HomeMy WebLinkAboutFood Est - St Pauls Church - Inspection - 393 MAIN STREET 10/10/2023 Town of North Andover 120 Main Street
Health Department Tel. (978) 688-9540
FOOD ESTABLISHMENT INSPECTION REPORT
Establishment Type of Operation(s) T pia of Inspection
: Date:
5 ku'a Food Service ❑Temporary ylf�,Ol n suspect Illness
I
`--I Re-inspection 0 Complaint
s Risk level: Retail El cateter Address: 7
-1 Pre-operation, ® I-tAcli,',Pl
Mobile El B&a
Resldel Kitchen Other HACCP Y N"telephone .......
N Yber of Repeat
Illness-Related
Owner: Time in: Number of Foodborrie Foulo"dll Illness-
Out: V, I Vlolatjonsj1..29=
........... .......... ....... .. ...........
Compliance Status IN Oul� N/A NIO i R Conti Hance Status OUT l cos R
Person in-charge present, V/ 29 Compliance with variance slaeouaiized
and performs
od Protection
30 Pasteurized clg§,used wh�er,,
t,food ernpl I Water ice from approved source
conditional employel knowledge, V
sor1si flitil an re of,ing__._, 32 Variance obtained
4 Pro et L4S(-
,of re$trrCLtjfj�Laljd exclusion
_fL_ of restricLfl�L__
33 Proper cooling methods used;adequate
Procedures for responding to vomiting a u t o t rnjperratqEe,cS�tjt�q!,,
___q_jp ET,,t r e
and diarifteal events a --------
L
NIA NI 0 11� R
34 Plant food rop cooked tql hot ding_ftqy_�_ jt2Lin
_p !_!22L_ _
_Lt2L _2_"
mom _2_
35
inking,& V
r eating,tasting,or V 36 Thermometers rovided and accurate
Prol)e
_us,11___,_____.....—----
to
=Ne,and mouth discharge 37
art s clean and_EtLopArjy washed Insects,rodents,&animals!j9!Rtjese it 38
ti No bare hand contact with RTE food 39 Contamination prevented during food
............
10 Adequate/supplied handwashing sinks Lt�)r 42Land di p�qy
40 Personal cleanliness
11 Food obtained from W !p stored_q_ _p�Lqptrfy
ppp -0. _ _ysil
jqyed source 42 Washincl fruits and veetaNes
12 Food received at pLop jq.�jip rature.,
............ ...... Z REMEM, MEE
13 Food received in good condition,safe, 43 in-use Uton�E2p
'ji ............ _2�y stored
and�L qy1terated 44 Utensils,equipment and linens: properly
14
Required records available:shellstock V stored,dried, and handled
to s, arasite destruction -—---------------------------..............
45 Single-use/single-service articles
�
propel stared and used
�_l 5 Food se p2rqtqq anq_p�9!ec.ted 45 Gloves used )roperly
'16 Food-contact surfaces;cleaned&
sanitized
-------- 47 Food and non-food contact surfaces
17 Proper disposition of returned, cleanable,property designed,
previously served, reconditioned and constructed and used
unsafe food
48 Warewashing facilities: installed,,
maintained,and used;test st 1p
18 .......... 9 Non-food contact surfaces clean'r"�o 1.��El —C; 4�
Proper reheating procedures
.............—7
20 Pro er coolin2,jLm ,qjp ratu[�� 50 ll and cold water'„adequate es�ure
te.tr ...... L/ _LAd q��_ pL_§,u
� .. 121 temperature Plurn j s 11 o_ l� 21..b.a..c..k..fl.o..w.
..--
22 52 &
_.F!r_0Pe!.l -—- __-- tw�! �,..yLaj2r p�ro tqLdj�poseg_
marking ap,d 4is osition w 1 53 Toilet features
Ublic Health Control 54 Garbage and refuse properly disposed;
FIll facilities maintained
oviso rovided 55 Physical facilities installed,maintained,
and clean
25
as eurize foods used;prohibited 56 Adequate ventilation and lighting;
foods riot offered designated areas used
11 1 , 11 1 _
:221:111 532
27 Food additives M1 Anti-chok i pTgoedyre
M2
28 Toxic substances
_............................
Official Order for Correction Based on an inspection today,the items marked"l I indicated violations to 105 CMR 590.000 and applicable sections of the 20 13 FDA Food Code.
This report,when signed below by a and of Health member or its agent constitutes an order of"w Board of Health Failure to correct violations cited in Jft report may rel in
suspension or revocation of the to d tablist _nt d,ces;,ptno d estabfishment operations.If aggrieved by this order,you have a i to a hearing.Your request must
'a'a'a
0 0 0 rtt h",I
bein�lyrribn,q_arL sbL±ttei of H j2,1h W hin ttn ndaE of rece Hof this cider
nitt�p
C's signatureielctors signaturl......... Page 1 of-7 - —----
72-A
el
Food Establishment Inspection Report -- Town of North Andover
Establlhrnent �"� Date. Rage of
Item P vocation Temp___ ._ ._..__.w Item/vocation _ Tom w `Fop q Item t Location Ter °F�
A t
27V
Observationsin�d�rar; aorr lire + tirar�
Violations wcited in tFris re must be wrreuted wrthrn tt±time frames stated beloyrr tar tt in Section 405 11 of the Food Cade
Item Section at Cade ..W. �_..�---Clescriptiar�at Violation .___..v _.___..._..__ .—-„—, Date to Correct By
Number
_.
....
__._ _.......W._.,..... ..... _.. _m.m... _ ____._.............._...__
_. - _ _..... .. ....... ....._._.____..w.....m.__n._...._ _•_._ _
_._................__._ _ _.................... _... _,._ ......_.w. ___
_..............._._......_....._......... _ ..........m..._.__._ _ W.. .. ... .ww__— ..._.....
.....�,,,_...._.___ _ D7ate u.Signature of Person-in-Charge: t Date.
Signature of Inspector r .,
" _ .,,