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HomeMy WebLinkAboutFood Est - NA Middle School - Inspection - 495 MAIN STREET 10/18/2023 Town of North Andover 120 Main Street Health Department Tel. (978) 688-9540 FOOD ESTABLISHMENT INSPECTION REPORT ................ ....... ...... aofperatcni )Establishment Date: T p e of Inspection Food Service temporary Routine Suspect Illness Address: Risk level Retail, Caterer Re-inspection rl chrriplaint Mobile F1 B&B Pre-operation [I HACCP Telephone: HACCP Y/N Re siden6ai Kitchen Other ............ Owner: --—----- ii b—er o­f'F_o o­c-i b—o r;;W t ut: Illness-Related Food Illness- '701- N tated.y�qLj�ti umber of Illness Inspector: Re-inspection Date: PIC.-AA ..........____.......... IN=in compliance OUT=rant o �qrnp N =I t a NIO riot observed COS=corrected on-site du�.iE2 ton violation _I ,jian e Col IN )i N/A I COS R Conn hance status IN OU I C OS R W I P arge present, demonstrates V Compliance with variance specialized and performs duties recess/HACCP plan 2 C, I Protection Manager 111 30 Pasteurize Lfflm�� ....­­,.­ .��e slused whe�Ere�reutre,d 3 Management,food employee and 31 Water&ice front approved SOI conditional employee; knowledge, iesponsLqi t es and repor!i 32 Variance obtained 4 use_EE2per use of restriction and exclusion ............ 33 Proper cooling methods used;adequate 5 Procedures for responding to vo e(L i er t to I erature control and dial events ...... _11JI NIA I CO3 R and dial"he' M 34 Plant fooc!_2Lopp M Na methods used�pp!qy� P t ...... t6Proper eating 36 Thermometers rovided and accurate tobacco use �7 No eye,no 3,7 Food I I b I d I t -da.n.ds-clean a!!��pjqptE!y was�t M E 38 Insects,rodents,&animals n present 9 Na bare hand contact with RTE food 39 Contamination prevented during food ...................... ells Ia 1 10 Adequate/supplied handwashing sinksaar storaq��_and JIM 40 Personal cleanliness ............... 41 ..�Y�j loths:p!pp ,A,Md stared 11 Food obtained from a 'oved Source ­.11­ _L �tl - — V 42 Washing fruits and ve eI bles 12 Food receive t r9 V11— P temperature r ture 13 Food received in good condition,safe, 43 In-use I r9p and unadulterated .......... 44 Utensils,equipment and linens:properly girl stared 14 Required records available:shelilstack stored, dried,arid handled tat s, arasite destruction 45 Single-use/single-service articles: V jLrop.!!Y stated and used 15 hood separ ated angprotected 46 Gloves used property 16 Food-contact surfaces cleaned& sanitized V ----—----- —"-'.......... 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, ME maintained,and used;test s!E!ps 18 -P 0 Cc I 9_Llrn�qn4jt=atures 49 Non-food contact surfaces clean - 122tr— 9 .. ........ 19 Proper reheating procedures 20 Pro me aqq�!�rripe°rature 5 0 Hot arid cold waftl 9q2_q"jL-�res� 1L_ I—__ . _ ­ ­­_ I/ _V_ 21 Props, ral 51, 1-­ _ - _..Lhq� V4 ... .,_.P1u1.1._,n backflow 22 Proper 52 S a e&was e water disp ............ ........_p ................. 23 Praye r arxd disposition 53 Toilet features ................. 24 Time as a Public Health Control 54 Garbage and refuse properly disposed; facilities maintained ........... ............. advisory rovided V 55 Physical facilities installed,maintained, and clean 26 Pasteurizedfoods used;prohibited 56 Adequate ventilation and lighting; offeredfoods not I nated areas used M1 Antt c oki g_p es�.... 27 Food additives In n ................ ....... M2 Food aller wanness 28 Toxic substances ­­­ re....... Official Order for Correctici Based on an inspeefion today,the iterns marked"OLP"Indicated violations to 105 1590.000 and applicable sections of the 2013 FDA Food Code, This report,when signed below by a Board of Health member or ohs agent constitutes an order of the Board of Heafth.Failure to coIrrect violations cited In this report may result in suspension or revocation of the food es,Aabhmilllpt Md arid cessation of food estabIrshirnent operations.If aggrieved by this order,you have a right to a hearing.Your request must .ea ia ea above ad ress within gay 2Ln�i�ttp be in wrtfinjand submitt to th J e b d k this order, �lrhs c's signature: Date: /49 ............ 7_ 2 f pector's sir re:: Cate f ---------- ----- ----------------- Food stabfishrnenEstablishment Inspection Report — Town of North Andover ,7,k,� Page of , _T _Z ; �_ -7............................... —-------­ Gate. .. . ..... ................................... t� A,' ..........".. Tepiperature Observations is Item I Location Temp(OF) [—,Fte�/'_Locafio,n ­­ je —------ Item i Location Temp(�OF ,,,_) .......... ­ 11(Y, A rjL V w... ................. . .... M_­ole,........I................ M W LI, 1A., 13e ZL�aw jq Observations and/or,Corrective Actions �iolation�sc4ed in this far 1 n Section 8: -6 T)1-1-'o-f t'h—e F_'oo­d_'C__Code ............................... art bo� s stated b6ow_�orrected within ft time frame, Itern Section of Code Description of Violation Date to Correct By Numb --—----­-­­­­­--­-­-_,­ .................... ........ .............. ............. -44- --------------........... ........... ................... ­............ ................ ............... UVR ....................... .. ...... ............. ........... -—-----------­_­--------- A4 0/r- rw k_kA&J_ra 4", :L ............... .......... ......... ........... ............ 1�± Zc( __c� .........................------- ........... --------------- 4V W V49 6a,(1u 7i 2� el ..........- --------- .................. ........... ............... ....... —--------- . ..........-—----------------------- ................. .............. ..........................___.................. ................ ---------- ............... ............. .................. ............... ....... .............. ................ Signature of Person:-i-n_zha;:ge7-` Z_ .............. Signature of Inspector:­<­ / Date: 1 , __ ......................... .............................