HomeMy WebLinkAboutEdgewood Retirement Home Inspection Report - Inspection - 575 OSGOOD STREET 12/4/2024 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: Edgewood Retirement Home@ Inspection Date: 12/04/2024 Number of P and PF Violations O
Address: 575 Osgood Street North Andover, MA Time In/out: 09:55 am / 10:15 am (Items 1 though 29):
Phone: 978-725-3300 Permit No.: 52650 Number of Repeat P and PF O Email: Risk Category: 4 HACCP: No Violations(Items 1 though 29):
Owner: Edgewood LLC Type of Operation: Food Service
Person-in-charge: Lou D'Angelos Type of Inspection: Re-Inspection Previous Inspection Date: 11/11/2024
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 Out
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/o
4 Proper use of restriction and exclusion In 19 Proper reheating procedures for hot n/o
5 Procedures for responding to vomiting In holding
and diarrheal events 20 Proper cooling time and temperature n/o
Good Hygienic Practices 21 Proper hot holding temperature n/o
6 Proper eating, tasting, drinking, or In 22 Proper cold holding temperature In
tobacco use 23 Proper date marking and disposition In
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 Tn
Requirements for Highly Susceptble Populations
10 Adequate handwashing sinks properly 26 Pasteurized foods used; prohibited In
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 In 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 In 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: �^
Page 1 of 3
Food Establishment Inspection Report MoJiN Solutions, LLC
Establishment: Edgewood Retirement Home@ Date: 12/04/2024 Page 2 of 3
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
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/o 53 Toilet features; properly,
holding constructed supplied,and cleaned
35 Approved thawing methods used n/o 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 In
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
Edgewood Retirement Home@ Date: 12/04/2024 Page 3 of 3
Date Verified DESCRIPTION OF VIOLATION
Fail Code
OBSERVATION: Observed ice machine with accumulation of what appeared to be
mold in the interior. PIC to fully empty ice machine and clean and
sanitize at a frequency specified by the manufacturer or as frequently
needed to preclude accumulation of soil or mold.
**RE-INSPECTION** OBSERVED WHAT APPEARED TO BE A SLIGHT ACCUMULATION OF
MOLD ON THE RIGHT INTERIOR OF THE ICE MACHINE. PIC TO CLEAN AND SANITIZE.
WILL VERIFY AT NEXT ROUTINE INSPECTION.
4-602 .11 REGULATION: Item 16 Food contact surface; cleaned and sanitized -- Ice
Machine Cleaning Frequency
Verified 12/04/24 OBSERVATION: Observed scoop stored inside container of flour stored with
its handle facing down and making direct contact with the food. PIC to
ensure if in-use utensils are going to be stored inside the container of
food, that the handle is facing up.
**RE-INSPECTION** OBSERVED IN-USE UTENSILS PROPERLY STORED.
3-304 .12 REGULATION: Item 43 In - use utensils properly stored -- In-Use Utensils,
Between-Use Storage
Verified 12/04/24 OBSERVATION: PIC unable to provide un-expired "Sink and Surface Cleaner
Sanitizer" test strips. PIC to supply. PIC states an employee contacted
the supplier during the inspection.
**RE-INSPECTION** OBSERVED PIC'S TEST STRIPS WITH AN EXPIRATION DATE OF
09/2026.
4-302 .14-Pf REGULATION: Item 48 Warewashing facilities : installed, maintained, and
used; test strips -- Sanitizing Solutions, Testing Devices
Verified 12/04/24 OBSERVATION: Observed floor adjacent to fryers with accumulation of
grease. PIC to ensure physical facilities are cleaned as often as
necessary to keep them clean.
**RE-INSPECTION** OBSERVED PHYSICAL FACILITIES IN CLEAN CONDITION.
6-501 .12 REGULATION: Item 55 Physical facilities installed, maintained, and clean
-- Cleaning Frequency, Restrictions
Discussion Hood sticker dates 10/8/2024, in compliance.
In Compliance Observed high temperature dish machine achieve a utensil
surface temperature of 180OF via PIC's sensor stickers. Observed honeydew
melon in "True" refrigerator at 390F; cooked salmon in "True" single-door
refrigerator at 40°F; cooked pasta at 40°F in the walk in refrigerator.
Observed sausages delivered frozen solid during the inspection.
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.