HomeMy WebLinkAboutPre-Operation Food Inspection - Upper Crust - Inspection - 166 SUTTON STREET 8/2/2022 THE C.'OMMONWIi.Al,I"ll OF M.ASSACIItJSET"I.S
IwtASSAt°Htrisr�r" '+lat,a A�z�l nH DOVE ���,�' 120 Main Street
TOWN OF NORTH
r Ol"I'trllLlt'ttt ALt"tt North.Andover,Massachusetts 01845
Division of good and Drugs Phone-978.65 8.9540
FOOD ESTABI.,ISH'NIEN'1" 1NSI"ECCI'I(:)N REPORT, Fax- 9°78.688.9542
!!tail: Itettlthtlec�northattcftavernaat.'uv
Y" e�,ca (1 eratlon' craaun
" a' .,. .„��„ Z" ac elf"Ir't,�tacclir>n
Name of Establishment Date Iµa:><>d`"*ca°v'icr:, �Routine,
Andress Disk Level 0 Rctail [ Ito-inspection
I p
w
. Na ❑ IfwCtbitottial :rteficn 1"rvrterux 1r¢iar,cfirMre
ro ��"9,�a' �
lele�"+Itoltc u r 1)crrc. _......
v, I"cwaa�earaar Pre-oper action
Owner NaAt:C • ❑ l '
d V / N ❑ Caterer [I tuner l illness
' E]II.A(f�1 Complaint
I'e kart-in-C"fiat e��IC') �� °ot�,a � r��'�
k llecl�a li ra.akt"{tst
Inspector
a� .,,fir .w Out: Year: 7 t �!Other _... _. __.._._._.....
Each violation checked W quires an explanation can the narrative page(s)and a citation of specific provision(s) violated.
Non-compliance wwtta:
Viol aalfions Related to Foodboria e Mnes f.lntearvenfwwarm and Risk Factors_(F, d.l.tfiwrla. t Anti-Choking 590.009 fE) ❑
Violations marked may pose an imminent health hazard and require immediate corrective action as Tobacco 590,009(F`) ❑
determined by the Board of Health. Allergen Awareness 590.009 (G)
FOOD PROTECTION MANAGEMENT �...� tl�m Peeventlorw of Contaminationfra°am�u Hands_.N "I. PIC Assigned/I Know e.�dgnaldle/Dufie
EMPLOYEE HEALTH 13. Handwashkig Eac''llitles
PROTECTION FROM CHEMICALS
E. Reporting of Iriiseases by Food Enrpkgeee and PiC
G....� tutu Approved Food or Color Additives
3. Personnel with Infections Restricted/Excluded
15.Toxic Chernicaals
FOOD FROM APPROVER?SOURCE
p . Food and Water frorn Approved Source TII E/TEMIPERATURE CONTROLS(Potentially Hazardous Foods)
I 5. Recelving/Cori dit'ion El 16.Cooking"r'epra°aperatures
._m
I w� td. i'agrslRerow`dslAaseaasracy of ingredient Statements t .Reheating
(_] 7. Conformance with Approved Procedwees/HACCP Plwus �... �
fE. Cool'lng
PROTECTION FROM CONTAMINATION .0 fed• Hot,and(,,old Holding
tf. Separaatloari/Segw`egatloa"r/Pro'R'ee`tion
. 0,11rne as a Public Flealth Control[
REQUIREMENTS FOR HIGHLY-SUSCEPTIBLE-POPULATIONS(HSP)
ti. Frood Contact Surfaces Cleanhig and Sariffizing � .� I" Rood and Food Preparation for HSP
"Ile Proper Adequate Handwash'I'ng
CONSUMER ADVISORY
�.. 11. Good ilygieenic Practices .] 22 Posting sting of Consurncer Advisories
Violations Related to Good Retail Practices(Blue Items) Number of Violated Provisions Related To
Critical (C) violations marked must be corrected immediately Foodborne lllrle sses Interventions and Risk
or within 10 days as determined by the Board of Health. Factors('Red Heins 1,22):
Non-critical N violations must be corrected immediately or, Official Order for Correction:Based on an inspection today„the items
within 90 days, as determined by the Board of Health. checked indicate violations of 105 CMR 590.000/federal Food Code.This
t: when signed below by a Board of Health member or its agent
s�ti�,la. report,Irc.wr"raQ:dC`�Ne@e o""i't rp� i"�w;^Ir"�r"Jrur"9e,;� (4 t c")/7=}�)(jal.;,!4)
24. Food and Food h role ction �� C 3)(590 004) constitutes an order of the Board of Health.Failure to correct violations
aP. l.:°1i 'olnrait and niter°usuls r� -<a}(/,t,n i,/,„'��) cited in this report may result In sus nsion or revocation of the food
establishment pgrmit and cessation of food establishment operations. If
26t Water, l'lii!1dl:Ykfng and Waste j C 5)(590 r 064
aggrieved by this order,you have a right to a hearing.Your request must
27, Flhys~ ccaIl I acihty (F /-6)ir590 00 ) be in writing and submitted to the Board of Health at the above address
tit, r"otsonown or.t cWc aidrao oaak; (i(,�7)(59 00�3i within 10 days of receipt of this order.
9G C dtla d 4 )�i,TE r)1"RE-1,VS`11E' T1llA+':... N ��
a
I" �iiw ona0 1 e ili,aoruoruwret.t ern) 1�
r«[ee f al ti arndtUTG
lCs Signature: Print: P s y
page__ wt_ ."Pages
i 'iAAA
Violations Retitled to roodborne Illness Interventions and Risk Factors
(Red Items 1-22)
FOOD PROTECTION NIANAGEMENT
[-I 590.O03(A) Assigiiineiitof'ResLiotisit)ility* PROTECTION FROM CON,rAMINATION
590.003(1':I) Demonstration oLKnowIcdgq* d Cross-contionination
2-103.11 Person in charge-duties 3-302.1 I(A)(1) Raw Animal Foods Separated frown
Cooked and RIE
EMPLOYEE 11EA[All Contamination front Raw Ingredients
3-30111(A)(2) Raw Animal Foods Separated rrom Each
2 590,003(C) Responsibility of the person in charge to
require reporting by food employees and Other*
applicalug* --Contamination frown(lie Environment
590.003(F) Responsibility OrA flood F."Iployee Or An 3-302A I(A) Food 11rotection*
Applicant'ro Report'roThe person In 3-302A5 Washing FTI i
Charge" 3-304AI Food Contact with Equipment and
590.003(U) Reporting by Person in Charge* Utensils*
.5!)0,003 1) Exclusions and Restrictions* Contamination from the Consumer
23 Q 3-3K 14LAI(B) Returned Food and Reservice ofFood*
O.'±,)
)0 59)tOO I)EERemoval of Lxclusions and R!
[Jisliosillon of Adulterated or
FOOD FROM APPROVED SOURCE Contaminated hood
Food and Water Front Regulated Sources -T�FJI�I I Discarding or Reconditioning Unsafe
5'90.004 A-B) Compliance with Food LaNy* Food*
3-201A2 Food in a Hermetically Scaled Container' 9 Food Contnet Surfaces
3-201.13 Fluid Milk and Milk Products* 4-501,111 Manual Warewashing-Hot Water
3-202.13 Shelf Pggs*
3-202,14 Eggs and Milk Products,Pasteurized* 4-501.112 Mechanical Warewashing-Hot Water
3-202,16 lee Made From Potable Drinking Water* &miti7ation Ternperatures*
5-101,11 Drinking Water from all Approved System* 4-501A 14 chemical Still it Wit ion-temp.,pit,
5
concentration and hardness.90.06(A) Bottled Drinking Wnter*
4-601.11(A) Equipment Food Contact Surfaces and
590m6(13) Water Meets Standards in 310 CMF�7M* Utensils Clean*
Shellfish and Fish Prout an Approved 4-602.11 Ctean f E ing Frequency oquipment Food-
Source Contact Surraces and Utensils*
3-201.14 Fish and Recreationally Caught Molluscan _
Shellfish* 11-702.11 Frequency of'Saniti7atiou of Utensils and
.1-20 1.15 Molluscan Shviffi flood Con(act Surfaces ofsh firorn NSSP Listed - E Uiplacut*
Sources* 4-703.11 Methods of Sanitization-Hot Witter and
-- Game and Ilitil Ahishrooms Approved by Chemical*
Reg.itlator,y lfuthorlty to Proper,Adequate Handwashing
2-301.11 Clean Condition-Hands and Arms*
3-202.18 Shellstock Idenfification Present* 2.301.12
522,004 U Wild Mushrooms*3-201,17 Game AnimMs* 2-301.14 When to Wash*
GOOd Hygienic Practices
Receiving/cOndit Ion
3-202.11 P)Ills Received at Prol)er'rem eratures 240 1.I I Eating,Drinkin or Usiagl'obacco*
3-202,15 Packs InteLrity* 2-401,12 Discharges From the Eyes,Nose and
3-101.11 flood Safe and Unidulterated Mouth*
F6-" Tags/Rccords:Shellstock 3-301.12 Preventing Contamination
Prevention of Contamination from
3-202.18 Shellstock Identification Hands
3-203.12 Shelislock Identification Maintained*
5
7��ecordx:Fish Products 90,004(E) Preventing Contamination from
3-402.11 Parasite Destruction* 13 Elnt)lovecs*
3-402,12 Records,Creation and Retention* Handivash Facilities
590,00,1(1) Conveniently 1,ocated and Accessible
Labeling of Ingredients* -5--203.11 Numbers and Capacili!js�
5-204,11 Location and Placer"ClIt*
Cooformante with Approved 5-205.11 Aocessibiti!j,Operation and Maintenance
- Procedures/11ACCP Plaits Supplied with Soap and Hand Drying
3-502.11 Speciatized processing Methods*: Devices
3-502.12 Reduced RM&eo imcka in criteria* Icamer,Availabil
8:123.I 2 mance with A pproved Procedures* 6-301.12 ovision
Cotifor
Denotes critical item in the federal 1999 Food Code or 105 CNM 590b00.
Establishment Name: date; Page: of
Item Cade C—critical Item DESCRIPTION OF VIOLATION l PLAN OF CORRECTION bate
No. Reference R—Red Stern PLEASE PRINT CLEARLY Verified
s
.— r5.= i
- t rZ A AM =
€
g --L-
L e m e 3 _ t }
3
S
0.1z _E
- e -
r
3
Discussion With Person in charge. Come `ve Action Required: 0 No Yes
Voluntary Compliance 0 Employee Restriction 1
Exclusion
U Re-inspection Scheduled LI Emergency Suspension
i
j 0 Embargo 0 Emergency Closure
Q Voluntary Disposal El Other
I
0olaztions 1terlateed to Rcaardborne 111nerss Interventions amid Risk
Factors(Reelltents 1-22) (Cont) R^;QLAIU:1"�I'ItNTS FOR IIIG111.X SUSCEPTIBLE
PCIPULA"I"If1�!LS LISP
PROTECTION FRONM CikEMIC AL 21 3-801.I IO Llrrl asleurizx»d Pre-packaged Juices laid _.
I4 hood or Color Additives µ� _ I3evera es with Warning Labels*
3-202.12 Additives* 3-1101.11 3 Use of Pasteurized E S*
3 302 H Protection from Unapproved Additives* 3-SOLI 1(I'�)) Raw or Partially Cooked Animal flood and
15 __ Polsonous or-Toxic Substances
Raw steed 4 tas Not Served,
7-101.I I Ir�lcrrtaf irrS Inf`ornrrutlrin-4 r1 inral C rr�tteaaners* 3-£01.11(C) Unopened rend Food P ack�Not Re sc; Icd.*_
7-102,11 C'ornmoraName-Work in Ccnttainers*._..
7-20L11 Se oration-.Story e* ___ CONSUMER ADVISORY
7.202,11 Restriction Presence and Use* 223-603.1 I 1 Consuaaer Advisory Posted oµ
of
7-202.12 Conditions of Use* _ Animal l"oods'That Hire Raw,Undercooked or
7.203.I I "toxic Containers-Prohibitions* Not Otherwise Proccssed to Eliminate
7-204.11 -Sanitirers,Criteria_-Chemicals* Pathogens.*
ens.*
7-204,12 C;'laoanicads for Washing Produce Critcrin* 3 Pasteurized Eggs Substitaate for Raw Shell R gs*
7-204.14 Drying Agents,Criteria*
7-205.1I
7 ^od Coact,Lubricants*
-206.11 r a SPECIAL t : Ell ll;llfNE
Restricted Use Pesticides Criteria* 590.009(A)•("1)) Violations ofScetlon 590M9(A)-(D)iaa
7-206.12 Rodent Bait Stations* catering,mobile food,ternponiry and residential
7-200,13 Tracking Powders,best Control and� kitchen operations should be debited under Eire
1K>nitorira * appropriate sections above,ifrelated to
foodborne illness interventions and risk fiactors,
TINIFf1"LAIPERATURF,,C ON"r1COLS Other 590.009 violations rehrting to good retail
_Ll1Cr 3-at0I.1 IA t 2 ro�rar :oo larg"Tenrperntnres for PII1""s practices should be debited unaler 1129 .Special
(`" Requirements,
( )( ) fig, 55 ' 15 Soo.
I: L Immediate Service 1,150l'15see"' _ - -
3-401,11(A)(2) Comminuted Fish,Meats&Came
Animals- 155*11 15 sec.* VIULATIONSRI;CAI E'D 7*0 GOOD RETAIL PRACIIG"1i',S
3-401.1 I(lT)(1 (2) Pork and Beef Roast-130017 121 non*
�-----� ....,�. (Blare ltcrns 23-30)
3-401.11(A)(2) 12ntrt°a s,'Ir tact Iwleafs 155°'P 15 see.* � C`rddtcer!arr�ael rrorr-ei-itdcaad vtarde�ations,as,hic h e�drr viral r-e�dc�rte ter tdie ji)ot�dtaurwre
3A0LlI(A)(3) Poultry,Wild Game,StuffedPIi1'as, Illness haerventionstrialrlskftrertursUsteatf(above,can befiblowldothe
Star1"f'ing Containing Fish,Mcat,Poollry or ,bIloia htg sections eta the FoottCode tined 105 CAIR 5.90,000,
Ratites-165111 15 sac.* _
3-401.1 l 0(3) Whole-Vmuscle,intact Beef Steaks 1 15 1r Itarrr trod Retail r cti "iiiT6T* a arctices I'"C` S.9tI.IJCI17
'3.401.12 Raw Animal Foods Cooked in a 3• hial __._..
a Maru°apenrer>�Ha7r1 Personnel PC;--2 ud'1��1
Microwave 165*F* 24. Food and floral Protection . _ IT 3 .0011_
3-401.I I(A)(1)(b) All Other PI tKi-145*F 15 soo"* .. I7r gai rneaatpail tltaaawds fC. 4 005
17 ICetrealing for lint 11o1d1aag 26. water Plumbing and�4rpwte Fc-5 .0 6
_....
-.. _21. physical fatality 1C- dr. 007 _..w.._
3-403.I1(A)&(D) Mrs 165*F15seo.*' 2,tt. Poisonous ewa'roxic,maatecaals IC;-7 .008
3-403.11(fl) Microwave-165"F 2 Minute Standing, 2.9. Sivearal Requirements .. _..__ _,._....,'009
Time* 30. C)thea
3-403.1 I(C) _.._. C.naatrraorc¢adly Processed R 1`Ii Iroo¢I- -
1400F*
_3-403,1 I(E) Remaining tlnsliced Portions of"Beef` "I'Senotcs critical item in the federal 1999 flood Code or 105 CMR 590,000.
Roasts*
Ifi Proper Cooling of MIN
3-501.14(A) Cooling;Cooked 11I117s rrom 14001r to 70011
within 2'f-loors and Taunt 70°I"to
41"1-'145"P'within 4 Hours.*
1-501.14(1:3) Cooling P1fl,'i Made From Ambient
Temperature ingredicats to 41"'Ia145"l'
wilhin 4 1lourw*
3-501.1-1(C) 11111's Received at'remperatures ww.....www.
According to Lenv Cooled to 411Ix745"ll
Within 4 Hours,*
i3-501.15 Cooling Melhods for 11'1.11'as
g Pille I1ot and C rild I1ok13ng
3-501.16(13) Cold PTlfas Maintained at or I>elow
590.004(Ia 410!45"1r*
3-501"16(A) ffot 1111Ps Maintained at or above 1401P.
3-501.16(A) Roasti held at or above 1:301fl`.
2 Time as as Poblie 1IeH1t1a C rrntrol
3-501,19 "Time as it Public Health Control*
.590.001'I I Variance Iter raironrcut
Ecologic Entomology, ILLC SERVICE REPORT
"010 P.0,Box 180106
105060
Boston, MA 02118
P: 888-780-0110
itifoCct)ecologicetitortiolc)gy,corn
www.ecologiceritoniolo,)y.com
Billing Address Service Address
The Upper Crust Pizzeria-North Andover 166 Sutton Street
60 Massachusetts Avenue North Andover, MA 01845
Arlington, MA 02474
Account#4801 Terms Contracted Net 30
PO# Due AI 24, 2022
Service Date: 07/26/2022
Service Report Date:07/26/2022
Start: 05:30 urn
End: 06:00 am
el'ful sortur gooffs,I)a so i
-reciiniciaw Josh Wainwright
Food Service IPM Prograrri
Setvk.'e to all arews of Ole restauraW,kItchenand piep ar'Has,jjrjjl[joj
Please kindly take a few moments to review the notes for this service, If a follow tip is recommended by our techinid an, and you would
like to schedule the service, please contact our office at(888) 780-0110 or via ernail at info@ecologicatitor'nology.coni.
If you are a multi-family client arid your service ir'IC[Ljdes details for individual units please review the status for each u6t for
recommended follow Up service. If you have a regular service scheduled around the time of a recorrimencled follow up please add the
unit(s) to your list for that service. Otherwise, please contact the office if you would like to schedule e]special service.
If You have any questions regarding this report plea so Contact cur office anytirne.
Added mechanical devices at
Front counter
Right pizza oven
Rear wall
Dish area
Food storage area
Mbs next to hot water heater. Monitors throughout restaurant.
One station outside at rear door.
Recommend replacing the rear door sweep,there is a large visible gap in it
Device Inspection Report DATE OF SERVICE:07/26/2022
Insect Monitor 2881(insect Trap&Zone Monitor) 12.0 units None Hand Placement None
Target Pests: GeneiaB Crawkicl 6nsects
Firststrike Soft Bait(AC,Class: Hydroxycournarin) 7173-258 9M Unit" None- Bail Bait Station
Target Pests: Mice&Rats
MBS(Mouse Bait Station) 1.O Uolt Mm i ra Hand Placement Hand Piacement
Target Pests: Mi(,,,e
The Upper Crust Flizzeria-North Andover Josh Wainwright
Customer Signature Technician, ID:Ucense#,54113
Device T'ype Too al(g)Lucaa*w to lnspe(�ted 4 w/AuWy #Skipped
FIxterior RIAS(131ock) 1(100%) i (100%) 0
rype ft of 8)ev8cos wAcfivity 'rotms
No Admty u r es
% () % o
LocationlBuilding SCan I irTM Devlcra 0 Device Type QxrdNon Status MateRW Condffion Findings
Rem door 5:51 AM 01 Ex,,erjor RBS Good ActMty Bait FWly E
(Bloc k) Consumed
A0vily Notes:E Bait CVT'SUMEXI 100%
Matenal Use:Fir ststrike S(:Jt Bait(AC,Chass:Hydroxycownarin)(U Unit(s))