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Home My WebLink AboutFood Est - Goldenseal - Inspection - 70 MAIN STREET 101 9/17/2024 North Andover Health Department Food Establishment Inspection Report 120 Main Street, North Andover MA 01845 Tel. (978) 688-9540 Fax (978) 688-9542 Email: twolfenden@northandoverma.gov Name: Goldenseal Apothecary@ Inspection Date:09/17/2024 Number of P and PF Violations O Address: 70 Main Street Time In/Out: 01:10 pm /01:31:45 pm (Items 1 though 29): Phone: 978-552-3390 Permit No.: Number of Repeat P and PF O Email: Risk Category: 2 HACCP: No Violations(Items 1 though 29): Owner: Hasim Azam Type of Operation: Food Service, Retail Store Person-in-charge: Kayla Miranda Type of Inspection: Re-Inspection Previous Inspection Date: 09/04/2024 Inspector: T.Adell Date of Re-Inspection: FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS In =in complaince Out =out compliance n/o =not observed n/a =not applicable Cos =corrected on-site r =repeat violation Compliance Status IN OUT N/A N/O COS R Compliance Status IN OUT N/A N/O COS R Supervision Protection from Contamination 1 Person-In-Charge present, In 15 Food separated and protected In demonstrates knowledge, and 16 Food contact surface; cleaned In performs duties and sanitized 2 Certified Food Protection Manager In 17 Proper disposition of returned, In Employee Health previously served, reconditioned 3 Management, food employee and In and unsafe food conditional employee; Knowledge, Time/Temperature Control for Safety responsibilities, and reporting 18 Proper cooking time &temperature n/a 4 Proper use of restriction and exclusion In 19 Proper reheating procedures for hot n/a 5 Procedures for responding to vomiting In holding and diarrheal events 20 Proper cooling time and temperature n/a Good Hygienic Practices 21 Proper hot holding temperature n/a 6 Proper eating, tasting, drinking, or In 22 Proper cold holding temperature In tobacco use 23 Proper date marking and disposition n/a 7 No discharges from eyes, nose and In 24 Time as a Public Health Control n/a mouth Consumer Advisory Preventing Contamination by Hands 25 Consumer advisory provided for raw/ n/a 8 Hands clean and properly washed In under cooked food 9 No bare hand contact with RTE food In Requirements for Highly Susceptble Populations 10 Adequate handwashing sinks properly 26 Pasteurized foods used; prohibited n/a supplied and accessible foods not offered 17 Approved Source Food/Color Additives and Toxic Substances 11 Food obtained from source In 27 Food additives; approved and n/a 12 Food received at proper temperature n/o properly used 13 Food received in good condition, safe, In 28 Toxic substances properly identified, In and unadulterated stored and used 14 Required records available, shellstock n/a Conformance with Approved Procedures tags, parasite destruction 29 Compliance with variance/ n/a OFFICIAL ORDER FOR CORRECTION: Based on an inspection specialized process/HACCP plan today,the items marked"OUT'indicated violations to 105 CMR 590.000 and applicable sections of 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, or non-renewal pursuant to 105 CMR 590.000 you may request a hearing before the board of health in accordance with 105 CMR 590.015(B). Inspector: Person In Charge: 6 " Page 1 of 4 Food Establishment Inspection Report MoJiN Solutions, LLC Establishment: Goldenseal Apothecary@ Date: 09/17/2024 Page 2 of 4 GOOD RETAIL PRACTICES AND MASSACHUSETTS-ONLY SECTIONS In =in complaince Out =out compliance n/o =not observed n/a =not applicable Cos =corrected on-site r =repeat violation Compliance Status IN OUT N/A N/O COS R Compliance Status IN OUT N/A N/O COS R Safe food and Water 48 Warewashing facilities: installed, 30 Pasteurized eggs used where n/a maintained, and used; test strips required 49 Non-food contact surfaces clean 31 Water and ice from approved source Physical Facilities 32 Variance obtained for specialized n/a 50 Hot and cold water available; processing methods adequate pressure Food temperature control 51 Plumbing installed; proper Out 33 Proper cooling methods used; In backflow devices adequate equipment for 52 Sewage and waste water properly temperature control disposed 34 Plant food properly cooked for hot n/a 53 Toilet features; properly, holding constructed supplied,and cleaned 35 Approved thawing methods used n/a 54 Garbage and refuse properly 36 Thermometer provided and accurate disposed; facilities maintained Food Identification 55 Physical facilities installed, 37 Food properly labeled: original maintained, and clean container 56 Adequate ventilation and lighting; Prevention of Food Contamination designated areas used 38 Insects, rodents, and animals not Massachusetts Requirements present M1 Anti-choking procedures in food n/a 39 Contamination prevented during service establishment food prepa ration,storage and M2 Food allergen awareness In display M3 Caterer 40 Personal cleanliness M4 Mobile Food Operation 41 Wiping cloths: properly used and M5 Temporary Food Establishment stored M6 Public Market; Farmers Market 42 Washing fruits and vegetables M7 Residential Kitchen; Bed-and- Proper Use of Utensils Breakfast Operation 43 In-use utensils properly stored M8 Residential Kitchen: Cottage Food 44 Utensils, equipment and linens: Operation properly stored,dried, and handled M9 School Kitchen; USDA Nutrition 45 Single-use/single-service articles: Program properly stored and used M10 Leased Commercial Kitchen 46 Gloves used properly M11 Innovation Operation Utensils, Equipment and Vending M12 Frozen Desert 47 Food and non-food contact surfaces Local Requirements cleanable, properly designed, L1 Local law or regulation constructed and used L2 COVID-19 L3 Reserved Goldenseal Apothecary@ Date: 09/17/2024 Page 3 of 4 Date Verified DESCRIPTION OF VIOLATION Fail Code Discussion Observed food permit with an expiration date of 3/l/2024. PIC to obtain current food permit and display in public view adjacent to the certified food protection manager (CFPM) certificate. **RE-INSPECTION** PIC TO OBTAIN CURRENT FOOD PERMIT AND DISPLAY IN COMPLIANCE. Verified 09/17/24 OBSERVATION: Observed hand sink adjacent to point of sale with ice and spoon stored in basin. PIC to ensure hand sinks are maintained accessible at all times and are used for handwashing only. **RE-INSPECTION** OBSERVED ALL HAND SINKS MAINTAINED ACCESSIBLE. 5-205.11-Pf REGULATION: Item 10 Adequate handwashing sinks properly supplied and accessible -- Handwashing Sink-Operation and Maintenance Verified 09/17/24 OBSERVATION: Observed PIC's QAC sanitizer test strips with an expiration date of 06/24 . PIC to obtain un-expired test strips. **RE-INSPECTION** OBSERVED PIC'S QAC SANITIZER TEST STRIPS WITH AN EXPIRATION DATE OF 09/26. 4-302 .14-Pf REGULATION: Item 48 Warewashing facilities : installed, maintained, and used; test strips -- Sanitizing Solutions, Testing Devices Verified 09/17/24 OBSERVATION: Observed packages of "Fruit by the Foot" bearing label "not labeled for individual sale" . PIC to discontinue offering all packages foods for retail sale bearing that label. PIC to ensure all packaged foods for reail sale include the following components: (1) The common name of the FOOD, or absent a common name, an adequately descriptive identity statement; (2) If made from two or more ingredients, a list of ingredients in descending order of predominance by weight, in-cluding a declaration of artificial color or flavor and chemical preservatives, if contained in the FOOD; (3) An accurate declaration of the quantity of contents; (4) The name and place of business of the manufacturer, packer, or distributor; **RE-INSPECTION** OBSERVED PACKAGED FOODS FOR RETAIL SALE LABELED IN COMPLIANCE. 3-602 .11 REGULATION: Item 37 Food properly labeled : original container -- Food Labels OBSERVATION: Observed floor adjacent to high temperature dish machine with accumulation of water. PIC states dish machine is leaking and a repair service has been called prior to inspection. PIC to ensure all plumbing systems are maintained in good repair using approved methods and materials . **RE-INSPECTION** OBSERVED FLOOR ADJACENT TO DISH MACHINE WITH SLIGHT ACCUMULATION OF WATER, PIC STATES DISH MACHINE IS WAITING TO BE REPAIRED. PIC TO REPAIR USING APPROVED METHODS AND MATERIALS. WILL VERIFY AT NEXT ROUTINE INSPECTION. 5-205.15 REGULATION: Item 51 Plumbing installed; proper backflow devices -- Water System Good Repair In Compliance Observed high temperature dish machine achieve a utensil surface temperature of 180OF via PIC's sensor stickers, wiping cloths stored in QAC sanitizer measure 400 ppm via inspector's test strips. Observed in-use utensil stored in water at 1420F; milk in top rail of in line refrigerator at 38°F. Goldenseal Apothecary@ Date: 09/17/2024 Page 4 of 4 Date Verified DESCRIPTION OF VIOLATION Fail Code Closing Violations marked "Verified" have been corrected. Violations not marked "Verified" remain uncorrected. Uncorrected violations are to be corrected immediately. Uncorrected violations may result in additional Re-inspections and fees, fines and or administrative action including possible suspension of permit. The text in this report is an unofficial version of the state regulations. Official version of the state regulations may be found at www.mass.gov/dph/fpp or by contacting the State House Book Store.