Grade: Grade:
Observations & Corrective Actions

28: 3330 The sanitizer container at the 3 compartment sink was labeled at Oasis 146 quaternaryt ammonium sanitizer, however the liquid inside of trhe container was clean. In discussions with the person in charge, it was learned that the custodial staff was filling the container with Ultra San chlorine sanitizer (used in dish machines) that was recieved by mistake. Person in charge said that they will switch out the Untra San sanitizer with the high school and get the correct sanitizer for the 3 compartment sink.
Corrective Actions: Label all working containers of poisonous and toxic materials, including cleaners and sanitizers, with the correct name to prevent the dangerous misuse of these materials.

28: 3380 The chlorine sanitizer being dispensed at the 3 compartment sink is too strong due to the fact that the dispenser is calibrated for a different type of sanitizer. Employees will mix the chlorine sanitizer with water to achieve 100-200 ppm.
Corrective Actions: Use chemical sanitizers that meet the requirements of 40 CFR 180.940 or 40 CFR 180.2020 when applying to food contact surfaces

Additional Comments

Abbreviations: WIC - walk in cooler; RIC - reach in cooler; WIF - walk in freezer; RIF - reach in freezer; HH - hot holding; CH - cold holding; ST - surface temperature; IT - internal temperature; ppm - parts per million; PHF - potentially hazardous foods; TCS - temperature controlled for safety; UCRIC - under counter reach in cooler

Person in charge will send EHS a picture of the correct sanitizer when they get it.

Food Temperatures
Description Temperature State of Food
Taco Meat-IT 156 °F Reheating
Pepperoni-IT-RIC 40 °F Cold Holding
Milk-IT-Milk Box 40 °F Cold Holding
Bulk Yogurt-ST-WIC 36 °F Cold Holding
Shredded Cheese-ST-WIC 37 °F Cold Holding
Sliced Cheese-ST-RIC 39 °F Cold Holding
Corn-IT 162 °F Reheating
No records found
Warewashing Temperatures
Machine Name Sanitization Method Thermo Label PPM Sanitizer Name Sanitizer Type Temperature
3 compartment sink chemical 100 Ultra San chlorine 93 °F
No records found
Equipment Temperatures
Description Temperature
Milk Box 37 °F
Reach in Cooler 37 °F
Walk in Freezer 10 °F
Walk in Cooler 36 °F
No records found
Observations
Demonstration of Knowledge
IN
1 Person in charge present, demonstrates knowledge, and performs duties.
Compliant
Observations
IN
2 Certified Food Protection Manager
Compliant
Observations
Employee Health
IN
3 Management awareness, policy present.
Compliant
Observations
IN
4 Proper use of reporting, restriction & exclusion.
Compliant
Observations
Good Hygenic Practices
IN
6 Proper eating, tasting, drinking, or tobacco use.
Compliant
Observations
IN
7 No discharge from eyes, nose, and mouth.
Compliant
Observations
Preventing Contamination by Hands
IN
8 Hands clean & properly washed.
Compliant
Observations
IN
9 No bare hand contact with RTE foods or approved alternate method properly followed.
Compliant
Observations
IN
10 Adequate handwashing facilities supplied & accessible.
Compliant
Observations
Approved Source
IN
11 Food obtained from approved source.
Compliant
Observations
NO
12 Food received at proper temperature.
Compliant
Observations
IN
13 Food in good condition, safe, & unadulterated.
Compliant
Observations
NA
14 Required records available: shellstock tags, parasite destruction.
Compliant
Observations
Protection from Contamination
IN
15 Food separated & protected.
Compliant
Observations
IN
16 Food-contact surfaces: cleaned & sanitized.
Compliant
Observations
IN
17 Proper disposition of returned, previously served, reconditioned, & unsafe food.
Compliant
Observations
TCS Food Time/Temperature
NA
18 Proper cooking time & temperatures.
Compliant
Observations
NO
19 Proper reheating procedures for hot holding.
Compliant
Observations
NO
20 Proper cooling time & temperatures.
Compliant
Observations
IN
21 Proper hot holding temperatures.
Compliant
Observations
IN
22 Proper cold holding temperatures.
Compliant
Observations
IN
23 Proper date marking & disposition.
Compliant
Observations
NA
24 Time as a public health control: procedures & record.
Compliant
Observations
Consumer Advisory
NA
25 Consumer advisory provided for raw or undercooked foods.
Compliant
Observations
Highly Susceptible Populations
IN
26 Pasteurized foods used, prohibited foods not offered.
Compliant
Observations
Chemical
NA
27 Food additives: approved & properly used.
Compliant
Observations
OUT
28 Toxic substances properly identified, stored & used.
COS Violation
Observations
OUT
28 Toxic substances properly identified, stored & used.
COS Violation
Observations
Clean Air Act Compliance
IN
99 Clean Air Act Compliance
Compliant