HomeMy WebLinkAboutFood Est - CVS 209 - Inspection - 109 MAIN STREET 4/10/2023 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:
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Narne, CVS#209 Inspection Date:04/10/2023 Number of P and PF Violations
Address: 109 Main Street. Time In/Out: 02:00 pm /02:33 pm (items I though 29): 0
Phone: 978-682-0941 Permit No.: 53081 Number of Repeat P and PF
Email: Risk Category: 1 HACCP: No Violations(Itenis I though 29): 0
—6 wir'i or:-C_v§ ------ Type of Operation: Recall Store
---------------------..__._____Person-in-charge: Mike Cip, Type of Inspection: Routine Previous Inspection Date:
Inspector,: C.Lachendro Date of Re-Inspection:
FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
In =in cornplaince Out =Out compliance n/o =riot observed n/a riot applicable o0s =corrected on-site r =repeat violation
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Compliance Status IN OUT N/A WO 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 I
demonstrates knowledge, and 16 Food contact surface; cleaned n/a
performs duties and sanitized
2 Certified Food Protection Manager In/a 1 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 Vr-o—per cooking time &temperature I In/a ---
4 Proper use of restriction and exclusion In 19 Proper reheating procedures for hot n/a
5 Procedures for responding to vomiting In _--holding
and diarrheal events 20 Proper cooling time and temperature n/a
Good Hygienic Practices 21 Proper hot holding temperature n/a
6 Proper eating, tasting, drinking, or In 22 Proper cold holding temperature --In
tobacco use 23 Proper date marking and disposition n/a
7 No discharges from eyes, nose and In 24 Time as a Public Health Control
mouth Consumer Advisory
Preventin�nt�amin,, by Hands 25 Consumer advisory provided for raw/ n/a
8 Hands clean and properly washed In Linder cooked food
9 No bare hand contact with RTE food W n/a Requirements for Highly Susceptble Populations
10 Adequate handwashing sinks properly Out 26 Pasteurized foods used; prohibited n/a
supplied and accessible foods not offered
Approved Source Food/Color Additives and Toxic Substances
In n/a
12 Food received at proper temperature n/o properly used 'TTT
11 Food obtained from source 27 Food additives; approved and
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 nu n
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-renowal pUrSLJant to 105 CMR 590.000 you may request a hearing before the board of health in accordance with 105 CMR 590.015(B).
I ri spa ctsar : TT�(_',rson Its C,,"har'ge:
Page 1 of 3
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Food Establishment Inspection Report MnoJiN Solutions, LLC
PRACTICES
Fstabli tgnent: CVS 209 _ cute. 04/10/2023 Pace of 3
�ooD AND
. RETAILNIASS�1c�F-II.�iSET..�_._.__._.. . ........_ ...._.. ._..............__.a_.._�..�.�..,., _._..__ TS-ONLY SECTIONS
In -in complaince Out =out compliance rt/o riot observed n/a not applicable Coda .:,corrected on site r repeat vuolGation
Compliance Status Ira caul NIA rarc:>COS rt Compliance Status IN OUT N/A N/0 COS R
__... .._..... ...... w _._..... i .......-i_____t ... _ _.....__ __., ._,... ._
Safe food and 1�later 48 Warewashing facilities installed,
30 Pasteurized eggs used where n/a maintained, and used;test strips
required 49 Non-food contact surf«aces clean
__w...M _ _. .................�....... ...... _........_ ..........._..� .mn ..,.. _._ _ I]-
31 Water and ice from approved source Physical Facilities
32 Variance obtained for specialized n/a 50 Hot and cold water available;
processing methods ade ------------
_--- _.....m__..._..._..u.. __ _..... . ,.
Food temperature control 51 Plumbing Installed„ proper
33 Proper cooling methods used; _ n/a backflow devices
�2 .. Sewage and__
._ _._._._ ....
adequate equipment for .... .______...... ........�,,. � ..� _
cad waste water properly
temperature control disposed
__.__..._ ......_.�_.. ...... ....._. _ ...._�________ _.._ .....
_
34 Plant food properly cooked for hot n/a 53 Toilet features, properly, Out
holding constructed supplied,and cleaned
___.,....._....._ _ __------..w_.___w.... _.__..,w.... ...w.... _ _...__ � _...__,w
35 Approved thawing methods used n/a 54 Garbage sand refuse properly
_.......__ ...._,w_ ...._._ _.... _.__ ....._._.._
36 Thermometer provided and accurate disposed; facilities maintained
Food Identification 55 Physical facilities installed,
37 Food properly labeled: origurral maintained, and clean
container 56 Adequate ventilation and lighting;
Prevention of Farad Contamination designated areas used
..._....... _ _ ... m.µ.w _M.
�_81nsects, rodents„ and animals root M a aachusetts Ref unrement a
resent_�_._... _ M1 Anti-choking procedures in food
39 Contamination prevented during service establishment
food prepa ration,storage and M2 Food allergen awareness
._. _,_._,_....................._w_w_........_ .._.__..__—_.... .. ..........w _
�.
display M3 Caterer
_." -____..,_-----._.....--_� _._�w_n ._ ,, ,,. ..__.... _.........w. , __..__... _ ...._..___................................_....,.-. _..._w_ _.._. ._w_., . _._....
40 Personal cleanliness M4 Mobile Food Operation
... ....... _...... __......... _,._ .__._ _ ... _ ....__.......... .... ......._......
....
41 Wiping cloths: properly used anti M5 Tempor<ary Food Establishment
stored M6 Public Market; Farmers Market
_._.. ...__. _.. ._.�..___.. ___ _.. ..._.... _ ___._ _._______ww,_._,__. ___ ...... __.
42 Washing fruits and vegetables M7 Residential Kitchen; Bed-and-
of Pro ,,:er`tJae . ...�.._,.�_. ..�._.
__ _...... _.._..._ _.._ per-----
Utensnl� rea ast
43 In-use utensils properly stored M8 Residential Kitchen: Cottage Food
44 utensils eett�iipinent and linens: Ope�ratior°r
properly storecd,dried, and handled M9 School Kitchen; USDA Nutrition
45 Single-use/single-service articles: Program
properly stored and used M10 Leased Commercial Kitchen
_._...... .., ...._...,, _. m M._.. ........ ........ --._ _. ...._._.__.,._._ .
46 Gloves used properly M11 Innovation Operation
_ 7N0LL
�____�_.._._.t. Frozen Desert
Utensil ui meat and ora l-a -w.. _.._ M12..... ._..........
....._W.....
...
_ ..... ............�_.....
47 Food and non-food contact surfaces _..._...n __ ._....._Local Re uirearnents
cleanable, properly designed„ L1 Looal law or regul�tlora
__..._. ._.,..w.__.
constructed and used t 2 COVID 19
L.3 ....Reserved .,_. ._._..._.
__.. ......_......
........ ___
E........ ......_ .. _.___......
CVS#209 mate: 04/10/2023 Page 3 of 3
DESCRIPTION OF"VIOLATION
Fail Code
OBSERVATION: No h andw a:hing si gnage available:k.e?> in either men or women's
too i l ec r.r„yarns at time of inspection. PIC to pr rry a dee haandwash incl s ignaage :in
both toilet rooms.
6_301 . 14 REGULATION: Item 10 rte:i.equaaLe haa'neiwaahi.nc.l s^:i.nks propert�ly? supplied and
aaa a e a,:s ..l:rlc:e __. Hanciwaasl ing Signage
OBSERVATION: No covered receptacle available in womean's toilet room for
the proper cl_a,,laosaal of sanitary napkins/products. P'IC 't4c'a provide covered
d
receptacle in toilet room.
5--501. . W FtElatTlallTIC;N: Item 53 Toilret features; properly <.<rnr:, ruc.t.eeci, a sarppli.ed,and
cleaned --- Toilet,t, I~tcrom lae c,:cefrt aacl.e., G+Ir,.arneans, Covered
In Compliance Observed two door efri <sa.ger'� containing Caerrrfi aar a2:a_aar. c
pre-packaged bacon, cartons of eggs, and gallons, of milk crl::ae,,r artt inq "a't:.
all 0F. Observed foods in I.ree=:r e,r uni L to be frozen ,solid. Observed f'c><ads
and beverages properly labeled for retail sale. Observed clay storage :in
<;cwrcpliance,.. Bodily spill clean-up procedure :in compliance. No pest
activity observed.
Closing Correct Priority :CG:em and l;,r.aaar.iny is"cunda, :ion Item vaicdat:icaa'aa oaen�ne i.atealy;
Core Item violations within 10 days. Correct all violations in entirety
as n c3 maintain. Train as n d supervise staff. F a i i u r e 't to correct a.1.i.
vzalaat:,dons• and ma.�aintanr:a_a" y' maintain corrections r;r E'.C:t:1.C,5 rr;", r7za:�Y result in administrative action
and or fines.s. he,.e text an this report l_a an unof'f:i.c.i.al vs.rs�ion of the
state regulations. official version of the state regulations may he found
at www.raa<:a.s::s.gav/chaps/fpp or by contacting the State House t;erok Store.