HomeMy WebLinkAboutNACC - Food - Inspection - 500 GREAT POND ROAD 6/27/2023 North Andover Health Department
Food Establishment Inspection Report 120 Main Street, North Andover MA 01845
Tel. (978) 688-9540-8640 Fax (978) 688-9542
Email: twolfenden@northandoverma.gov
Name: North Andover Country Club@ Inspection Date:06/27/2023 Number of P and PF Violations w
Address: 500 Great Pond Road Time In/Out: 01:50 pm /02:18 pm (Items 1 though 29): 'I
Phone: 978-687-7414 Permit No.: 52297 Number of Repeat P and PF O Email: Risk Category: 0 HACCP: No Violations(Items 1 though 29):
Owner: Board of Directors Type of Operation: Food Service
Person-in-charge: Donna Whelden Type of Inspection: Re-Inspection Previous Inspection Date: 06/13/2023
Inspector: C.Lachendr0 Date of Re-Inspection:
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
In =in complaince Out =out compliance n/o =not observed n/a =not applicable Cos =corrected on-site r =repeat violation
Compliance Status IN OUT N/A N/O COS R Compliance Status IN OUT N/A N/O COS R
Supervision Protection from Contamination
1 Person-In-Charge present, In 15 Food separated and protected In
demonstrates knowledge, and 16 Food contact surface; cleaned In
performs duties and sanitized
2 Certified Food Protection Manager In 17 Proper disposition of returned, In
Employee Health previously served, reconditioned
3 Management, food employee and In and unsafe food
conditional employee; Knowledge, Time/Temperature Control for Safety
responsibilities, and reporting 18 Proper cooking time &temperature n/o
4 Proper use of restriction and exclusion In 19 Proper reheating procedures for hot n/o
5 Procedures for responding to vomiting In holding
and diarrheal events 20 Proper cooling time and temperature In
Good Hygienic Practices 21 Proper hot holding temperature n/o
6 Proper eating, tasting, drinking, or In 22 Proper cold holding temperature In
tobacco use 23 Proper date marking and disposition In
7 No discharges from eyes, nose and In 24 Time as a Public Health Control n/a
mouth Consumer Advisory
Preventing Contamination by Hands 25 Consumer advisory provided for raw/ Out
8 Hands clean and properly washed In under cooked food
9 No bare hand contact with RTE food Tn
Requirements for Highly Susceptble Populations
10 Adequate handwashing sinks properly 26 Pasteurized foods used; prohibited n/a
17
supplied and accessible foods not offered
Approved Source Food/Color Additives and Toxic Substances
11 Food obtained from source In 27 Food additives; approved and n/a
12 Food received at proper temperature n/o properly used
13 Food received in good condition, safe, In 28 Toxic substances properly identified, In
and unadulterated stored and used
14 Required records available, shellstock n/a Conformance with Approved Procedures
tags, parasite destruction 29 Compliance with variance/ n/a
OFFICIAL ORDER FOR CORRECTION: Based on an inspection specialized process/HACCP plan
today,the items marked"OUT'indicated violations to 105 CMR 590.000 and applicable sections of 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,
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).
Inspector: Person In Charge:
Page 1 of 5
Food Establishment Inspection Report MoJiN Solutions, LLC
Establishment: North Andover Country Club@ Date: 06/27/2023 Page 2 of 5
GOOD RETAIL PRACTICES AND MASSACHUSETTS-ONLY SECTIONS
In =in complaince Out =out compliance n/o =not observed n/a =not applicable Cos =corrected on-site r =repeat violation
Compliance Status IN OUT N/A N/O COS R Compliance Status IN OUT N/A N/O COS R
Safe food and Water 48 Warewashing facilities: installed,
30 Pasteurized eggs used where n/a maintained, and used; test strips
required 49 Non-food contact surfaces clean
31 Water and ice from approved source Physical Facilities
32 Variance obtained for specialized n/a 50 Hot and cold water available;
processing methods adequate pressure
Food temperature control 51 Plumbing installed; proper
33 Proper cooling methods used; In backflow devices
adequate equipment for 52 Sewage and waste water properly
temperature control disposed
34 Plant food properly cooked for hot n/o 53 Toilet features; properly,
holding constructed supplied,and cleaned
35 Approved thawing methods used n/o 54 Garbage and refuse properly
36 Thermometer provided and accurate disposed; facilities maintained
Food Identification 55 Physical facilities installed,
37 Food properly labeled: original maintained, and clean
container 56 Adequate ventilation and lighting;
Prevention of Food Contamination designated areas used
38 Insects, rodents, and animals not Massachusetts Requirements
present M1 Anti-choking procedures in food
39 Contamination prevented during service establishment
food prepa ration,storage and M2 Food allergen awareness In
display M3 Caterer
40 Personal cleanliness M4 Mobile Food Operation
41 Wiping cloths: properly used and M5 Temporary Food Establishment
stored M6 Public Market; Farmers Market
42 Washing fruits and vegetables M7 Residential Kitchen; Bed-and-
Proper Use of Utensils Breakfast Operation
43 In-use utensils properly stored M8 Residential Kitchen: Cottage Food
44 Utensils, equipment and linens: Operation
properly stored,dried, and handled M9 School Kitchen; USDA Nutrition
45 Single-use/single-service articles: Program
properly stored and used M10 Leased Commercial Kitchen
46 Gloves used properly M11 Innovation Operation
Utensils, Equipment and Vending M12 Frozen Desert
47 Food and non-food contact surfaces Local Requirements
cleanable, properly designed, L1 Local law or regulation
constructed and used L2 COVID-19
L3 Reserved
North Andover Country Club@ Date: 06/27/2023 Page 3 of 5
Date Verified DESCRIPTION OF VIOLATION
Fail Code
Verified 06/27/23 OBSERVATION: Observed handwashing sink across from grill with pitcher
being stored inside of it upon arrival to inspection. PIC removed pitcher
during time of inspection. PIC to ensure handwashing sinks are used for
handwashing only and remain empty at all times.
**RE-INSPECTION** OBSERVED HANDWASHING SINKS TO BE EMPTY AND ACCESSIBLE
AT TIME OF RE-INSPECTION.
5-205.11-Pf REGULATION: Item 10 Adequate handwashing sinks properly supplied and
accessible -- Handwashing Sink-Operation and Maintenance
Verified 06/27/23 OBSERVATION: Observed ice machine with slight accumulation of what appears
to be pink mold on front of plastic chute guard. PIC to ensure machine is
emptied, cleaned, and sanitized.
**RE-INSPECTION** OBSERVED ICE MACHINE TO BE CLEAN AT TIME OF
RE-INSPECTION.
4-602 .11 REGULATION: Item 16 Food contact surface; cleaned and sanitized --
Equipment Cleaning FCS Frequency
Verified 06/27/23 OBSERVATION: Observed raw shrimp in container of water on table closest to
warewashing machine at 62'F. PIC voluntarily discarded shrimp during time
of inspection. Discussed cold holding requirements with PIC.
**RE-INSPECTION** NO TCS FOODS SITTING OUT OF TEMPERATURE CONTROL AT TIME
OF RE-INSPECTION.
3-501 .16 (A) (2) (B) -P REGULATION: Item 22 Proper cold holding temperature -- Holding TCS Food,
Cold
Verified 06/27/23 OBSERVATION: Observed container of slaw mix with a prep date of 5/6 and
containers of crumbled sausage in cabinet section of pizza in-line
refrigerator with a prep date of 6/2. Discussed date marking requirements
with PIC. PIC voluntarily discarded containers of foods during time of
inspection.
refrigerated, READY-TO-EAT, TIME/TEMPERATURE CONTROL FOR SAFETY FOOD
prepared and held in a FOOD ESTABLISHMENT for more than 24 hours shall be
clearly marked to indicate the date or day by which the FOOD shall be
consumed on the PREMISES, sold, or discarded when held at a temperature
of 5°C (41°F) or less for a maximum of 7 days. The day of preparation
shall be counted as Day 1.
**RE-INSPECTION** OBSERVED RTE TCS FOODS TO BE PROPERLY DATE MARKED AT
TIME OF RE-INSPECTION.
3-501 .18-P REGULATION: Item 23 Proper date marking and disposition -- Disposition
RTE, TCS Food,
OBSERVATION: Observed consumer advisory on paper menus missing footnote
stating "these items are served raw or undercooked, or contain (or may
contain) raw or undercooked ingredients . " Through discussion with PIC,
steak tips are cooked to order. PIC to add asterisk next to steak tips on
menu.
**RE-INSPECTION** CONSUMER ADVISORY FOOTNOTE MISSING FROM MENUS. REVIEWED
CONSUMER ADVISORY REQUIREMENTS WITH PIC. WILL VERIFY AT NEXT ROUTINE
INSPECTION.
3-603.11-Pf REGULATION: Item 25 Consumer advisory provided for raw / under cooked food
-- Consumer Advisory
North Andover Country Club@ Date: 06/27/2023 Page 4 of 5
Date Verified DESCRIPTION OF VIOLATION
Fail Code
Verified 06/27/23 OBSERVATION: Observed deli slicer with slight accumulation of food
particles on back of blade. PIC unsure of when slicer was last used. PIC
to ensure slicer is thoroughly cleaned and sanitized after each use.
**RE-INSPECTION** OBSERVED DELI SLICER TO BE CLEAN AT TIME OF
RE-INSPECTION.
4-601 .11 (A)-Pf REGULATION: Item 16 Food contact surface; cleaned and sanitized --
Equipmnet Cleaning FCS and Non-FCS
Verified 06/27/23 OBSERVATION: Observed containers and boxes of foods being stored directly
on floors of both walk-in refrigerator and freezer. PIC to ensure foods
are stored at least 6 inches off of floor to prevent potential
contamination.
3-305.11 REGULATION: Item 39 Contamination prevented during food
preparation, storage and display -- Storage, Food-Preventing Contamination
from the Premises
Verified 06/27/23 OBSERVATION: Observed expired bleach sanitizer testing strips. PIC to
obtain new testing strips to accurately test concentration of sanitizer.
**RE-INSPECTION** NEW BLEACH SANITIZER TESTING STRIPS AVAILABLE AT TIME
OF RE-INSPECTION.
4-302 .14-Pf REGULATION: Item 48 Warewashing facilities : installed, maintained, and
used; test strips -- Sanitizing Solutions, Testing Devices
Verified 06/27/23 OBSERVATION: Observed utensils being kept in bucket containing sanitizer
in between uses. Discussed with PIC that this is not an approved method
of storing utensils in between uses. Discussed proper storage methods
with PIC.
3-304 .12 REGULATION: Item 43 In - use utensils properly stored -- In-Use Utensils,
Between-Use Storage
Discussion PIC states they have valid CFPM and allergen certificates but
no copies available on site. PIC to post both CFPM and allergen
certificates in public view adjacent to copy of food permit.
**RE-INSPECTION** OBSERVED PIC'S VALID CFPM AND ALLERGEN TRAINING
CERTIFICATES AT TIME OF RE-INSPECTION. REVIEWED WITH PIC TO POST IN
PUBLIC VIEW ADJACENT TO COPY OF FOOD PERMIT.
In Compliance Observed sliced tomatoes, salsa, and cooked shredded chicken
all in top section of in-line refrigerator across from oven at 40°F,
40°F, and 39°F respectively. Observed cooked beef in four drawer
refrigerator below unit at 39°F. Observed raw ground beef patties and raw
chicken breasts both in two drawer refrigerator under grill at 41°F.
Observed white rice, rice pilaf, and raw salmon all in four door
refrigerator across from stove at 40°F. Observed tomato soup and beans
both in "Kintera" branded two door refrigerator at 41°F. Observed cooked
cauliflower in "True" branded single-door refrigerator at 41°F. Observed
parmesan cheese in walk-in refrigerator at 41°F. Observed low-temperature
warewashing machine dispensing 50ppm of bleach sanitizer. Observed
carrots in the process of cooling at 74°F that PIC states started cooling
one hour ago.
Discussion Observed hood sticker in compliance, next service due in July
2023.
North Andover Country Club@ Date: 06/27/2023 Page 5 of 5
Date Verified DESCRIPTION OF VIOLATION
Fail Code
Closing Violations marked "Verified" have been corrected. Violations not marked
"Verified" remain uncorrected. Uncorrected violations are to be corrected
immediately. Uncorrected violations may result in additional
Re-inspections and fees, fines and or administrative action including
possible suspension of permit. The text in this report is an unofficial
version of the state regulations. Official version of the state
regulations may be found at www.mass.gov/dph/fpp or by contacting the
State House Book Store.