HomeMy WebLinkAboutFood Est - Franklin School - Inspection - 2 CYPRESS TERRACE 10/13/2023 Town of North Andover 70 )7 120 Main Street
Health Department Tel. (978) 688-9540
FOOD ESTABLISHMENT INSPECTION REPORT
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Establishment: Dato.--� T pe of Operation(s) Type of Inspection
, — T "
el� � ad Service Temporary Routine El Suspect Illness
A 2"",
fRetail Caterer Re-inspection ❑
El complaint
Address: Risk level: "I
....... Moble B&B Pre-operabon HACCF�
Telephone: 22,y_/,4 HACC Residential Kitchen Other_
Number of Foodb ne Number of Repeat
Owner: Time in: 7-
0 le), 7,2 Illness-Related Foodbome Illness-
ut: Related ViolationsIL-2
Plc Inspector: Re inspection Date:
..........
IN in cora�pharacp OUT ratrt cif cpmpfialrice, NIA=trot.app!icable NIO=not observed COS=corrected on site during if �tctrorj R rtp..�at violation
Li S R Corn pliance Status IN OW N
N ME
111 1
iarge present,demonstrates Compliance with variance specialized
and performs duties rocess HACCP Dian
P'an
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in
Status knowledge,
:lized
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C, Food Protection Manager
30 Pasteurized±92S.USed Where required
Management,food employee and 31 Water&ice from approved source
3 t 0 ........
conditional employee;knowledge, 32 Variance obtained
r s ons
b,
_e ,
L
bl!ffies
P"'o.r
'41
..TsP!?ti§L Aqq TPRqJ.99 ...........
use of restriction and excRusicin
.......................... 33 Proper cooling methods used adequate
5 Procedures for responding to vomiting
and diarrheal events
cooked for hot holdin
....34.2!�!qLoo_q,Pr2Ee_rIy.
35 Appjcryedi,ttja� 9j-nethods,used
6 Proper eating drinking,&
tobacco use testing 36 Thermometers'provided arid accurate
7 Noe e, nose,and rnOUth discharge,, 37 Food ro e
rl iabeded:on final container
8 Hands clean and ro ertl,=..!2tq
38 Insects,red
9 No bare hand contact with RTE food 39 Contamination
10 Adequate/supplied handwashing sinks N — _.�-paration
atom a and ells bay
40 Personal cleanliness
fir ipm cl t s,p ,A.and stored
__E _�qptijy
11 Food obtai ed.frorn appr ved source _!4s�e —----- .......
42 Washin fruits and vegetables
12 Food received at e t erature pl2p -----
13 Food received in good condition,safe,
43 In-use Lite rjsjisprqp2jry stored
and Unadu Iterated
44 Utensils,equipment and linens:properly
�4 Required records availabtw shellstock stored,dried, and handled
tags,parasite destruction
i 45 Single-use 0 single-service articles�
_p1 9p o�.storec ar d used
_. _ __ 46 doves Lis15 Food s�P9at dnd o ro eri
16 Food-contact surfaces;cleaned&
sanitized
-—-....... 47 Food and non-food contact surfaces
17 Proper disposition of returned, cleanable,properly designed,
previously served,reconditioned and constructed and used
unsafe food ..........
48 Warewashing facilities:installed,
maintained,and used;test
18 jLoper cookta time atit ;Ittli:e� 49 Non-food contact surfaces clean
19 Proper reheating procedures
20 Prager cooling tirne and temppLatLre V '0
Riot and cold water actq tp j!�RTs re
..
.........
rhot ol t er j�ijre 5 1 Plur d, k�qy�_t�t�c
22..j!rcpeLc2jd 7, 5,2- Sew a§,waste Aqj��rRro)erll dis osee
23 Pro erdate narkinUjndd!.Spositron 53 Toilet features
Liblic Heaith Control
54, Garbage and refuse properly dispose
facilities ritaintained
................— —--_-
25 Consumer dviso 5,5 Physical facilities installed,maintained,
and clean
foods u 56 Adequate ventilation and lighting;
2h . Pasteurizeddesiaraated areas used
foods root ered
M I Anti-choking prpcerttares
27 Food additives
M2. Food allerqyAy�p
Zia Toxic substances
Official Order for Correctiow Based on an inspection today,the items marked"OUT"indicated violations to 105 CIVIR 590.000 and appicable sections of the 2013 FDA Food Code.
This report,when slioned below by a Board of Health rnembei or its agent constitutes an order of P)e Board of Heafth Fadure to correct violations cited in this report may result in
suspension or revocation of the food establishment permit a0d cessation of food establishment operations if aggrieved by this order,You have a hght to a hearing,Your request must
be in vvrfting2nd t t of this order, ......
nature� Da a.
Inspector's sr nature Date: Page 1 of...Z
Food Establishment Inspection Report Town of Noah Andover
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F
Tern eratture Observations
p(° /Location Tem °F item l Lo ation Temp °F
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Item oc ion a em ~�
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_ Observations and/or Corrective Actions
ort must lars ioI��Cirzns oet is
i corrected within e frames stated below or in Section 40 5 11 of the Food Code
Veci n this re .._...w..._..w. ....hin the time m fi
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m) Section of Code Description of Violation Date to Correct By
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Si"nature of Inspector- -� �r4 Date� g naturaofPerson in-Char a: .w.__.____ .._.�.,._w __......_..v... .. _..__.... .m._ ............ ._Sig pDate