HomeMy WebLinkAboutFood Est Inspection Report - St. Gregory Armenian Apostolic Church - Inspection - 158 MAIN STREET 11/13/2019 > 't
R-10 Vonh:�ndo,cr{halrhlk,n. FOOD ABLISHMENT INSPECTION REPORT
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Inspection Number Date Time Inspection Type Client Type Inspector
St. Gregory Armenian Apostolic 503AE 11/13/19 10:08 AM Routine Retail M.Baldwin
Church Permit Number Person In Charge Variance Priority Priority f Core
Aar$ /�p�,/n 5 Sossy Jeknavorian 0 0 2
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 ConYd IN OUT NA NO COE
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 NO COS 17.Proper disposition of returned,previously served, J
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 V
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 V
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 COE
10.Adequate handwashing sinks supplied and accessible V 25.Consumer advisory provided for raw/undercooked food >/
Approved Source IN OUT NA NO COS Highly Susceptible Populations IN OUT NA NO CO:
11.Food obtained from approved source V26.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 N/ 27.Food additives:approved&properly used V
14.Required records available:shellstock tags,parasite V 28.Toxic substances properly identified,stored&used
Conformance with Approved Procedures IN OUT NA NO COE
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 COE
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
Food Temperature Control IN OUT NA NO COS 46.Gloves used properly
33.Proper cooling methods used;adequate equip.for temp. 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 backflow 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 J
41.Wiping cloths;properly used&stored
42.Washing fruits&vegetables 56.Adequate ventilation&lighting;designated areas use
60.105 CMR 590 violations/local regulations 1 J
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: ° `Y Follow Up Date:
Inspector PIC
1
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
2
St. Gregory Armenian Apostolic
Church Inspection Number Date Time Inspector
503AE 11/13/19 10:08 AM M.Baldwin
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
Physical Facilities
Physical Facilities installed, maintained & cleaned
55 6-501.12 Cleaning. Frequency/Restrictions -Closet-
C Floor has sawdust from drilling hole. 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.
Additional Requirement
Violations Related to Good Retail Practices
60 MA 590.011 (A)Anti-Choking Procedures - Establishment -
C Provide credentials for one Choke saver certified person for each event. Facility has more than 25 seats.
PIC states a number of doctors and medical professionals present at each event. Keep credentials on file
for inspection. Obtain additional certificates if not adequate coverage for events. Fire Dept, American Red
Cross and American Heart Association provide credential. Code:Restaurants with a seating capacity
greater than 24 are required to have one or more employees trained in a manual choke-saving procedure
in accordance with 105 CMR 605.000 Approved Choke-Saving Procedures. Each food service
establishment shall: have on its premises, while food is being served, an employee trained in manual
procedures approved by the Department to remove food lodged in a person's throat;and make adequate
provision for insurance to cover employees trained in rendering such assistance.
Notes
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
3
St. Gregory Armenian Apostolic
Church Inspection Number Date Time Inspector
503AE 11/13/19 10:08 AM M.Baldwin
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
Notes
88 Notes -Establishment-
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N Certificates present and current. -General Notes.
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88 Notes - Establishment-
N Hood last cleaned August 2018. Provide updated sticker at
least annually. New stove was not used during gas incident
last fall. - General Notes.
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Check List
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IN= In Compliance OUT = Out of Compliance NA= Not Applicable NO= Not Observed
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
4
St. Gregory Armenian Apostolic
Church Inspection Number Date Time Inspector
503AE 11/13/19 10:08 AM M.Baldwin
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
IN= In Compliance OUT = Out of Compliance NA= Not Applicable NO= Not Observed
Permit up to date and posted? IN
Written menus/signs present (allergen)? IN
Allergen Certificate Posted? IN
Certified Food Protection Managers Certificate posted? IN
Staff trained in choke saver for every shift? off'
Ventilation hood inspection sticker up to date?
Temperatures
Area Equipment Product Temps
Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details.
Pest control- Bain does routine Inspection.
All food observed is from an approved source.
Sossy states they are not pursuing the jarring application at his time but may pursue it next
year.
Dish rinse 200 deg F exterior thermometer and 170 deg F inside.
Town of North Andover- Health Department