HomeMy WebLinkAboutCochichewick Lodge - Inspection - 19 JOHNSON STREET 10/29/2021 R-10 Izitet.ron4 MaRnSp 4i FOOD ESTABLISHMENT INSPECTION REPORT
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Inspection Number Date Time In/Out Inspection Type Client Type Inspector
Cochichewick Lodge 9586A 10/29/21 9:56 AM Routine Retail M.Baldwin
19 Johnson St. 10:50 AM
North Andover, MA 01845 Permit Number Risk Variance Rating Score Priority Pf Core Repeat
2 0 1
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(Coned) IN OUT NA NO CO:
1.PIC present,demonstrates knowledge,and performs duties 15.Food separated and protected 1 V
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, 1 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
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 ./
6.Proper eating,tasting,drinking,or tobacco use V 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 a pre-approved
Consumer Advisory IN OUT 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 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 V27.Food additives:approved&properly used
14.Required records available:shellstock tags,parasite V28.Toxic substances properly identified,stored&used
Conformance with Approved Procedures IN OUT NA NO CO:
29.Com liance with variance/s variance/specialized rocess/HACCP I I Highlighted in Yellow p p p V
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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 V45.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. VUtensils, 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 1V 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
J
Follow Up Required: Y Follow Up Date:
M.Baldwin Jason-Expires
Certificate#:
R-10 FOOD SAFETY INSPECTION REPORT P�9eNumber
2
Cochichewick Lodge Inspection Number Date Time In/Out Inspector
19 Johnson St.
North Andover, MA 01845 9586A 10/29/21 9:56 AM M.Baldwin
10:50 AM
• ' • • • • • Repeat Violations Highlighted in Yellow
98 - -
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Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
3
Cochichewick Lodge Inspection Number Date Time In/Out Inspector
19 Johnson St.
North Andover, MA 01845 9586A 10/29/21 9:56 AM M.Baldwin
10:50 AM
• ' • • • • • Repeat Violations Highlighted in Yellow
98 - -
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Hood cleaned annually. Due in December. -
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Protection From Contamination
Food Separated and protected
15 -302.11 (A)(2) Raw Animal Foods Separated from each other - Establishment -
Pr Oranges stored under eggs in the fridge. Store above raw eggs to prevent contamination. Code:Foods
shall be protected from cross contamination by:Except when combined as ingredients, separating types of
raw animal foods from each other such as beef, fish, Iamb, pork and poultry during storage, preparation,
holding, and display by: (a) Using separate equipment for each type, or(b)Arranging each type of food in
equipment so that cross contamination of one type with another is prevented and(c)preparing each type of
food at different times or in separate areas.
......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
17 -701a11 Discarding or Reconditioning Unsafe, Adulterated, or Contaminated Food - Establishment -
Pr Oranges stored in fridge discolored. Discard. Code:A food that is unsafe, adulterated, or not honestly
presented as specified shall be discarded or reconditioned according to an approved procedure. Food that
is not from an approved source shall be discarded. RTE food that may have been contaminated by an
employee who has been restricted or excluded shall be discarded. Food that is contaminated by food
employees, consumers, or other persons through contact with their hands, bodily discharges, such as
nasal or oral discharges, or other means shall be discarded.
......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Prevention of Food Contamination
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT P�9eNumber
4
Cochichewick Lodge Inspection Number Date Time In/Out Inspector
19 Johnson St.
North Andover, MA 01845 9586A 10/29/21 9:56 AM M.Baldwin
10:50 AM
• ' • • • • • EMW
Repeat Violations Highlighted in Yellow
Insect, rodents & animals not present
38 6-501.111 (A)(B)(D) Controlling Pests- Closet back-
C Mouse evidence on second shelf next to can of beans. Clean shelf. Retain pest control company to inspect
and treat as needed. Code: The premises shall be maintained free of insects, rodents, and other pests.
The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the
premises by:routinely inspecting incoming shipments of food and supplies;routinely inspecting the
premises for evidence of pests; and eliminating harborage conditions.
......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
IN= In Compliance OU I.. = Out of Compliance NA= Not Applicable NO= Not Observed
Permit up to date and posted? IN
Certified Food Protection Managers Certificate posted? IN
Area Equipment Product Notes Temps
Establishment Ambient 4°F
Establishment Back fridge 38°F
Establishment Freezer Ambient -1 0 F
......................................................................................................................................................................................................................................................................................................................................................................................................................................
Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details.
Pancake breakfast fundraiser is happening second Sunday of the month. Pancakes, eggs,
sausage, beans, juice. Occasionally catered pizza meetings.
Hand sink has soap and paper towels.
Dry storage room is clean and dry
Town of North Andover- Health Department
R-10 FOOD SAFETY INSPECTION REPORT Page Number
5
Cochichewick Lodge Inspection Number Date Time In/Out Inspector
19 Johnson St.
North Andover, MA 01845 9586A 10/29/21 9:56 AM M.Baldwin
10:50 AM
• ' • • • • • Repeat Violations Highlighted in Yellow
Town of North Andover- Health Department