HomeMy WebLinkAboutFood Service - Inspection - Routine - Inspection - 50 MAIN STREET 11/12/2022 lonhAndmerlfealrltl)cl)I. FOOD ESTABLISHMENT INSPECTION REPORT R-10
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Inspection Number Date Time In/Out Inspection Type Client Type Inspector
Heavenly Donuts E5855 11/12/22 12:29 PM Routine Retail M.Baldwin
50 Main Street 12:42 PM
North Andover, MA 01845 Permit Number Risk Variance Rating Score Prioritv Pf Core Repeat
0 1 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 Confd) IN OUT NA NO CO:
1.PIC present,demonstrates knowledge,and performs duties V 15.Food separated and protected J
2. Certified Food Protection Manager V 16.Food-contact surfaces;cleaned&sanitized J
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 J Timefrem erature Control for Safety IN OUT NA NO CO:
4. Proper use of restriction and exclusion J 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 J
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 J
24.Time as a Public Health Control;procedures&records
9. No bare hand contact with RTE food or a pre-approved J - -
Consumer Advisory IN OUT NA NO CO:
10.Adequate handwashing sinks supplied and accessible J 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 J
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 27.Food additives:approved&properly used V
14.Required records available:shellstock tags,parasite ✓ 28.Toxic substances properly identified,stored&used J
Conformance with Approved Procedures IN OUT NA NO CO:
Repeat Violations Highlighted in Yellow 29.Compliance with variance/specialized processlHACCP J
... 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 J 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. J 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 1 �/
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
J
Follow Up Required: Y Follow Up Date:
M.Baldwin Gill-Expires
Certificate#:
FOOD SAFETY INSPECTION REPORT Page Number
2
Heavenly Donuts
50 Main Street Inspection Number Date Time In/Out Inspector
North Andover, MA 01845 E5855 11/12/22 12:29 PM M.Baldwin
12:42 PM
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
98 - -
Allergen poster is clearly posted -
Food Allergies
what you need to know
1
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FWARE
98 -All certificates are up to date -
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Town of North Andover- Health Department
FOOD SAFETY INSPECTION REPORT P.a9e Number
3
Heavenly Donuts Inspection Number Date Time In/Out Inspector
50 Main Street E5855 11/12/22 12:29 PM M.Baldwin
North Andover, MA 01845 12:42 PM
Inspection • •rt (Continued) Repeat Violations Highlighted in Yellow
98 - -
Bodily spill kit is available -
Utensils, Equipment and Vending
Warewashing facilities: installed, maintained & used; test strips
48 4-302.14 Sanitizing Solution Testing Devices -Establishment -
Pf Chlorine sanitizer test strips available,though sanitizer in the three bay sink is an ammonia compound. It is
at proper concentration per my test strips. Obtain QUAT or ammonia type test kit. Code:A test kit or other
device that accurately measures the concentration of sanitizing solutions shall be provided.
IN= In Compliance OUT = Out of Compliance NA= Not Applicable NO= Not Observed
Permit up to date and posted? IN
Certified Food Protection Managers Certificate posted? IN
Written menus/signs present (allergen)? IN
Allergen Certificate Posted? IN
Town of North Andover- Health Department
FOOD SAFETY INSPECTION REPORT Page Number
4
Heavenly Donuts Inspection Number Date Time In/Out Inspector
50 Main Street E5855 11/12/22 12:29 PM M.Baldwin
North Andover, MA 01845 12:42 PM
Inspection ' • •rt (Continued) Repeat Violations -111 in Yellow
Temperatures
Area Equipment Product Notes Temps
Establishment One door milk fridge 37°F
Establishment Coffee cooler 35 OF
Establishment Freezer 17°F
Establishment Walk in fridge 36°F
Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details.
Basement storage is clean and dry
Town of North Andover- Health Department