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HomeMy WebLinkAboutEdgewood Retirement - Meadows Food Est - Inspection - 575 OSGOOD STREET 1/29/2021 R-10 FOOD ESTABLISHMENT INSPECTION REPORT North NIA 0 1 tt Inspection Number Date Time In/Out Inspection Type Client Type Inspector Edgewood Retirement - Meadows 5F413F 1/29/21 11:08 AM Routine Retail M.Baldwin 575 Osgood Street 11:36 AM North Andover, MA 01845 Permit Number Risk Variance Priority Pf Core Repeat Violation Summary: 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 Protection from Contamination(Cont'd) IN OUT NA NO COE 1.PIC present,demonstrates knowledge,and performs duties 15.Food separated and protected 2. Certified Food Protection Manager 16.Food-contact surfaces;cleaned&sanitized Employee Health IN OUT NA NO COS 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 18.Proper cooking time&temperatures 5. Procedures for responding to vomiting and diarrheal events 19.Proper reheating procedures for hot holding Good Hygienic Practices IN OUT NA NO COS 20.Proper cooling time and temperature 6.Proper eating,tasting,drinking,or tobacco use 21.Proper hot holding temperatures 7. No discharge from eyes,nose,and mouth 22.Proper cold holding temperatures 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 9. No bare hand contact with RTE food or apre-approved Consumer Advisory IN OUT NA NO COS 10.Adequate handwashing sinks supplied and accessible 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 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 14.Required records available:shellstock tags,parasite 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 Safe Food and Water IN OUT NA NO COS Proper Use of Utensils IN OUT NA NO COE- 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 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 41.Wiping cloths;properly used&stored 56.Adequate ventilation&lighting;designated areas use 42.Washing fruits&vegetables ��Z L Follow Up Required: Y Follow Up Date: M.Baldwin Lou D'Angelo-Expires Certificate#: R-10 Page Number FOOD SAFETY INSPECTION REPORT 2 Edgewood Retirement - Meadows Inspection Number Date Time In/Out Inspector 575 Osgood Street 5F4BF 1/29/21 11:08 AM M.Baldwin North Andover, MA 01845 11:36 AM ` Repeat Violations Highlighted in Yellow 98 - - Online remote inspection questions 1-3 Residents are eating in their rooms and not coming to the dining room. Meals are served on trays. - . f J U d l"vd lH cf? i �g jri N M N(kwGtl lm,4dYYi�w�tho"A Ih'sivie �wtl m 4d 4 4�'ha W f„ fib'rmo' oln0mg 9"1rUA G a ra,o d �If r"t e ue"P o id o"w li'rsy& Town of North Andover- Health Department R-10 Page Number FOOD SAFETY INSPECTION REPORT 3 Edgewood Retirement - Meadows Inspection Number Date Time In/Out Inspector 575 Osgood Street 5F4BF 1/29/21 11:08 AM M.Baldwin North Andover, MA 01845 11:36 AM ` Repeat Violations Highlighted in Yellow 98 - - Online remote inspection responses to questions 4-5 Staff wear surgical masks at all times when working. Staff in a residential area also wear a face shield. - lGnSJtv,.lif'Ud�'",ii _ YW"�9u70wIP,llf)g I�x,kHr;Gy iod f Od Staff, if�'tla!�fd,r����nG'u af+�sr��+�nbrd,���I" �;IV;r^�R'�G� i 1'uy Y,44'YU"ylno,"'��64 dA ed"G G'lr"' A""P`rtiVr,t Yr�b''"Y�GIw01I0 U;'YIlIVI�Ylvu{aNu +�+�r fl/rll////, %U�l 4cav5B atop'Midi'"i iUriprd Il a°;iaU G 01q�titli 1 r 98 - - Online remote inspection responses to questions 6-8 QUAT Stat 5 Disinfectant in use - l%rr`W hI,EPA yo tifOr rlig t �fi j` c frol u ;r�r r °I� " Il °,Gpill fi ill efif1G0.1IfrAMrG kI�C 4Akte7 I il'�v"U�ol,cl °d0'F�N�et-,i 4tre P'livvGilY9a'"G�or�SG ud�� ��G��� / !l1%lit/ tj"i!cl;UI.>n Oil!le,l a Il ��au J PhIY°tiiY4�°r„f�,!o,r.i:�,7u,��r;,,ml�w')n;r;a°II VIIN""q�Q�;u YGi q�0 d/1,614 �j/f1i�%irrjrr rr �u I err/irn /r % �ir�/i r�"'"f"%"UV�G'I1u����r+9k'���F�I��'�^��pfiW'�',�W�u��d�!"li6mMlU+rr�p,,;�"d !d�',pu�r/i°Vi"1uY.id";�rril+vhrlllG�r°,""il�l,u,uuGp"tt�ry g;@'9,1°IGA GVG�"4+✓b�Y��Y�pIII;�IG��'Y��G��)G��i 'i�r�'�j�ry n ri G//iv rrr/r1r rrr r/ AI o r,1lllr �a Ui `own of North Andover- Health Department R-10 Page Number FOOD SAFETY INSPECTION REPORT 4 Edgewood Retirement - Meadows Inspection Number Date Time In/Out Inspector 575 Osgood Street 5F4BF 1/29/21 11:08 AM M.Baldwin North Andover, MA 01845 11:36 AM ` Repeat Violations Highlighted in Yellow 98 - - Online remote inspection responses to questions 9-11 - for f" ' �iio n �� 1��U�r 1 , / "m"i 1txAb , k"brM a Copy �Icy �nf`�r �Ufa rfj W0 inwGl�l i o R,p°dilll 9f ternp 98 - - Online remote inspection responses to questions 12-13 Description of prep of Eggplant Parmesan is consistent with food code requirements- t� `own of North Andover- Health Department R-10 Page Number FOOD SAFETY INSPECTION REPORT 5 Edgewood Retirement - Meadows Inspection Number Date Time In/Out Inspector 575 Osgood Street 5F4BF 1/29/21 11:08 AM M.Baldwin North Andover, MA 01845 11:36 AM ` Repeat Violations Highlighted in Yellow 98 - - Hood cleaned October 15, 2020 - aw l/ Is��i���� I�1�1 '� °2�I ,.. �I 2172 23 24, III°° 98 - - Social distancing signage and hand wash signage - yU .II s , i uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu Town of North Andover- Health Department R-10 Page Number FOOD SAFETY INSPECTION REPORT 6 Edgewood Retirement - Meadows Inspection Number Date Time In/Out Inspector 575 Osgood Street 5F4BF 1/29/21 11:08 AM M.Baldwin North Andover, MA 01845 11:36 AM ` Repeat Violations Highlighted in Yellow 98 - - QUAT stat 5 in use for disinfecting frequently touched surfaces / �IP 1 j �.1 f rig f 98 - - Refrigerator temperature log shows all ambient temps are 41 ° F or less. - � r f I id .:,nNil,�Ll.Rimu :'�Y�w�'�Iwuulu!U�i�n����P�Vm� mi m�6mw ' upu loin w y i .J f�_ , r q a j��UiSu�! 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'':' me,µ ��+.�r �nmmnr�rfi�� 4r��r'r' rnw�rvri. Wouwi®Wr�W �„wr;w, m uw umuwWvuwwlW�w�.w'r .�,r..vr� n "YH J ��„ ''� nn mnrvrvxum u' � of I mmm e�iwears ;re�mmrvmw.ni uw' uuuw rvercWwa f u i J b➢Y�I �%I fiN%1lHIIIE4YNA4PYWNrv'XW.wI I0000000000111100uWOUAWWWG44uwgykuFlm U u 5nY1 Pi1111WU uws w,wk ymn ii ra. huxi�mm�m�m uuuuuW,nowwv t, n Aui,Nvf(D mWmWamasmumiuiiiiiily Wwnlll ,Ami omoum umi nluvu W'.r �ifll�nr anu,�r�NWvd��J uw ��� �� "%" IIO�ry lb yll IIyINI W/D1YYY 0 ONIl u4luW dd06f!/4 u Y� �JAI mwfi JAra a �u a n�nnoFd�wnhl�fu�our�r��ur�, 4uG �frnivul Will J 1 J �/ J'}"'J>!9>J/ Wm�m�w.�✓manuir iwf�✓irw� Area Equipment Product Notes Temps Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details. NONE MEN 11 IN, This routine food safety inspection was conducted remotely due to our current covid inspection policy. The online survey was completed on 1/14/21 by Lou D'Angelo and photos were submitted via email. The responses provided are consistent with current covid and food safety requirements. `own of North Andover- Health Department R-10 �mm��u�u� FOODSAFETYINSPECTIONREPORT 8 Edgewood Retrement - Meodows Inspection Number Date Tme|nxOu I�2��� '---' 575 �sgood Street 5F4BF -------- 1------- K� ��d�in Nor�hAndove� MA O1845 ' 11:38AM