HomeMy WebLinkAboutNorth Andover Country Club - Food Inspection Report - Inspection - 500 GREAT POND ROAD 11/18/2019 R-10 ® orthAndrncrttcytlthl)c,n. FOOD EST LISHMENT INSPECTION REPORT
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North Ambler.MA 01&i5
Inspection Number Date Time Inspection Type Client Type Inspector
North Andover Country Club 63A2E 11/18/19 10:09 AM Pre-Opening Retail M.Baldwin
500 Great Pond Road Permit Number Person In Charge Variance Priority Priority f Core
North Andover, MA 01845 Jeff 0 0 0
Foodborne Illness Risk Factors and Public Health Interventions
IN=In compliance OUT=out of compliance N/O=not observed N/A=not applicable COS=corrected on-site during inspection Repeat Violations Highlited in Yellow
Supervision IN OUT NA NO COS I Protection from Contamination Cont'd IN OUT NA NO CO:
1.PIC present,demonstrates knowledge,and performs duties V 15.Food separated and protected V
2. Certified Food Protection Manager V 16.Food-contact surfaces;cleaned&sanitized
Employee Health IN OUT NA NQ QQS 17.Proper disposition of returned,previously served,
3. Management,food employee and conditional employee
knowledge,responsibilities and reporting Time/Temperature Control for Safety IN OUT NA NO CO:
4. Proper use of restriction and exclusion V 18.Proper cooking time&temperatures ./
5. Procedures for responding to vomiting and diarrheal events V 19.Proper reheating procedures for hot holding
Good Hygienic Practices IN OUT NA NO COS 20.Proper cooling time and temperature V
6.Proper eating,tasting,drinking,or tobacco use V 21.Proper hot holding temperatures V
7. No discharge from eyes,nose,and mouth V 22.Proper cold holding temperatures V
Preventing Contamination by Hands IN OUT NA NO COS 23.Proper date marking and disposition
8. Hands clean&properly washed
24.Time as a Public Health Control;procedures&records V
9. No bare hand contact with RTE food or a pre-approved ✓
Consumer Advisory IN our NA No co:
10.Adequate handwashing sinks supplied and accessible ./ 25.Consumer advisory provided for raw/undercooked food V
Approved Source IN OUT NA NO COS Highly Susceptible Populations IN OUT NA NO CO;
11.Food obtained from approved source 26.Pasteurized foods used;prohibited foods not offered
12.Food received at proper temperature Food/Color Additives and Toxic Substances IN OUT NA NO COS
13.Food in good condition,safe&unadulterated 27.Food additives:approved&properly used V
14.Required records available:shellstock tags,parasite 28.Toxic substances properly identified,stored&used
Conformance with Approved Procedures IN OUT NA NO CO:
Repeat Violations Highlighted in Yellow 29.Compliance with variance/specialized process/HACCP
••• Retail Practices
Safe Food and Water IN OUT NA NO COS Proper Use Of Utensils IN OUT NA NO CO:
30.Pasteurized eggs used where required 43.In-use utensils:properly stored
31.Water&ice from approved source 44.Utensils,equip.&linens:property stored,dried&handled
32.Variance obtained for specialized processing methods V 45.Single-use/single-service articles:properly stored&used
Food Temperature Control IN OUT NA NO COS 46.Gloves used properly
33.Proper cooling methods used;adequate equip.for temp. V Utensils,Equipment and Vending IN OUT NA NO COS
47.All contact surfaces cleanable,properly designed,
34.Plant food properly cooked for hot holding
35. Approved thawing methods used 48. Warewashinq facilities:installed,maintained&used;test
49. Non-food contact surfaces clean
36. Thermometers provided&accurate
Physical Facilities IN OUT NA NO COS
Food Identification IN OUT NA NO COS 50.Hot&cold water available;adequate pressure
37.Food properly labeled;original container
51.Plumbing installed;proper backfiow devices
Prevention of Food Contamination IN OUT NA NO COS 52.Sewage&waste water properly disposed
38.Insects,rodents&animals not present 53.Toilet facilities:properly constructed,supplied,&cleaned
39.Contamination prevented in prep,storage&display 54.Garbage&refuse properly disposed;facilities maintained
40.Personal cleanliness
55.Physical facilities installed,maintained&clean
41.Wiping cloths;properly used&stored
56.Adequate ventilation&lighting;designated areas use
42.Washing fruits&vegetables
60.105 CMR 590 violations/local regulations
Official Order for Correction:Based on an inspection today,the items marked"OUT"indicated violations of 105 CMR 590.000 and applicable sections of the
2013 FDA Food Code.This report,when signed below by a Board of Health member or its agent constitutes an order of the Board of Health.Failure to correct
violations cited in this report may result in suspension or revocation of the food establishment permit and cessation of food establishment operations.If you are
subject to a notice of suspension,revocation,or non-renewal pursuant to 105 CMR 590.000 you may request a hearing before the board of health in accordance
with 105 CMR 590.015(B).
i]LL - - �E - Follow Up Required: Y Follow Up Date:
Inspector P I C
1
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT P39eNumber
2
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 63A2E 11/18/19 10:09 AM M.Baldwin
-inspection - • •rt (Continued) Repeat Violations Highlighted in Yellow
Notes
Notes
88 Notes - -
N - General Notes.
�.,.I-
88 Notes - -
N -General Notes. j—
At.,
�{1
i�
w UM
s
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
3
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 63A2E 11/18/19 10:09 AM M.Baldwin
Inspection " • •rt (Continued) Repeat Violations Highlighted in Yellow
88 Notes - -
N -General Notes.
r'
J
88 Notes - -
N Kitchen will be expanded to include sitting area. -General
Notes.
r I
a
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
4
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 63A2E 11/18/19 10:09 AM M.Baldwin
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
88 Notes - -
N -General Notes.
E
88 Notes - -
N -General Notes.
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
5
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 63A2E 11/18/19 10:09 AM M.Baldwin
Inspection " • •rt (Continued) ighlighted in Yellow
88 Notes - -
N -General Notes.
`..t
l
88 Notes - -
N -General Notes.
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT P�9eNumber
6
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 63A2E 11/18/19 10:09 AM M.Baldwin
Inspection " • •rt (Continued) Repeat Violations Highlighted in Yellow
88 Notes - -
N -General Notes. �7i111
k'
z;
88 Notes - -
N -General Notes.
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT P39eNumber
7
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 63A2E 11/18/19 10:09 AM M.Baldwin
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
Temperatures
Area Equipment Product Temps
Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details.
Plan Review meeting and Inspection on site at the North Andover Country Club with manager
Jeff and Health Inspector Steve Casey. Looking to start renovation in December.
Menu changes? Largely same menu.
Kitchen Reno to include- New bar on deck, expanding kitchen into sitting area.
Things to remember-
- Avoid leaving any gaps where food could accumulate.
- light bulbs must have protective covering
Town of North Andover- Health Department
R_10 `°^h Awkwer
120MainSint,lkpr. FOOD ESTABLISHMENT INSPECTION REPORT
10 120 Main Sint
Nonh Aiakncr.MA 01&15
Inspection Number Date Time Inspection Type Client Type Inspector
North Andover Country Club 2DO87 11/13/19 12:39 PM Routine Retail M.Baldwin
500 Great Pond Road Permit Number Person In Charge Variance Priority Priority f Core
North Andover, MA 01845 1 1 1
Foodborne Illness Risk Factors and Public Health Interventions
IN=in compliance OUT=out of compliance N/O=not observed N/A=not applicable COS=corrected on-site during inspection Repeat Violations Highlited in Yellow
Supervision IN OUT NA NO COS I Protection from Contamination(Cont'd) IN OUT NA NO CO:
1.PIC present,demonstrates knowledge,and performs duties V 15.Food separated and protected V
2. Certified Food Protection Manager 16.Food-contact surfaces;cleaned&sanitized 1
Employee Health IN OUT NA NO COS 17.Proper disposition of returned,previously served, J
3. Management,food employee and conditional employee
knowledge,responsibilities and reporting Time[Tem erature Control for Safety IN OUT NA NO CO:
4. Proper use of restriction and exclusion V 18.Proper cooking time&temperatures V
5. Procedures for responding to vomiting and diarrhea[events 1 V 19.Proper reheating procedures for hot holding V
Good Hygienic Practices IN OUT NA NO COS 20.Proper cooling time and temperature V
6.Proper eating,tasting,drinking,or tobacco use V 21.Proper hot holding temperatures V
7. No discharge from eyes,nose,and mouth
22.Proper cold holding temperatures V
Preventing Contamination by Hands IN OUT NA NO COS 23.Proper date marking and disposition
8. Hands clean&properly washed V
24.Time as a Public Health Control;procedures&records V
9. No bare hand contact with RTE food or a pre-approved V Consumer Advisory IN OUT NA NO CO:
10.Adequate handwashing sinks supplied and accessible V 25.Consumer advisory provided for raw/undercooked food V
Approved Source IN OUT NA NO COS Highly Susceptible Populations IN OUT NA NO CO:
11.Food obtained from approved source V 26.Pasteurized foods used;prohibited foods not offered `/
12.Food received at proper temperature V Food/Color Additives and Toxic Substances IN OUT NA NO COS
13.Food in good condition,safe&unadulterated V 27.Food additives:approved&properly used
14.Required records available:shellstock tags,parasite 28.Toxic substances properly identified,stored&used
Conformance with Approved Procedures IN OUT NA NO CO:
Repeat Violations Highlighted in Yellow 29.Compliance with variance/specialized process/HACCP V
... Retail Practices
Safe Food and Water IN OUT NA NO COS Proper Use of Utensils IN OUT NA NO CO:
30.Pasteurized eggs used where required V 43.In-use utensils:properly stored
31.Water&ice from approved source 44.Utensils,equip.&linens:property stored,dried&handled
32.Variance obtained for specialized processing methods V 45.Single-use/single-service articles:properly stored&used
d Temperature Control IN OUT NA NO COS 46.Gloves used properly
33.Proper cooling methods used;adequate equip.for temp. V Utensils,Equipment and Vending IN OUT NA No COS
47.All contact surfaces cleanable,properly designed,
34.Plant food properly cooked for hot holding
35. Approved thawing methods used 48. Warewashinq facilities:installed,maintained&used;test
49. Non-food contact surfaces clean
36. Thermometers provided&accurate
Physical Facilities IN OUT NA NO COS
Food Identification IN OUT NA NO COS 50.Hot&cold water available;adequate pressure
37.Food properly labeled;original container
51.Plumbing installed;proper backfiow devices
Prevention of Food Contamination IN OUT NA NO COS 52.Sewage&waste water properly disposed
38.Insects,rodents&animals not present 53.Toilet facilities:properly constructed,supplied,&cleaned
39.Contamination prevented in prep,storage&display 54.Garbage&refuse properly disposed;facilities maintained
40.Personal cleanliness
55.Physical facilities installed,maintained&clean 1 V
41.Wiping cloths;properly used&stored
56.Adequate ventilation&lighting;designated areas use
42.Washing fruits&vegetables
60.105 CMR 590 violations/local regulations V
Official Order for Correction:Based on an inspection today,the items marked"OUT'indicated violations of 105 CMR 590.000 and applicable sections of the
2013 FDA Food Code.This report,when signed below by a Board of Health member or its agent constitutes an order of the Board of Health.Failure to correct
violations cited in this report may result In suspension or revocation of the food establishment permit and cessation of food establishment operations.If you are
subject to a notice of suspension,revocation,or non-renewal pursuant to 105 CMR 590.000 you may request a hearing before the board of health in accordance
with 105 CMR 590.015(B).
- ^ Follow Up Required: IY Follow Up Date:
Inspector PIC
1
Town of North Andover- Health Department
01
R-10 FOOD SAFETY INSPECTION REPORT Page Number
2
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 2DO87 11/13/19 12:39 PM M.Baldwin
Inspection - • •rt (Continued) Repeat Violations Highlighted in Yellow
Employee Health
Procedures for Responding to vomiting and diarrheal events
5 2-501.11 Clean-up Vomiting & Diarrheal Events - -
Pf Provide vomit and diarrhea cleanup kit. Code:A food establishment shall have procedures for
employees to follow when responding to vomiting or diarrheal events that involve the discharge of vomitus
or fecal matter onto surfaces in the food establishment. The procedures shall address the specific actions
employees must take to minimize the spread of contamination and the exposure of employees, consumers,
food, and surfaces to vomitus or fecal matter.
Protection From Contamination
Food-contact surfaces, cleaned & sanitized
16 4-501.114(A)-(E) Chem.San.Temp./pH/Concentr./Hard. - -
Pr Dish rinse is 10 ppm. Provide 50 ppm chlorine. Code:A chemical sanitizer used in a sanitizing solution
shall be used in accordance with the EPA-registered label use instructions. A chlorine solution shall have a
temperature of 55°F-120°F, depending on water hardness, and concentration range of 25ppm to 100ppm.
An iodine solution shall have a minimum temperature of 68°F with a concentration range of 12.5ppm to
25ppm. A quaternary ammonium compound solution shall have a minimum temperature of 75T and be
used according to the manufacturer's use directions.
Physical Facilities
Physical Facilities installed, maintained & cleaned
55 6-501.12 Cleaning. Frequency/Restrictions - -
C Spaghetti and Gatorade spilled behind tanks in center of basement. Clean floor. Code: The physical
facilities shall be cleaned as often as necessary to keep them clean. Cleaning shall be done during periods
when the least amount of food is exposed such as after closing. This does not apply to cleaning that is
necessary due to a spill or other accident.
Notes
Town of North Andover- Health Department
-10 FOOD SAFETY INSPECTION REPORT Page Number
3
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 2DO87 11/13/19 12:39 PM M.Baldwin
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
Notes
88 Notes - -
N Hood appears clean. Sticker indicates cleaning was due in
August. Confirm hood is cleaned on routine basis.-
General Notes.
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Check List
IN= In Compliance OUT = Out of Compliance NA= Not Applicable NO= Not Observed
Permit up to date and posted? OUT
Written menus/signs present (allergen)? IN
Allergen Certificate Posted? OUT
Certified Food Protection Managers Certificate posted? OUT
Ventilation hood inspection sticker up to date? OUT
Procedures for vomit/diarrhea event available? OUT
Temperatures
Area Equipment Product Temps
Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details.
Town of North Andover- Health Department
-10 FOOD SAFETY INSPECTION REPORT Page Number
4
North Andover Country Club
500 Great Pond Road Inspection Number Date Time Inspector
North Andover, MA 01845 2DO87 11/13/19 12:39 PM M.Baldwin
Inspection - • •rt (Continued) Repeat Violations Highlighted in Yellow
Ensure all staff are wearing hats or hair nets. Provide box of hair nets as back up In case
staff forget theirs.
Ensure all stations have sanitizer set up at each station before prep period.
Submit picture demonstrating 50 ppm achieved at dish machine within 24 hrs. Use 3 bay sink
to sanitize in the meantime, or switch to high temp setting if that is an option.
Town of North Andover- Health Department