HomeMy WebLinkAboutFood Est - Franklin - Inspection - 2 CYPRESS TERRACE 6/5/2024 Fown of North Andover
Board ofHealth FOOD ESTABLISHMENT INSPECTION REPORT R-10
Inspection Number Date Time In/Out Inspection Type Client Type Inspector
Franklin Elementary School 7CB01 6/5/24 9:22 AM Routine Institution S.Pierce
2 CYPRESS TERRACE 9:47 AM
NORTH ANDOVER, MA 01845 Permit Number Risk Variance Priority Pf Core Repeat
70929 2 Violation Summarv: 0 1 0
IN=in compliance OUT=out of compliance N/O=not observed N/A=not applicable COS=corrected on-site during inspection Repeat Violations Highlighted in Yellow
............
Supervision IN OUT T"N'A IN 0 Protection from Contamination(Cont'd) IN OUT NA IN COS
...............
1.PIC present,demonstrates knowledge,and performs duties V 15.Food separated and protected V
2. Certified Food Protection Manager V 16.Food-contad surfaces;cleaned&sanitized
------------ ........................... E, ploy 17 Proper disposition of returned,previously served,
m ........................................ ...
reconditioned&unsafe foods V
3. Management,food employee and conditional employee .................................................................................................................................................................................................................................................................................... c
knowledge,responsibilities and reporting V Time/Temperature Control for Safety IN OUT NA NO
4. Proper use of restriction and exclusion V 18.Proper cooking time&temperatures V
5. Procedures for responding to vomiting and diarrhea)events V 19.Proper reheating procedures for hot holding
...........................................................................................................................................................................................................................................................................................................
Good Hygienic Practices IN OUT NA NO COS 20.Proper cooling time and temperature
6.Proper eating,tasting,drinking,or tobacco use V 21.Proper hot holding temperatures V
7. No discharge from eyes,nose,and mouth V 22.Proper cold holding temperatures V.......... ...... .................................................................................................... .Preventing �ntiirni I:tat i 6i- aridi.................IN OUT......N.A N.0 COS....
V 23.Proper date marking and disposition
8. Hands clean&properly washed
24.Time as a Public Health Control;procedures&records
9 V
No bare hand contact with RTE food or a pre-approved
alternative procedure properly allowed Consumer Advisory IN OUT m NO COS
10.Adequate handwashing sinks supplied and accessible V 25.Consumer advisory provided for raw/undercooked food V
....................................................................................................................... i�W Source.................................................................................................................................
IN OUT NA NO COS iqw usceptue PopUlatlonS IN OUT NA NO COS
11.Food obtained from approved source V 26.Pasteurized foods used;prohibited foods not offered
........................................................................................................................................................................................................................................................................ ....12.Food received at proper temperature Food/Color Additives and Toxic Substances IN OUT NA N cos
13.Food in good condition,safe&unadulterated V 27.Food additives:approved&properly used V
14.Required records available:shellstock tags,parasite V 28.Toxic substances properly identified,stored&used V
destruction,
Conformance with Approved Procedures IN OUT NA11066s]
............Repeat Violations Highlighted in Yellow 29.Compliance with variance/specialized process/HACCP
NONE=
Safe Food and Water IN OUT NA NO COS Proper Use of Utensils IN OUT NA NO C�OS
30.Pasteurized eggs used where required V 43.In-use utensils:properly stored
31.Water&ice from approved source 44.Utensils,equip.&linens:property stored,dried&handled
32.Variance obtained for specialized processing methods V 45.Single-use/single-service articles:properly stored&used
Food Temperature Control IN OUT NA NO COS 46.Gloves used properly
33.Proper cooling methods used;adequate equip.for temp. f Utensils,Equipment and Vending IN OUT NA NO COS
control 47.All contact surfaces cleanable,properly designed,
34.Plant food properly cooked for hot holding constructed,&used
48. Warewashinq facilities:installed,maintained&used;test
35. Approved thawing methods used V strips
49. Non-food contact surfaces clean
36. Thermometers provided&accurate
........................................................................................................................................................................................................................................................................................................... Physical Facilities IN OUT NA NO COS
Food Identification IN OUT NA NO COS 50.Hot&cold water available;adequate pressure
37.Food properly labeled;original container 51.Plumbing installed;proper backflow devices
Prevention of Food Contamination IN OUT NA NO COS 52.Sewage&waste water properly disposed
38.Insects,rodents&animals not present 53.Toilet facilities:properly constructed,supplied,&cleaned
39.Contamination prevented in prep,storage&display 54.Garbage&refuse properly disposed;facilities maintained
40.Personal cleanliness 55.Physical facilities installed,maintained&clean
41.Wiping cloths;properly used&stored 56.Adequate ventilation&lighting;designated areas use
42.Washing fruits&vegetables
60. 105 CMIR 590 violations/local regulations
Official Order for Correction:Based on an inspection today,the items marked"OUT"indicated violations of 105 CMIR 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 you are subject to a notice of suspension,revocation,or non-renewal
pursuant to 105 CIVIR 590.000 you may request a hearing before the board of health in accordance with 105 CIVIR 590.015(B).
)1V Follow Up Required: Y Follow Up Date:
S.Pierce Lisa Pfeil-Expires
Certificate#:
FOOD SAFETY INSPECTION REPORT Page Number
2
Franklin Elementary School Inspection Number Date Time In/Out Inspector
2 CYPRESS TERRACE 7CB01 6/5/24 9:22 AM S.Pierce
NORTH ANDOVER, MA 01845 9:47 AM
• - • _ • • • - • Emw
Repeat Violations Highlighted in Yellow
Protection From Contamination
Food-contact surfaces, cleaned & sanitized
16 4-501.114 (F) (3)(4) Chem.San. Temp./pH/Concentr./Hard. -Establishment-
Pf Water temp of sanitizer tested at 116*F. Temp requirement of sanitizer is 90*F according to manufacturers
directions. Temp higher than required may result in inaccurate readings on test strip. Code:A chemical
sanitizer used in a sanitizing solution for a manual or mechanical operation at contact times specified under
paragraph 4-703.11(C) shall meet the criteria specified under section 7-204.11 Sanitizers, Criteria, shall be
used in accordance with the EPA-registered label use instructions, and shall be used as follows:If a
chemical sanitizes is generated by a device located onsite at the food establishment it shall be used as
specified in paragraphs (A) - (D) of this section and shall be produced by a device that:Displays the EPA
device manufacturing facility registration number on the device, and(4) Is operated and maintained in
accordance with manufacturer's instructions.
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Area Equipment Product Notes Temps
Establishment Misc. Corn Holding 38 OF
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Establishment Misc. Cooked pasta - sauce Holding 40 OF
Establishment Misc. Qeuso dip Holding 37 OF
Temperatures in RED identify items in the temperature danger zone. See the report notes for specific details.
Sani tested at 200ppm.
Hood serviced last October 2023, due in 180 days.
North Andover Board of Health: 120 Main Street, North Andover, MA o1845 (978) 688-954C