HomeMy WebLinkAboutFood - Pipe Dream Cupcakes - Residential - Inspection - 1661 GREAT POND ROAD 1/10/2024 Town of North Andover 120 Main Street
Health Department 4 -- Tel. (978) 688-9540
FOOD ESTABLISHMENT INSPECTION REPORT
Establishment: ° Date: 1 Type of Operation(s) T pe of Inspection
1 Food Service Temporary e ❑Suspect liness
Address: Risk level: Retail H Caterer Re-inspection ❑ Complaint
Mobile ❑ B&B Pre-operation ❑ HACCP
Telephone: HACCP Y t esidential Kitchen Other
Owner: 6r —1yt �NTime in: 10 Number afFaadbarne NurnberafRepeat
4 U 1 � Out: r ` Illness-Related � Faodbame Illness-
! Violations(f-2L_ w Related Violations9)
PIC: Inspector: Re-inspection Date: A.1
IN=in compliance OUT=auk of compliance NIA=not ap liaabie N/O=Hat observed COS=corrected on-site during inspection R=repeat violation
Compliance Status _. ____.____.._ iN our Nra rtra cas R Com Dance Status — __ _.._ .._ _____ ouT� r�ira,' rrro cas R
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1 Person-in-charge present,demonstrates V 291process
ompliance with variance C specialized
knowledge,and performs duties /HACCP Can
2 Certified Food Protection Mana er
30 Pasteurized eggs used where required
3 Management,food employee and 31 Water&ice from approved source
conditional employee,knowledge,
res ansibilittes and re arkin 32 VariaMOREnce obtained
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3111111
4 Prop
Proper use of restriction and exclusion 33 Proper gaoling methods used;adequate
5 Procedures for responding to vomiting equipment for temperature control
and diarrheal events 34 Plant food ro eri cooked for hot holdin
35 Aptrawed thawing methods used
6 Proper eating,tasting,drinking,tobacco use 36 Thermometers rovided and accurate
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7 No eye, nose,and mouth discharge 37 Food ra eri labeled;original container
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8 Hands clean and properly washed 38 Insects,rodents,&animals not present
9 No bare hand contact with RTE food 39 Contamination prevented during food
10 Adequate/supplied tlandwashing sinks reparation,storage and dis la
40 Personal cleanliness _
41 Wiping cloths:properly used and stored
11 Food obtained frarn a rowed souse 42 Washin fruits and vegetables
12 Food received at roper temperature
13 Food received in good condition,safe, —
43 In-use utensils ro eri stared
_ and unadulterated _
14 _.__.. _ 44 Utensils,equipment and linens:properly
Required records available:shelistock stored,dried,and handled _
tags,parasite destruction 45 Single-use/single-service articles: m--
properly stored and used
15 .. _separated andTlratecked _ _...___ 46 Gloves used ro erl
16 Food-contact surfaces;cleaned& Im
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 strips
18 Proper cooking time and temperatures 49 Non-food contact surfaces clean
19-..-Proper reheating procedures
20 Pra er cooling time and temperature 50 Hot and cold water;adequate pressure
21 Pra er hot holding kem era Lire 51 Plumbing installed;proper backflow
22 Pro elm r cold holding temperature V 52 Sewage&waste water properly disposed
231 Proper date Larkin and disposition 53 Toilet features
24 Time as a Public Health ContraU 54 Garbage and refuse property disposed;
_ facilities maintained
25 Consumer advisory provided 55 Physical facilities installed,maintained,
and clean
56 Adequate ventilation and lighting;
26 Pasteurized foods used;prohibited
foods not offered designated areas used
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Anti-choking_procedures
27 Food additives
_._.__._. _...___.__.._..._ _-___--_-__ Food aller awareness
28 Toxic substances -. ._-------
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. ....____..._....
Official Order for Correction:Based k.rd
inspe ion today,the items marked"OUT"indicated violations to 1Q75 CMR 59Q.fYt)0 and applicable sections of the 2013 FDA Food code.
This report,when signed below by a Bf H h member or its agent constitutes an order of the Board of Healttn.Failure to correct violations cited in this report may result in
suspension or revocation o e f e permit and cessation of food establishment operations,If aggrieved by this order,you have a right to a hearing.Your request must
be in writ'in and sub d to the o r1 at the above address within tern{10 calendar days of receipt of this order. _
—Plus signature: Ctate. ID
Inspector's signature: Date: � Page
Food Establishment Inspection Report -- Town of North Andover
Establ
ishment: Crate: ` f ", Page f
Observations
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t L c do Tent "F Item I Location Tern ° Item i Location.......
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t�ka��r:+rti+r�rr� ncllt�r Corrective.
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�A tion
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Vuolatioms cited in this resort must he rorrer~Ged wNtf .. belowor in01
of Violation Date to Correct By
Ci,rmker
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Signature of Person-in-C ar .^° Date: _
Signature of Inspector iDate
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