HomeMy WebLinkAboutFood Est - Kittredge School - Inspection - 601 MAIN STREET 10/11/2023 Town of North Andover 120 Main Street
Health Department Tel. (978) 688-9540
FOOD ESTABLISHMENT INSPECTION REPORT
Establishment: e Date: 13 pe of Operation(s) Type of Inspection
Food Service Temporary Routine El Suspect Illness
Address: Risk level: Retail H Caterer 7 Re-inspection Q Complaint
11Y)m 0 515_ I Mobile n B&B 7 Pre-operation El HACCP
HACCP Y(N�� -1 Residential Kitchen 7 other
Telephone:
Owner: Time in:/0 NumberofFoodbome NumberofRepeat
Illness.Related Foodborne Illness-
Out. Vialatfons(1-29) Related Violations(1,-29)_,
PIC: if Inspector: Re-inspection Date:
IN=in comp!!a!nce Lj=out of compliance m N/A not a livable N10=not observed COS=corrected an-site durin ins action R=re eat vialatiat7
Compliance Status IN PUT N/A N/0 Cos R Compliance Status IN OUT NJA NAa Cos R
Emma=
1 Person-in-charge present,demonstrates 29 Compliance with variance I specialized
_�.knowledge,and performs duties Y Rrocess/HACCP elan
2 1 Certified Food Protection..... E
S11111 im 30 Pasteurized eggs used where jtqaired
3 Management,food employee and 31 Water&ice from approved source
conditional employee;knowledge, V 321 Variance obtained
ressp nsipilities.and reporting__
_4 Proper use of restriction and exclusion 33 Proper cooling methods used;adequate V
5 Procedures for responding to vomiting
V equipment for tem erature control
and diarrheal events 34 Plant food ,plop
II rl,,ccipiked for hot holdiag-- ..........
Approved thawing methods used
6 Proper eating,tasting,drinking, & V 36 Thermometers rovided and accurate
tobacco use Z_ M
No eye,nose,and mouth discharge 37 Food properly labeled;original container
RZIEUM 11,111, , =
8 1 Hands clean and properly washed 38 Insects,rodents,6 animals not resent
9 No hand contact with RTE food 39 Contamination prevented during food
0 10 No
handwashing sinks V preparation,storage and display_
40 Personal cleanliness
M nomm 41 Wi in cloths..pnEe!1K Used and stored
11 Food obtained from approved source
42 Washing fruits and vegetables
12 Food received at proper,temperature
13
Food received in good condition,safe, 43 In-use utensils properly stored
and unadulterated 44 Utensils,equipment and linens:properly
14 Required records available:sheltstock stored,dried,and handled
I tags,parasite destruction
45 Single-use/single-service articles:
To erl stored and used
11115 1111 11 1
15 -.F.o.o,d,-.s�2p.�!r�!tqAgA_prqtSttd_ V 46 Gloves used roierli
Food-contact surfaces;cleaned&
sanitized X, 47 Food and non-food contact surfaces
17 Proper disposition of returned, V cleanable,properly designed,
716 previously served, reconditioned and constructed and used
I unsafe food 48
Warewashing facilities:Installed,
Emm — maintained,and used;test strips
18 Pro er cooking time and temperatures 49� Non-food contact Surfaces clean
19 Proper reheating procedures V I
20 oEqr cooliin time and temperature 50 Hot and cold water;adequate pressure
.21 _EEger hot holding temperature Ve 51 Plumbing instalied;proper backflow
22 _ELoper cold_holdiM tam perature 52 Sewage&waste water properly disposed
23 Proper date marking_and_disposition _—,-V 5 Toilet features
24 Time as a Public Health Control 54 Garbage and refuse properly disposed;
facilities maintained
BEE,
25 Consumer advisory provided 55 Physical facilities installed,maintained,
ills MEMIANANI wha"I"I @a"MI and clean
26 Pasteurized foods used:prohibited 56� Adequate ventilation and lighting;
designated areas used
foods not offered
M1 cedures
27 Food additives Anti-chokingkrqc dures
Food allergy_awaEtness V1 1 1
28 Toxic substances
Official Order for Correctiorr Based on an inspection today,the items marked"OUT"indicated violations to 105 CMR 590.000 and applicable sections of the 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 aggrieved by this order,you have a right to a hearing.Your request rnList
be in writin and submitted 110 tjet oard of Health at the above address within ten(10)calendar days of receipt of thisorder.
P I_C's signature: Date:
Ltnspector's signature: Date, Page I of
\/A AA — A A J)� 9
..........____,__,Z_ I 1 1141/4 . _._"V%.kw r�_w wu^-
Food Establishment Inspection Report - Town of North Andover
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Page
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T M erqture Observations
Item Location Tem F Item I LoSati9p
�Tp Temp(OF) Item I Location
3-ft? K- —SLY ——-------------
IM RMIL
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41
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Observations and/or Corrective Actions
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t t,'rn Section of Code Description of Violation Date to Correct By
Number
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harge,Signature of Person-in-Charge: ate:
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Signature of Inspector: < Date
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