HomeMy WebLinkAboutMobile - Food - Inspection - 87 FOSTER STREET 2/12/2024 Town of North Andover 120 Main Street
Health Department Tel. (978) 688-9540
FOOD ESTABLISHMENT INSPECTION REPORT
Establishment: k4rZt.CN1 —Date: Type of Operation(s) Type of Inspection
:3 Food Service Temporary Routine 0 Suspect Illness
Address: Risk level:C,2 I Retail Caterer Re-inspection El Complaint
�3 --- —:114obile El B&B oZ`Pre-operation El HACCP
Telephone: 9 HACCP Y I N -1 Residential Kitchen Other
Owner: Time in: Number of Foodborne Number of Repeat
/0/,/X/pr Illness-Related Foodbome Illness-
Violations(1-29) Related Violations(1-29)
PICAOut: q�jpffrN LL�j
Ins pector: Re-inspection Date:'
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IN=in compliance OUT=out of compliance NIA=not a )liable N/0=not observed COS=corrected on-site during inspection R=repeat violation
Compliance Status IN OUT N/A N/0 cos R Compliance Status IN OUT NIA1 N/01 COS R
I � Person-in-charge present,demonstrates 29 Compliance with variance/specialized LIN
knowledge,and performs duties process/HACCP elan INS
2 Certified Food Protection Manager
IMINSIMIS1111MEEM 30 Pasteurized eqqs used where required
3 Management,food employee and 31 Water&ice from approved source
conditional employee;knowledge, 32 Variance obtained
responsibilities and reporting I M
4 Proper use of restriction and exclusion
5 1 Procedures for responding to vomiting 33 Proper cooling methods used;adequate
and diarrhea)events 7
34 Plant food p operly cooked for hot holden IMMEEMENMEM .—��- L
1 35 proved thawing methods used
76Prbo,Iper eating,tasting,drinking,& 36 Thermometers Drovided and accurate
tobacco use
7 1 No eye,nose,and mouth discharge 37 Food properly labeled;original container
8 Hands clean and properly washed V 38 Insects,rodents,&animals not resent
9 No bare hand contact with RTE food 39 Contamination prevented during food
10 Adequate/supplied handwashing sinks preparation, storage and display
40 Personal cleanliness
41 Wii jjrj9cloths: ro ere 11 Food obtained from approved source used and stored
42 Washing fruits and ve etables
12 Food received at proper temperature 1 11
Is mymmiffim 11
13 Food received in good condition,safe, 43 In-use utensils properly stored
and unadulterated
o— 44 Utensils,equipment and linens:properly
14 Required records available:shellstock stored,dried,and handled
tags,parasite,,destruction 45 Single-use/single-service articles:
as INNEW, properly stored and used
15 Food s P.L(82ncleg.......�... ------- 46 Gloves used ra ere
16
Food-contact surfaces;cleaned& V
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 ��11 48 Warewashing facilities:installed,
I maintained,and used;test str
18 -fi2p.e!r cooking time and temperatures 49 Non-food contact surfaces clean
19 Proper reheating procedures
20 Proper cooling time,and tem erature 50 Hot and cold water;adequate pressure
21 Proper hot holding temperature 51 Plumbin installed;proper backflow
22 Proper cold holding temperature 1 1 52
23 _Proper date marking and disposition 53 Toilet features
24 Time as a Public Health Control L, L-4 54 Garbage and refuse properly disposed;
facilities maintained
Physical facilities installed,maintained,
PITY
15 -V
25 11 Cons,,umer adviso!X provided 5 j and clean
26 Pasteurized foods used;prohibited 56 Adequate ventilation and lighting;
foods not offered deli hated areas used
III I
27 M1 Anti-choki cedUres
Food additives nQ9T±0-
M2 Food allergy awareness-_-__-..__-,
28 Toxic substances
Official Order for Correction,Based on an inspect I a,,the items marked"OUT"indicated violations to 105 CMR 590,000 and applicable sections of the 2013 FDA Food Code.
This report,when signed Belo t e e be t nt constitutes an order of the Board of Health.Failure to correct violations cited in this report may result in
or revocation
of "a Board h sit it.r or"
suspension, a n a food st.b sh an par and c on of food establishment operations.if aggrieved by this order,you have a ri ht to a hearing.Your request must
H I
be in writinq and submitted the Ooard o„H ftb I above iddIrs Aqtjaj����receii t of this order.
PIC's signature: zmj - [ Date rAJW
LInspector's signature- ....... Date: Page 1 of
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73-3 8
Food Establishment Inspection Report — Town of North Andover
Establishment: Page of
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...prature Observations
Item f LO ion Te*m "F Item f Location en�F Item I Location em
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Observations and/or Corrective Actions
Violations cited in.,this rc,pqq must be corrected within the time frames stated below or in Section 8-405,11 of the Food Code
Item Number Section of Code Description of Violation Date to Correct By
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nature of Inspector
..... : Date:
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