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MARIAS SWEET SOMETHING - ESTABLISHMENTS (Y1t�f=y'S Swut SeMi���y 2G ��o�� sri��� RNIVERSAL UNV-12110 MADE IN USA SUSTAINABLE JFORESRY INITIATIVE ® c.m.e et.rs..r.[.g POSTZON&M xww.fi0n9nm.arY 'll uP.9p I Commonwealth of Massachusetts ` City of Salem Board of Health Kimberiey Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 FooWRetail Establishment Permit DATE PRINTED: 0170312011 ESTABLISHMENT NAME: Maria's Sweet Somethings Fite Nmnba:BNF-2001-000025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2011-0105 Jan 1,2011 Dec 31,2011 $25.00 RETAIL FOOD BHP-2011.0106 Jan 1,2011 Dec 31,2011 $70.00 Total Fees: $95.00 PERMIT EXPIRES December 31, 2011 Board of Health iy This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. page 1 n CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIINBERL.EY DRISCOLS. FAx(978) 745-0343 MAYOR uGRI F.NIIAUMQSALr;Ni.CONI DAVID GREENBAUM,RS ACTING HEALTH AGENT 2011 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT /(A09)e/A ,3 SLUE.�ET 4)/Y1ET9i0JC-TEL# `77� G L 0o?Y-q Fl?),()Fl?),() ADDRESS OF ESTABLISHMENT_ c-,2p f V7 FAX# �7y -r MAILING ADDRESS(if different) EMAIL- Business': d/'/ a-d/I' M Website: �lL�lll SSliJe $D/17G /) S. Irl OWNER'S NAME �ka am�' I vqg,A Za° TEL# 1- 777-114 ADDRESS VQ, _y7 2),inyif S �)� O�7O STREET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) z /� p -7-7 / / EMERGENCY RESPONSE PERSON m9gi A 14 1011 J HOME TEL# % Zo - / /7-172a Io DAYS_OF OPERATION ^ 'Monda :'1, Tuesda ., -`'" 'Wednesda, -».'Thursda ,' ,i Fnda Y Y Y ' Y. i �turday .,.+1. _-;Suritlay;-.__: HOURS OF OPERATION Please wdte in time of day, 16 -10 For example 11am-11pm) 1 /h _ p /b-/ d, TYPE OF ESTABLISHMENT FEE (check only) RETAIL STOREeo NO less than 1000sq.ft. _$ 7 1000-10,000sq.ft. 280 more than I0,000sq.ft. =$420 ----------------------------------------------------------------------------------------------------------------ie------------------------------------------------ RESTAURANT YES NO less than 25 seats =$140 (Outdoor Stationary Food Cart$210) 25-99 seats =$280 more than 99 seats =$420 ------------------------------------------------------------------------------------------------------------------------------------------------------------------ BED/BREAKFAST/ YES NO $100 CHILDCARE SERVICES/NURSING HOM-------------------------------------------------------------------------------------------------------------------------------- ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE � NO TOBACCO VENDOR YES NO $135 ALL NON-PROFIT(such as church kitchens) YES NO $25 'Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C,Section 49A, I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state tax returnsa paid all state taxes r uired under the law. O w l � ) a d1�1�35�ja 9 6 Signature Date Social Security or Federal Identification Number -------------- ---� ----- -- ----- ----------------------- Revised 10/7/I1 FOODAP201 Ladm Check#&Date S - — a'Yyt'^. .,r..*^-+�MA•Ji�PI.M�<'4+w1[., a.`F,(,:�.,�y. .,�. �'7' -"^. '�P4+nr' ,A.»rv'r, ..�'"„' -. -'I t � t Massachusetts Department of Public Health Salem Board of Health I 120 Washington street,4t" Floor Division of Food and Drugs Salem, MA 01970-3523 FOOD ESTABLISHMENT INSPECTION REPORT Tel. (978) 741-1800 Fax (978) 745-0343 Name /� Q Date n 'T of 0 eration s Tvpe of Inspection ( C OA1 ' S A f� 1�Y1 tF1 �1 )X �_J IldIl� �EAodService ❑ Routine Address _:A((_) r7 �^ _ r! n O Risk M'Retail ❑ Re-inspection Level ❑ Residential Kitchen Previous Inspection Telephone1 x �y I, El Mobile Date: Owner's c� HACCP Y/N ❑ Temporary [ITempora Vit A A i .a U 1 J ❑ Caterer ❑Suspect Illness Time El &Breakfast ❑General Complaint Person in Char remc, ( IJ f J �P In I E] HACCP Inspector ✓� �� f i n out," 51,11 Permit No. ❑ Other Each violation checked requires an e_xp-lariation on the narrative page($)and a citation of specific provision(s)violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors Anti-Chokin -,Tobacco / Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) 590.009(F) action as determined by the Board of Health. 0000 PROTECTION MANAGEMENTrm_ '., ;t ❑ 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned/Knowledgeable/Duties ❑ 13 Handwash Facilities a EMPLOYEE HEALTH u.� � E� x ,�r a4! PROTECTI6NFROMCHEMIOALSia Prb � tM "� . s ❑�2. Reporting of Diseases by Food Employee and PIC ��� "-x- o_ !6 n,,MV U U, �26 �w- +.. ❑ 14.Approved Food or Color Additives ❑ 3. Personnel with Infections Restricted/Excluded ❑ 15.Toxic Chemicals FOOD FROM APPROYEb SOURCE sm F„ ` g F1 4. Food and Water from Approved Source rgg"71M�1TEMPERATURE CONTROLS(Ppterutally Hiardaus Fobr�)'" ❑ 5. Receiving/Condition ❑ 16. Cooking Temperatures ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 17. Reheating ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 1 B. Cooling PROTECTION FROM CONTAMINATION``o aY 1 , ```E" j; ❑ 19. Hot and Cold Holding ❑ 8. Separation/Segregation/Protection ❑20.Time As a Public Health Control ❑ 9. Food Contact Surfaces Cleaning and Sanitizing iaREOUIRtiV(ENTS FOR HIGHLY SU3CE,07'I8L.6 PQPUI,dTdONS(HSP)u ❑21. Food and Food Preparation for HSP ❑ 10. Proper Adequate Handwashing ❑ 11. Good Hygienic Practices f�CONSl1fAEf ADYISORY'„;' „,,�;, ; i;'• („„L ,�. µ w ❑22. Posting of Consumer Advisories Violations Related to Good Retail Practices Number of Violated Provisions Related Critical (C) violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors(Items 1-22): of Health. Non-critical (N) violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board today, the items checked indicate violations of 105 CMR of Health. 590.000/federal Food Code. This report, when signed below by a Board of Health member or its agent constitutes an 24. Food and Food Protection (Fc-3)(559 23. Management and Personnel (FC-2) 90.0 4) order of the Board of Health. Failure to correct violations cited in this report may result in suspension or revocation of 25. Equipment and Utensils (Fc-a)(ss0.00 ).00s) the food establishment permit and cessation of food 26. Water, Plumbing and Waste (FC-5)(590.006) establishment operations. If aggrieved by this order, you 27. Physical Facility (FC-6)(590.007) have a right to a hearing. Your request must be in writing 28. Poisonous or Toxic Materials (Fc-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. / 30. Other DATE OF RE-INSPECTION: I ��U t2�- tZ-0 S:501nVwtFoim Ndoc Inspectors Signature: Print: "� PIC's Signature: ) �J Print: /!'fly �l/� �� K / Page of,�TPages Violations Related to Foodborne Illness Interventions and Risk Factors(items 1-22) PROTECTION FROM CONTAMINATION FOOD PROTECTION MANAGEMENT 8 Crpss-contamination 590.003(A) Assignment of Responsibility* 3-302.1.1(A)0) Raw Animal Foods Separated from 590.003(B) DemonCooked and RTE Foods* 2-103.11. Person in chi--duties Contamination from Raw ingredients 3-302.t 1(.A)(2) Raw Anirnal Foods Separated from Each EMPLOYEE HEALTH Other* 2 590:003(C) Responsibility of the person in charge to Contamination from the Environment require reporting by food employees and 3-30211(A) Foal Protection* a hcants* 3-302.15 Washut Fruits and Ve etables 590.003(F) Responsibility Of A Food Employee Or An 3-304.11 Foal Contact with Equipment and Applicant To ReportTo The Person In Utensils* Charge* Contamination from the Consumer 590.003(G) Reporting by Person in Charge" 3-306.14(A)(B) Returned Food and Rcservice of Food* 3 590.003(D) Exclusions and Restrictions* Disposition of Adulterated or Contaminated 590.003(E) Removal of Exclusions and Restrictions Food 3-701,11 Discarding or Reconditioning Unsafe FOOD FROM APPROVED SOURCE Food* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 590.004(A-B) Com 7liance with Food Law* 4-501.111 Manual Warewaehin,-Hot Water 3-201.1.2 Foci in a Hermetically Sealed Container* Sanitization Temperatures- 3-20 1.13 em eratares*3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-flotWater 3-202.13 Shell Eggs* Sanitization Tem eratares* 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-temp., pH, 3-202.16 Ice Made From Potable DrinkinWater" concentration and hardness. 'k 5-101.1.1 Drinking Water from an Approved System' 4-601.11{A) Equipment Foal Contact Surfaces and 590.006(A) Bottled DrinkingWater" Utensils Clean* 4 F0211 590.006(B) Water Meets Standards in 310 CMR 22.0* Cleaning Frequency of Equipment Food- Contact Surfaces and Utensils" Shellfish and Fish Froman Approved Source 4-702.11 Frequency of Sanitization of Utensils and 3-201.14 Fish and Recreationally Caught Molluscan Food Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-201-15 Molluscan Shellfish from NSSP Listed Chemical* Sources* 10 Proper,Adequate Handwashing Game and Wild Mushrooms Approved by Regulatory Authority 2-301.11. Clean Condition-Hands and Anus" 3-202.18 Sbellstock Identification Present* 2-301.12 Cleaning Procedure* 590.004(C) Wild Mushrooms* 2-301.14 When to Wash* 3-201.17 Game Animals* 1.1 Good Hygienic Practices Receiving/Condition 2401.11 Eating,Drinking or Usitut Tobacco* 3-202.11 - PHFs.Received at Proper Temperatures* 2-401.12 Discharges From the Eyes, Nose and 3-202.1.5 Package Integrity* Mouth* 3-101.11. Food Safe and Unadulterated* 3-301..12 Preventing Contamination When Tasting* 6 Tags/Records:Shelistock 12 Prevention of Contamination from Hands 3-202.18 Shellsto k Identification* 590.004(E) Preventing Contamination from 3-203.12 Shellstock Identification Maintained* Employees* Tags/Records: Fish Products 13 Handwash Facilities 3402.11 Parasite Destruction* Conveniently located and Accessible 5-203.11 Numbers and Capacities* 3-402.12 Records,Creation and Retention* 5-204,11 Location and Placement* 590.004(1) Labeling of Ingredients` ? Conformance with Approved Procedures 5-205.11 Accessibility,Operation and Maintenance /HACCP Plans Supplied with Soap and Hand Drying 3-502.11 Specialized Processing Methods* Devices 3-502.12 Reduced oxygen packaging,criteria* 6-301.11 Handwashing Cleanser, Availability 8-1(Y3.12 Conformance with Approved Procedures* 6-301.12 Hand Drying Provision ''Denotes critiad item in the federal 1999 Fiord Code or 105 C-MR 590.000. - i CITY OF'SALEM BOARD OF HEALTH Establishment Name: / n —nn'lr� -c Rn I vI MDate: Page: of Rem Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION -Date No. Reference R-Red Item - _ Verified PLEASE PRINT CLEARLY U,o O)o.P» I�, i .A SA 1 — I,�- -AnnIntl `I"n ro�v� ,� n �Ad'l / An �.� l S �yyA tt /t - - —t I� PA 1'N LVYiPP11n� OA o _Ae ,Vrf r )ISI 1A) Ul � �� I �P_ /`AO.awl/1 _ , /n\ n ( ) f11, I fl<, X q ' �\7 3V" / T. 4-4 n 11 ,1 . A-y"_ �_�' /�V" O' \X�/� A r - Y r 74 1,"7%/': V\ nn n,7 .0-/)) n,r i;h^,1-,l',t n.�v /. U_ Discussion With Person in Charge: J Corrective Action Required ❑ No sf o Yes I have read this report, have had the opportunity to ask questions and agree to correct all o' Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion P ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars o4 suspension/revocation of ❑ Embargo ❑ Emergency Closure -your food permit. /war/ ❑ Voluntary Disposal ❑ Other: Violations Related to Foodborne Illness tromardions and Risk Accordiag to Lav Cwhid to Factors(Iteris 1-22) (Cont} I I'F/45"'F Within.1 Houvs' M liw' IvMffio&-for-PHFSL PROTECTION FROM CHEMICALS I Fund or Color Additives CPH'F Hot and Cold Holding 14 ------ 3-501,16(B) Cold PHFs Nlainwinc(l at%below 1-202 u I Aljdiillll� 590,0(th'i'Y" 20745�1450 P" Ill tacc 3-V, 2,14 3-501 10(A) lha PFIF Maintained at or above LL-5- Poisonous or Toxic Substances 1401'. �,O,, 41dentifyinnir�"Inicloilition--OriPilln Contah l-501 i6 (A) (toasts Held at or above 13VF ' Tone as a Public Health Control Tieti,as a Public Fie 725)1-1 17m, 7-102,11 1 coqueon'Naaw-- Work;ll"Cowainer'� LLO :FT--, i a U LQ I I i-�aec ,qu ontlf-i) i Varian 7-202.12 Conditions of i lsc° REGUIREMENTS,FOR HIGHLY SUSCEPTIBLE 1-203,11 ToxtoCuttaunet, - POPULA IONS{HS 7-204.11 S an i ti zc c,,,trona,--FI-C 1 11 C.,d S 3-80!,11(A) I-Pi— - -- - --:IEh ni�jcal,�f�OA I kli�'clitori- 2t Uip�lcurizcd Pre-packaged 7-20,IkE 1� Tul�;s.11,Fq D wraeel�lvlth armulal 104,14 U I 7 z05.i I LrYdwtlral RXl Contact Ixtrilicants, 3 , (TH(D) Raw or Pailialiy OxA-d Ational Fmjaiid - 206-11 RoNtrictcd Uw flc�ticide�'Criteria' 111� I I" Raw Stiod 7-206.12 R(xlew B lit Stllion,' 3-80 1A IFC)C) 'n --' ' "'- I — —if IT r al=ii'�,�i g P, vdt�r��Ft�i I ontol and 1 so, 11 ir 206.11 iii SL)'-Re—Se�m Nforlitodn" CONSUMER ADVISORY 223-003 11 po�ted for Con"umption of TIMEREMPERATURE CONTROLS For— Aroinal foods'lliln rc Raw, Undercooked el Proper Cooking Temperatures Not Otherwise Prol:esscd to Eliminate PHFr i,*,. Pathoeens. -It tj I I I�A 1 (2) Fgg-'- 155'F 15 Seo. — liare 115'F15scc 1 3-302.13 P&qetiwd Fgi:;Subsfitwfor Puiw Shell C(yinj41ijlrit(:id Fish,Meais&('3311w --------- Aininiis 155'F* 14sec- 1 SPECIAL REQUIREMENTS 3 401A](8)(1 d21 Polk and Beet focist -J-)0'17121 niiO 33-401.11(A)(" R,t tes,Im"o lid Wats - I i ola jln-C7 Setion 51k6(Xy9(A)-(D) in catering. inobilc tbod, temp orrif V and , 401 11(Ayi) 7 Lydd Game, STiitffiedlifiP' i remilma"al kitchen opciations should be 41-10ow Corywilm, Fisil, Meat, deboed ander the appropriate im"Jon's ti,r;'Ihr�:'la kiaiiee-165"FA 5 s(c, above if relaied io foodl-lorric illness 7 1 - 3-401.11 iC)( "Vi"le '1esjr-Intact ReJ Steaks intervent and risk blctory. Other b45 F, 1 590.009 violations relating to"okyj retail 3-401.1 Raw Animal Food,Cookcd ma practices should he debited under#29 - Miclowaxe Iri�'F* Special Requirements. rr I7 --x401,11U�(I)ib) All Otter Plll14517 15 iei�- -Reloating-for iist Holding VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3403.11(A)&-()) PHI-, 165tiF 15 (Items 23-30) 3-403.11(B) Nlicrowto-,,- 105Pill Minn e Swltdin,, Cfiwexf and non-criwitin' vwaailln,s, which do to the, i----Time' foralburne,illntw inwi Flinnortiv and rnikih74 rors Vywd foilwe. (l4n be 3-103�11 tc) Comolltmaily Pioi�css�d RTEFloil- foind nt 020"nihm'llig, .ecfiot"of rhe Food Cade,and 105 140 F, rnolls of licef I r.Rest Good Retail Practices FC 3-4f}3.1—11 E} RGmavioip Unsin:e Po Per linnet_Roaia'* ---- —-- �3, 1 Management and-------- --------- Proper Cooling of PHFs 24----T�;;4 and Food Protection 004 -2-5-7 —T Eg-ui TF1111 1—14111) -CoZI i-n i,—C(yokt�dPHFs f com I—4)'F I ........... 26, i/Vater,_Pitinri and WaMe F�C-o 006 -r-l;hysicle Facility T10F Within 2 tion wid From 70'li 7 r 41 -T-�( 7 -00-8- 26, onous or Toxic Materizii r l rFPois :' I.2 --- ,g PHF!,Made Fion,Ambient T�inperawrc InVedicints ro 41"'F/45 ��F -1 Other lVithin 4 Hoiirs D•11('tcs crificnl e!Om ill the r'kil"I al 1909 FaXI(,xje or 10 CW1 19f 1 000. 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency ;Telephone: 1825-9111 $Owner. i Maria Harris , ;PIC: Laura Olmedo Inspector. Elizabeth Salandrea Date Inspected:Correct By: 16/10/2008 )Risk Level: 4 'Permit Number: a BHP-2008-0077 g Status: I SIGNED OFF ;#of Critical Violations`. 10 ETime IN:- .. Time OUT: Urgency Description(s): I BLUE: All violations noted in the 6/3/08 inspection report have been corrected. Violations Related to Good Retail Practices (Critical violations must be corrected immediately or within 10 I days)(Non-critical violations must be corrected immediately or within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2008 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 12,2008 ) Page I oft , s Item Status Violation Critical Urgency Violations Related to Foodborne Illness Interventions and Risk Factors (Require immediate corrective action) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2008 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 12,2008 ) Page 2 of i Commonwealth of Massachusetts City of Salem Board of Health iQmberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/11/2010 ESTABLISHMENT NAME: Maria's Sweet Somethings File Number:BHF-2003-000025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2010-0242 Jan 4,2010 Dec 31,2010 $25.00 RETAIL FOOD BHP-2010-0243 Jan 4,2010 Dec 31,2010 $70.00 Total Fees: $95.00 PERMIT EXPIRES December 31, 2010 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 CITY OF SALEM, MASSACHUSETTS • I * - BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978) 741-1800 I{IMBF_RLEY DRIS-OLL FAX(978) 745-0343 NIAYOR DGREF.NBAUM9SALEM.COLI DAVID GREENBALim, ACTING HEALTH AGENT 2010 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT MRR/�S SG(J/u�E��JbIOCTIf/�-S TEL# !Z L dQ' 5"1111 ADDRESS OF ESTABLISHMENT (p��QQ 6l✓eFAX# 97�zFds QUO MAILING ADDRESS(if different) EMAIL- Business': m�G��'.II(=C(QI C'�� Website: ff)5�f I SOee�c m / .S cd/r) OWNER'S NAME l/ c j ' / � ia AJA I& TEL I7Z6-o�7� ad / ( ) ADDRESS Y/l.le ( )]Y . f .-1011erS /170 0/b-J STRE7r n CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) // CERTIFICATE#(S) (Required in an establishment where potentially rdouss food is p eepre�d) /� /n EMERGENCY RESPONSE PERSON HOMETEL# `I?4�����v�� �Y §DAYS©F OPRWQN ' �;,��ton Ra :i4 TuesdRI�t nWgtlnesda y Thursda " w Fnda,, Y Yau` w Satgrday ,SuntlaYs�� HOURS OF OPERATION 1 1 /, Please write in time of day. i QQ /v C,—,01IQ a 07 16 a/-I/yA y /� Z, /v �m 'T /0 �i •/A — (For example 11am-11 m i/ , d —n - IU � 160 D A �� /U � [ V •y7t TYPE OF ESTABLISHMENT FEE (check only) RETAIL STORE ES NO Tess than 1000sq.ft. 1000-10,000sq.ft. =$280 more than I0,000sq.ft. =$420 RESTU-RAN-l f-------------------------YES------NO---------------------------------------------le-s-s--t-h--a-n---2-5...s-e-a-ts--------------=--$1-40----- (Outdoor Stationary Food Cart$210) 25-99 seats =$280 more than 99 seats =$420 --------------------Y-------ES----------------------------------------------------------------------------------------------$---10-------- BED/BREAKFAST/ NO 0 CHILDCARE SERVICES/NURSING HOME ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE (SO NO TOBACCO VENDOR YES NO $135 ALL NON-PROFIT(such as church kitchens) YES NO $25 *Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a'prominent location in the Establishment. 11 In accordance with the State Sanitary Code, before any renovations, improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C,Secti n 49A,I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state tax returns d aid all state taxes r uir under the law. / 6 -3��� Signaiture Date Social Security or Federal Identification Number Revised 424/07 FOODAP2008.adm Check#&Date�, !'der7 )ANO $`35 rd 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: x rima E PROTECTION FROM CONTAMINATION 825 91 1,Pe •, . Food��Contact Surfaces Cleaning and Sanitizing FAIL Critical - Q RED OWDPr 11icnt�omment:Sanitizer in sink slightly weak at 150ppm. Provide sanitizer of proper concentration(200ppm)at all times. Mana Harrlsl —Sanitizer bottles/buckets were not available at cand�co—unters'or ice cr am counter.Provide sanitizer of proper concentration in all PIC �' d work areas at all times. Lindsay Fav t ° Inspector:. a -4� V No sanitizer log was available.Maintain daily log of sanitizer concentration. '^ 1 Handwash Facilities FAIL Critical RED Elizabeth Salandr, Date Inspected.lCOfrBCt By b` VyOmment: Handwash sink at ice cream counter had empty paper towel dispenser;paper towels were available.Paper towel y dispenser must be stocked at all times. Risk Levelf� n .Soap dispenser at same sink did not work.Soap must be available in dispensers at handwash sinks at all times. #: °' &Aandwash sink at candy counter missing paper towels.Provide paper towels for all handsinks at all times. Permit Number i - WAmpioyee bathroom had no paper towels or dispenser.Provide paper towels in wall-hung dispenser at all handsinks at all times. u tT �IS ia BHP 2009 0103x ,. ' nC4 413Qn.5Pr VIOLATIQNa , of Cnhcal Violations �� 3 a� ' 'P Time INS Time,OUT ,.a Urgency Descnption(s) BLUE-- V1OIations'...elated tO-Good ri Retail Practices (Ctical a. 61ations:.456st b6-b ffiecte immediately or withn`,10 days)(Noncntical�violations �`� must be corrected irnrn44ately or witFiin 9l), S) k'.'.* City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 08,2009 ) Page 1 oft �I Item Status Violation Critical Urgency RED: . Violations Related to Good Retail Practices (Blue Items) Violations:Related to Food and Food Protection FAIL Critical BLUE Foodborne Illness IfltefVentlOilS ommains There are food items including syrup,chocolate,sodas and toppings stored directly on the floor downstairs.All food ,and.Risk Factors'(Requlre must be stored at least 6-8"off the floor. limmediate corrective actlon)xr �� The downstairs storage area does not have finished floors/walls/ceilings.All areas where food is stored must have smooth, impervious,easily-cleanable floors,walls&ceilings. Equipment and Utensils FAIL Non-Critical BLUE —Comment: Fruit freezer needs general cleaning/defrosting. -�Haler mini fridge missing thermometer.Provide visible,accurate internal thermometer for this unit. Microwave needs general cleaning. Both ice cream freezers need general cleaning around edges of containers. Dessert fridge missing thermometer.Provide visible,accurate internal thermometer for this unit. L�4oppings fridge needs general cleaning in the bottom. Physical Facility FAIL Non-Critical BLUE —Comment: Doors to establishment(front and back)were both open at time of inspection.Doors to establishment must stay closed to prevent entrance of pests.Future violations of a similar nature will result in monetary citations. Reinspection in one week, all violations to be corrected. s Please have last 3 months' extermination receipts available at reinspection.P City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741.1800 GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 08,2009 ) Page 2 oft 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 825-9111 Food Contact Surfaces Cleaning and Sanitizing FAIL Critical RED Owner:" Comment:Sanitizer not available at candy counters. Provide sanitizer of proper concentration in all work areas at all times. Maria Harris Handwash Facilities FAIL Critical ❑d RED PIC: Comment:Soap dispenser at handwash sink at ice cream counter did not work.Soap must be available in dispensers at handwash Lindsay Fair sinks at all times. Inspector: Violations Related to Good Retail Practices (Blue Items) Elizabeth Salandrea Food and Food Protection FAIL Critical BLUE Date Inspected:Correct By: Comment:There are food items including syrup,chocolate,sodas and toppings stored directly on the floor downstairs.All food 6/8/2009 must be stored at least 6-8"off the floor. Risk Level: : - The downstairs storage area does not have finished floors/walls/ceilings.All areas where food is stored must have smooth, 4 impervious,easily-cleanable floors,walls&ceilings. Permit Number: Basement locked at time of re-inspection.Food items in basement that are not in fridges or freezers may be stored in closed BHP-2009-0103 cabinets.These items must be corrected by next routine inspection. Status: ...r - -- Equipment and Utensils FAIL Non-Critical BLUE .PARTIAL COMPLY Comment: Fruit freezer needs general cleaning/defrosting. #of Critical Violations -. Haler mini fridge missing thermometer. Provide visible,accurate internal thermometer for this unit. 3 Physical Facility FAIL Non-Critical BLUE Time'IN: Time OUT: - Comment: Doors to establishment(front and back)were both open at time of re-inspection.Doors to establishment must stay closed to prevent entrance of pests. Future repeat violations will result in monetary citations. Urgency Description(s): 'BLUE: All other violations noted in the 6/1/09 inspection report have been corrected. Violations Related to Good 'Retail Practices (Critical Please fax last 3 months' extermination receipts to the Board of Health within one week. `violations must be corrected:. immediately or within 10 jdays)(Non-critical violations must be corrected immediately o r within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741.1800 GeOTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 15,2009 ) Page 1 oft r Item Status Violation Critical Urgency RED: Violations Related to Foodborne Illness Interventions ,and Risk Factors (Require iimmediate corrective action) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 15,2009 ) Page 2 oj2 MORRELL ASSOCIATES Current Date: 7/22/2008 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 7/8/2008 (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/08 L Maria's Sweet Something L OC 26 Front Street I E T Salem, MA 01970 N I T 0 N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream 11,000 41 RECEIVED 'AUG - 4 2000 CITY OF SALEiV1 BOARD OF HEALTH MASSACHUSETTS.STANDARDS Machine: SPC s 50,000/g;Coliforms 50/g Other: SPC s 50,000/g;Coliform s 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST ( Products 17th Edition,American Public Health Association, 2004 Board of Health MORRELL ASSOCIATES Current Date: 6/19/2008 Ar W P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 6/11/2008 wa $S* <: (781)837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/08 L Maria's Sweet Something L OC 26 Front Street I E T Salem, MA 01970 N I T O N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream 44,000 EPAC < 1 EPCC RECEIVED 'JUL 2-2008 CITY OF SALEM BOARD OF HEALTFl MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliform s 50/g Other: SPC s 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health MORRELL ASSOCIATES current Date: 10/22/2008 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 10/7/2008 (781) 837-1395 www.morrell-associates.com Customer* SRR-10 xoaa[a +saecra r[a" C PP10/08 L Maria's Sweet Something L OC 26 Front Street E T Salem, MA 01970 N I T N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream 36,000 EPAC < 1 EPCC In accordance with the state health code 105 CMR 561.009, we are notifying you that this location is closing for the season. This will be our last report. MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliform s 50/g Other: SPC:r 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Gf Products 17th Edition, American Public Health Association, 2004 Board of Health MORRELL ASSOCIATES Current Date: 8/22/2008 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 8/14/2008 (781) 837-1395 www.morrell-associates.com Customer* SRR-10 v o..c . .seocu its C PP10/08 L Maria's Sweet Something L 0 26 Front Street I E T Salem, MA 01970 N I T O N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream 28,000 EPAC 39 VjEcENED SEP`4 ' 2006 Ot s, OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliforms 50/g Other: SPC:5 50,000/g;Coliform s 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Boa;d of Heaith ® MORRELL ASSOCIATES Current Date: 9/22/2008 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 9/10/2008 (781)837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/08 L Maria's Sweet Something L 0 26 Front Street E A Salem, MA 01970 N I T 0 N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream 36,000 EPAC 40 FRECE1VE® OCT -3 2008 7 MASSACHUSETTS STANDARDS Machine: SPC!-.50,000/g; Coliforms 50/g Other: SPC s 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health Commonwealth of Massachusetts • e City of Salem Board of Health IGmbedey Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 12/30/2008 ESTABLISHMENT NAME: Maria's Sweet Somethings File Number:BHF-2003-000025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2009-0327 Dec 30,2008 . Dec 31,2009 $25.00 RETAIL FOOD BHP-2009-0103 Dec 23,2008 Dec 31,2009 $70.00 Total Fees: $95.00 PERMIT EXPIRES IDecember3l, 2009 e Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 CITY OF SALEM, MASSACHUSETTS ' -� • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR IDIONNEQSALEM.COM J J JANET DIONNE, DEC -2 2008 ACTING HEALTH AGENT CI i Y OF SALEM BOARD OF HEALTH 2009 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT 9%6141?_ y rS S([1%.Cr jd117GTf�//V STEL# �7G✓ -p�aJ ADDRESS OF ESTABLISHMENTc2I GIII/lt S�CBb1%OAX#� 7 -OaS-WOO MAILING ADDRESS(if different) EMAIL- Business': Mae­1453'&Ieg�Wn6f _aT e- �b site: OWNER'SNAME M4kfA 14M7-(5 ' SI-� YKEL�#yI� �7y` 777 ADDRESS c h LSr /lret5 0764 � 0%75?j STR ET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is pre d) n / EMERGENCY RESPONSE PERSON o I� /7l1 HOME TEL# %70C - 777 77 4' DAYS OF OPERATION 1 Monday Tuesday Wednesday, Thursdg Fdday SaturdayI SunGa HOURS OF OPERATION ' Please write in time of day. ! j (For example 11 am-11 Pm TYPE OF ESTABLISHMENT FEE (check only) RETAIL STORE YES NO less than 1000sq.ft. =$70.� 1000-10,000sq.ft. =$280 more than 10,000sq.ft. =$420 ---- - - ---------------------------------------------------------------------------------------------- ------------------------------------- RESTAURANT YES NO less than 25 seats =$140 (Outdoor Stationary Food Cart$210) 25-99 seats =$280 more than 99 seats =$420 ­--­----------------------------------------- -----------------------------------------------------------------------------------------00..... BED/BREAKFAST/ YES NO $100 CHILDCARE SERVICES ADDITIONAL PERMITS � MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE C Y NO $25 L/' TOBACCO VENDOR YES NO $135 ALL NON-PROFIT(such as church kitchens) YES NO $25 'Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 92C,Section 49A,I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state tax returns and.paid all at to es required under the la Signature Date Social Security or Federal Identification Number 94;----------------------------'-- ------- -- - -- ------------------------ -- � --------------- Revised 424/07 FOODAP1008.adm Check#&Date a II ��t '" -+=J- COURT DOCKET NO. CITATION NO. SCITY O SALEM PD6436 n 36 VIOLATION NOTICE �}t,# NAME(LAST,FIR T INITIAL). (Y�2(JQS " �tt I Q. 5cth.3fH;-'Fp STREETADDBESS CITY/TOWN STATE ZIP dG -ionf Faun, MA oim© LICENSE NO. LIC.EXP.DATE GATE OF BIRTH O NER'S NyAME((LAST,) /FIIIRgSTT,,INITIAL) c, r i (J/ I V lioL ST.BEETADDRESS CITY/TOWN STATE ZIP o� ILL) sq�Pet1 JVI �I�?9 REGISTRATION NO. STATE EXP.DATE MAKIDTYPE YEAR COLOR DATE 'F 7 � /O�ION TIME� �❑PM DATE CITATION61WRITTEN PERS NO SJ/ 4lWRI iwua El VES LOCATION OF VIOLATION ENFORCING DEPT. HAR ES AF�oti4 04,1 (-4rl: `J'=5 10 G� pa FNw e5-t 1 1 iutTtrra , in open B JOSS Ot?. C OFFICER jI.D.NO. TOTAL c - sCf 1 Fite DUE $ as OFFICER CERTIFIES COPY GIVEN TO VIOLATOR ElIN HAND X ❑ BY MAIL DO°NOT MAIL CASH-PAY ONLY BY POSTAL NOTE,MONEY ORDER OR BY CHECK MADE PAYABLE TO: CITY CLERK CITY HALL 93 WASHINGTON STREET SALEM,MA 01970 TEL.(508)745-9595 X 251 1 HEREBY ELECT TO EXERCISE THE FIRST OPTION AS STATED ON REVERSE, CONFESS TO THE OFFENSE CHARGED,AND ENCLOSE PAYMENT IN THE AMOUNT OF $ CASE# SIGNATURE ' SEE OTHER SIDE FOR FURTHER INFORMATION ENCLOSE PAYMENT INTHIS ENVELOPE,PEEL AND SEAL ' 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 1825-9111 - Handwas acilides FAIL Critical N❑ RED Owner: Comment: Handsinks next to ice machine and at candy counter missing paper towels. Provide paper towels in dispensers at all Maria Harris handsinks at all times. 'Plc: - - Violations Related to Good Retail Practices (Blue Items) Maria Harris Food and Fgyd Protection FAIL Critical BLUE 'Inspector: omment: Personal items being stored in toppings fridge.Employee items to be stored separately to prevent cross contamination. }Elizabeth Salandrea I scoop laying in the ice in ice machine.Store ice scoop in ice with handle extending out,or in a clean,sanitized container Date Inspected:Correct By: designated for ice scoop only. 16/3/2008 Equipment Utensils FAIL Non-Critical BLUE Risk Level: om nt: Small haier fridge missing thermometer. Provide visible,accurate internal thermometer for this unit. anitizer log not being maintained. New sanitizer log sheet given to owner; maintain log daily. '.Permit Number: BHP-2008-0077 0. 9 Status: e�0 PARTIAL COMPLY okm '#of Critical Violations: 2 Time IN: - Time OUT: Urgency Description(s): BLUE: Reinspection in one week, all violations to be corrected. Violations Related to Good Retail Practices (Critical 1 violations must be corrected immediately or within 10 days)(Non-critical violations I must be corrected immediately " or within 90 days) e City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2008 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 05,2008 ) Page 1 of Item Status Violation Critical Urgency RED:. Violations Related to Foodborne Illness Interventions F and Risk Factors (Require immediate corrective action) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2008 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 05,2008 ) Page 2 oft s 1,t-, #si 6 •+� �Td4.R � �y` a -',f� � f:T r bY�r ' r ��x<� - .. _ k Commonwealth of Massachusetts " � , . -City of Salem � * .. Board of Health -_- ICIf11bC(�t?y i20 Washington Street,4th Floor - MAIDriSooll N SALEM,MA 01970 FoodBetail Establishment Permit . DATE PRINTED: 01/03/2008 -- ESTABLISHMENT NAME: Maria's Sweet Somethings File Number:BHF-2003-000025 26 Front:Street.- - Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2008-0053 Jan 3,2008_ :Dec 31,2008 $25.00 RETAIL FOOD BHP-2008-0077 Jan 3,2008 Dec 31,2008 $70.00 Total Fees: $95.00 PERMIT EXPIRES IDecember 31-,2008 Board of Health This Permit is not transferable and must be reissued upon change of ownership,or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes_are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 7 of.46 -.- CITY OF SALEM, MASSACHUSEM BOARD OF HEALTH Secy -, 120 WASHINGTON STREET,4*cFLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR - ISCOTTO)SALEM.COM JOANNE SCOTT, HEALTH AGENT 2008 APPLICATION 'FOR PERMIT ,ITDO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT�1qRiA'5 &)eet llc.�"�0/Y)C�7v/16?s S TEL# g7p0 �0 a6.41ll ADDRESS OF ESTABLISHMENT oZ\�o FiOn>! y'rP� FAX# MAILING ADDRESS(if different) (cS(UYP 1 pp EMAIL-Business': / Website:�YlQilILSsUX1501Y✓Q7W/I�S. Y'_9(M I It OWNER'S NAME MtJ?4)J a I_6L6/g L� ,tYl7 ka H2YfWl TEL# 971- 777-fl ct ADDRESS 7r YALL ilIYP-CI '� Dmde4S 11114 O/V 3 STREET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) EMERGENCY RESPONSE PERSON -✓ / 3 HOME TEL#Q��-ya3-63 VS Ce DAYS OF OPERATION 1 Monday Tuesday' Wednesday Thursday Friday Saturday Sunda HOURS OF OPERATION Please write in firne of day, For example 11am-11 in ! V 1 TYPE OF ESTABLISHMENT FEE (check only) RETAIL STORE YES NO less than 1000sq.ft. _$70 1000-10,000sq.ft. 80 more than 10,000sq.ft. =$420 ----------------------------- -....- ------- ......--- �--t--a n- 2.5.-..-- ------------ _$_-1"4' RESTAURANT YES NO less than 25 seats =$140 (Outdoor Stationary Food Cart$210) 25-99 seats =$280 more than 99 seats =$420 ... - BED/BREAKFAST/ YES NO $100 CHILDCARE SERVICES............. .-----------------_--------. ---------- ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE r� NO $25 TOBACCO VENDOR YES NO 35 ALL NON-PROFIT(such as church kitchens) YES NO $25 'Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C,Section 49A,I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state tax returns and p id all state taxes required under the law. _ Signatuc - Date -Social Security or Federal Identification Number --- 1 - - - ----------- - -- - Ia131D7 Revised /24/07 FOODAP2008.ad303$'m Checkq&Date MORRELL ASSOCIATES Current Date: 10/16/2007 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 10/9/2007 (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 MO FFILL ♦SSOC/S SES C PP10/07 L Maria's Sweet Something L OC 26 Front Street I A ET Salem, MA 01970 N T O N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream 10,000 < 1 EPCC In accordance with the state health code 105 CMR �� ���//� 561.009, we are notifying you that this location is closing for the season. f1r� This will be our last report. NOV U 2 2007 CIW OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliform s 50/g Other: SPC s 50,000/g;Coliform s 20/g �i METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST v Products 17th Edition, American Public Health Association, 2004 0 Board of Health MORRELL ASSOCIATES Current Date: 9119/2007 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 9/11/2007 (781)837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/07 L Maria's Sweet Something L OC 26 Front Street A E T Salem, MA 01970 N I T 0 N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream 410 < 1 EPCC RECEIVE® 'OCT -2 2007 CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliforms 50/g Other: SPC s 50,000/g;Coliform s 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health ® MORRELL ASSOCIATES Current Date: 8/22/2007 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 8/13/2007 (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 uo+aeei +sa ecu eaa C PP10/07 L Maria's Sweet Something L 0 26 Front Street 1 E T Salem, MA 01970 N I T 0 N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream <250 EPAC 1 RECEIVE® I SEP 0 4 2001 CITY OF SALEM BOAR[) OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliform s 50/g Other: SPC s 50,000/g;Coliform s METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health MORRELL ASSOCIATES Current Date: 7/23/2007 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 7/10/2007 (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/07 L Maria's Sweet Something L OC 26 Front Street I E T Salem, MA 01970 N I T O N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream 1,100 < 1 EPCC RECEIVE® AUG -- 2 2007 CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g; Coliform s 50/g Other: SPC:s 50,000/g;Coliform s 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition,American Public Health Association, 2004 Board of Health MORRELL ASSOCIATES Current Date: 6/19/2007 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 6/11/2007 2 :goL, E, (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/07 L Maria's Sweet Something L C 26 Front Street I E T Salem, MA 01970 N I T O N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream 270 < 1 EPCC RECEIVED AIL 0 32001 CI OF SALEM BOAl ID OF HEALTH a MASSACHUSETTS STANDARDS Machine: SPC!g 50,000/g;Coliforms 50/g Other: SPC s 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health 1 1 Massachusetts Department of Public Hea1Ith Salem Board of Health Division of Food and Drugs 120 Washington Street,4 Floor 9 Salem, MA 01970-3523 FOOD ESTABLISHMENT INSPECTION REPORT Tel. (978) 741-1800 Fax (978) 745-0343 Name Dat' Type of Operations) Type of Inspection i � Food Service ❑ Routine Address 1�_ ^ � ' Risk ❑ Retail [E) Re-inspection Otv Level ❑ Residential Kitchen Previous Telephone El Mobile Date: /(MT Owner HACCP YM El Temporary ElPre-operation U /1j e , ❑ Caterer ❑ Suspect Illness Person in Charge(PIC) I! ✓ Time ElBed&Breakfast ElGeneral Complaint Inspector In: :o lT Out: Permit No. ElOther Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s)violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors Anti-Choking Tobacco Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F) ❑ action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT "` ❑ 12. Prevention of Contamination from Hands ❑ 1 PIC Assigned/Knowledgeable/Duties ❑ 13. Handwash Facilities k EMPLOYEE HEALTH . �i at iir „ ..,e.,.v L a-- k �u�,i :PROTECTION FROM CHEMICALSe ro61 El 2. Reporting of Diseases by Food Employee and PIC ❑ 14.Approved Food or Color Additives ❑ 3. Personnel with Infections Restricted/Excluded ❑ 15.Toxic Chemicals „FOOD FROM APPROVED El 4. Food and Water from Approved Source71MEfTEMPERATURE CONTROLS(RotenuaHy Hazardous foods) -' ❑ 5. Receiving/Condition ❑ 16. Cooking Temperatures ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 17. Reheating El7. Conformance with Approved Procedures/HACCP Plans El 18. Cooling s y �r ❑ 19. Hot and Cold Holdin PROTECTION FROM CONTAMINATION T-, �, 9 ❑ '8. Separation/Segregation/Protection ❑20.Time As a Public Health Control ' ❑ 9. Food Contact Surfaces Cleaning and Sanitizing G:,REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSPj.- ❑21. Food and Food Preparation for HSP ❑ 10. Proper Adequate Handwashing ❑ 11. Good Hygienic Practices CONSUMER ADviSORY �N� a t �2 k_ . .a � ., ❑ 22. Posting of Consumer Advisories Violations Related to Good Retail Practices Number of Violated Provisions Related Critical (C)violations marked must be corrected To Foodborne Illnesses Interventions immediately or-within 10 days as determined by the Board and Risk Factors(Items 1-22): of Health. Non-critical (N)violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board today, the items checked indicate violations of 105 CMR of Health. 590.000/federal Food Code. This report, when signed below �C< N` 23. Management and Personnel (FC-2)(590.003) by a Board of Health member or its agent constitutes an 24. Food and Food Protection (FC-3)(550.000) order of the Board of Health. Failure to correct violations 25. Equipment and Utensils (FC-0)(590.005) cited in this report may result in suspension or revocation of the food establishment permit and cessation of food 26. Water, Plumbing and'Waste (FC-5)(590.006) establishment operations. If aggrieved by this order, you 27.Physical Facility (FC-6)(69o.ow) have a right to a hearing. Your request must be in writing 28. Poisonous or Toxic Materials (FCa)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. 30. Other DATE OF RE-INSPECTION: S:580lns fFmm614.x Inspector's Signator t �'\ \\I ( Print- (, PIC's Signature: . 'V - Print: �/ '/ Pager of 11 Pages M r_ { Violations Related to Foodborne Illness Interventions and Risk Factors(items 1-22) PROTECTION FROM CONTAMINATION FOOD PROTECTION MANAGEMENT 8 Cross-contamination 11 59UO3(A) Assignment of Responsibility* 3-302.1 I(A)(1) Raw Animal Falls Separated from 590.003(6) Demonstration of Knowledge* - Cooked and RTE Foods* 2-103.11 [ Person in charge-duties Contamination from Paw ingredients 3-302.11(A)(2) Raw Annual Foods Separated from Each EMPLOYEE HEALTH Other* 2 590.003(C) Responsibility of the person in charge to Contamination from the Environment require reporting.by food employees and 3-302.11(A) Food Protection* applicants* 3-302.1.5 ..Washing Fruits and Vegetables 590.003(F) Responsibility Of A Food Employee Or An 3-304.11 Food Contact with Equipment and Applicant To Report To The Person In Utensils* Charge* Contamination from the Consumer 590.003(0) Reporting by Person in Charge* 3-306.14(A)(B) Returned Food and Reservice of Food* .31 590.003(D) Exclusions and Restrictions* Disposition of Adulterated or Contaminated 590.003(E) Removal of Exclusions and Restrictions Food 3-701.11 Discarding or Reconditioning Unsafe FOOD FROM APPROVED SOURCE Food* 4 Food and Water From Regulated Sources 9 Food Contact surfaces 590.004(A-B) _Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 3-20112 Food in a Hermetically Sealed Container* Sanitization Tent eratures* 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashino Hot Water 3-202.13 Shell Eggs* Sanitization Temperatures* 3-202.14 Eggs and Milk Products.Pasteurized* 4-50 Li 14 Chemical Sanitization-temp.,pH, 3-202.16 Ice Made From Potable Drinking Water* concentration and hardness.* 5-101.1.1 Drinking Water from an Approved System" 4-601.11(0) Equipment Food Contact Surfaces and 590.006(A) Bottled Drinking Water", Utensils Clean* - 590.006(B) Water Meets Standards in 3 t0 CMR 22.0* 4-602.11 Cleaning Frequency of Equipment Food- ShetfNsh and Fish From an Approved Source Contact Surfaces and Utensils* 4-702.11 Frequency of Sanitization of Utensils and 3-20114 Fish and Recreationally Caught Molluscan Food Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* Sources' 10 Proper,Adequate Handwashing Game and Wild Mushrooms Approved by Regulatory Authority 2-301.11 Clean Condition-Hands and Arms* 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 590,004(C) Wild Mushrooms* 2301.14 When to Wash* 3-201.1.7 Game Animals* I-i Good Hygienic Practices g Receiving/Condition 2401.11 Ealing,Drinking or Using Tobacco* 3.202.11, PHFs Received at Proper Temperatures* 2-401.12 Discharges.From the Eyes,Nose and 3-202.15 Package Inte it y* Mouth* 3-101.11 Fax]Safe and Unadulterated* 3-30112 Preventing Contamination When Tasting* 6 Tags/Records:sheilstock 12 Prevention of Contamination from Hands 3-202.18 Shellstock Identification * 590.004(E) Preventing Contamination from 3-203.12 Shellstock Identification Maintained* Em to yces* Tags/Records:Fish Products 13 Handwash Facilities 3-402.11 Parasite Destruction* Conveniently located and Accessible . 3-002.12 Records,Creation and Retention* 5-203.11 Numbers andCapacities* Location and Placement* 590.004(7) Labeling of Ingredients' 7 Conformance with Approved Procedures 5-205.11 Accessibility, Operation and Maintenance /HACCP Plans Supplied with Soap and Hand Drying 3-502.11 Specialized processing Methods* Devices 3-502.12 Reduced ax enacka 'ng,cei[eria * 6-301.11 Handwashin Cleanser,Availability 8-103.12 Conformance with Approved Procedures* 6-301.1.2 Hand D n. Provision "Denotes critical item in the federal 1999 ro,xi Code or 105 CMR 590.000. +-..;�r ✓F•�;;� ,�.,<+SSt+^Y�A�iM"`q(rK'�m rrf�a+,n.' ..�%.i�:�.re;� PiFr.,:1A*&:;•.4`�+r',1'.nw.-Hf.fr:��._,ABLti u%Rw:�rf�'l!v'�"f'{'"kMa�'1!'�..+i+ Massachusetts Department of Public Health Salem Board of Health Division of Food and Drugs 120 Washington Street,4th Floor 9 Salem, MA 01970-3523 FOOD ESTABLISHMENT INSPECTION REPORT Tel. (978) 741-1800 Fax(978) 745-0343 NameDatef Tvoe of Operation(s) Tvoe of Inspection C((-a( 1 Or l_Saw. 4 A(9 O EJ Food Service M Routine Address �� Risk ❑ Retail ElRe-inspection Level ❑ Residential Kitchen Previous Inspection Telephone �a�_ ❑ Mobile Date:44,�/o�, Owner �A I / HACCP YM ❑ Temporary ❑ Pre-operation f ff� n ❑ Caterer ❑ Suspect Illness Person in Charge(PIC) Time ❑ Bed&Breakfast ❑ General Complaint HACCP Inspector In: S Inspector Out: t�� Permit No. ❑ Other Each violation checked refluires an explanation on the narrative page(s) and a citation of specific provision(s)violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors Anti-Choking Tobacco Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F) ❑ action as determined by the Board of Health. FOOD TION MANA¢EMENT: ,1 1 , ,�"i , I, .0 . El 12. Prevention of Contamination from Hands F11. PIC Assigned/Knowledgeable/Duties ❑ 13. Handwash Facilities m'EMPLOYEEHEALTH >o' E%wA�.r ) PROTECTION FROM Ct(EMICALS `1-1nmo-a,, i�3sne , ,����iMi„} J El 2. Reporting of Diseases by Food Employee and PIC �� a »��a- „ vas`- _�' �-� ❑ 14.Approved Food or Color Additives ❑ 3. Personnel with Infections Restricted/Excluded ❑ 15 Toxic Chemicals FOOD FROM APPROVED SOURCE ,;�`, ..,,.� 1',.TIMEiTEMPERATURE CONTROL$(Rotentlsi(y Hazardous Fonds) '-O E] 4. Food and Water from Approved Source p _ ., am ( ❑ 5. Receiving/Condition ❑ 16.. Cooking Temperatures ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 17. Reheating ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 18.Cooling PROTECTION FROM CONTAMINATION`"''" ""` 'u 'a ❑ 19. Hot and Cold Holding ❑ 8. Separation/Segregation/Protection ❑20.Time As a Public Health Control E] .9. Food Contact Surfaces Cleaning and Sanitizing );'REQUIREMENTS FOR HIOHLYSUSOEPTIBLE POPULATIONS(HSP)'°; ❑21. Food and Food Preparation for HSP ❑ 10. Proper Adequate Handwashing ❑ 11.Good Hygienic Practices rCONSUMER ADVISORY w ❑22. Posting of Consumer Advisories Violations Related to Good Retail Practices Number of Violated Provisions Related Critical (C)violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors(Items 1-22): of Health. Non-critical (N)violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board today, the items checked indicate violations of 105 CMR of Health. 590.000/federal Food Code. This report, when signed below 17 797," by a Board of Health member or its agent constitutes an 3. Management and Personnel (FC-2) order of the Board of Health. Failure to correct violations 24. Food and Food Protection (FC-3)(5590.90.0 0044)) cited in this report may result in suspension or revocation of -25. Equipment and Utensils (FC-4)(590.005) the food establishment permit and cessation of food 26. Water, Plumbing and Waste (FC-5)(590.006) establishment operations. If aggrieved by this order, you 27. Physical Facility (FC-6)(590.007) have a right to a hearing. Your request must be in writing 28. Poisonous or Toxic Materials (FC-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. 30. Other DATE OF RE-INSPECTION: 2 S5solnVp fFom 14,do , vV -I ( Vol UT/ Pa* Inspector's Signature Print: PIC's Signature: ltt�. Print: /).� . z / f )Zl c Page 1 of�c.►ages Violations Related to Foodborne Illness Interventions and Risk Factors(items 1-22) PROTECTION FROM CONTAMINATION FOOD PROTECTION MANAGEMENT 8 Cross-contamination 596.003(A) I Assignment of Responsibility' 3-302.11(A)(1) Raw Animal Foods Separated from 590.003(B) Demonstration of Knowledge" Cooked and RTE Foods* 2-103.11 Person in charge-duties Contamination from Raw ingredients 3-302.11(A)(2) Raw Animal Foods Separated from Each EMPLOYEE HEALTH Other- 2 590k03(,C) Responsibility of the person in charge to Contamination from the Environment require reporting by food employees and 3-302.11(A) Food Protection" applicants* - 3-302.15 Washing Fruits and Vegetables 590.003(F) Responsibility Of A Food Employee Or An 3-30411 Food Contact with Equipment and Applicant To Report To The Person In Utensils* Charge* Contamination from the Consumer 590.003(6) Re orcin b Person in Charge* 3-306.14(A)(BL Returned Food and ReseiMce of Food* 3 590.003(D) Exclusions and Restrictions* Disposition of Adulterated or Contaminated 590.003(F.) Removal of Exclusions and Restric ions Food 3-701.11 Discarding or Reconditioning Unsafe FOOD FROM APPROVED SOURCE Food* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 3-201.12 Food in a Hermeticall•Sealed Container* Sanitization Tent eratures* 3-20'1.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water 3-202.13 Shelf Eggs* Sanitization Temperatures* 3-202.14 D,>s and Milk Products.Pasteurized* 4-501.114 Chemical.Sanitization-temp.,pH,- 3-202.16 Ice Made From Potable Drinkin*Water* concentration and hardness.* 5-1.01-11 Drinking Water form an Approved System* 4-601.11(A) Equipment Food Contact Surfaces and 590.006(A) Bottled DrinkingWater* Utensils Clean* 4-602.1 I Cleaning Frequency of Equipment Food- 590.006(B) Water Meets Standards in 310 CMR 22.04` - Contact Surfaces and Utensils* Shellfish and Fish From an Approved Source 4-702.11 Frequency of Sanitization of Utensils and 3-201.14 Fish and Recreationally Caught Molluscan Food Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* Sources* 14 Proper,Adequate Hantlwashing Game and Wild Mushrooms Approved by Regulatory Authority 2-301.11 Clean Condition-Hands and Arms" 3-202.18 Shellstock Identification Present* 2-301-12 Cleaning Procedure* 590.004(C) Wild Mushrooms* 2-301.14 When to Wash` 3-201..17 Game Animals* 11 Good Hygienic Practices g Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-202.11, PRFs Received at Proper Temperatures* 2401.12 Discharges From the Eyes, Nose and 3-202.15 Packa e Integrity* Mouth* 3-101.11 Food Safe and Unadulterated* 3-301.12 Preventing Contamination When Tasting* fi Togs/Records:Shellstock f2 Prevention of Contamination from Hands 3-202.18 Shellstock Identification * 590.004(E) Preventing Contamination from 3-203.12 Shellstock Identification Maintained* Em to gees* Tags/Records:Fish Products 13 Handwash Facilities 3-402.11. Parasite Destruction* ConvenientyLocated and Accessible 3-402.12 Records.Creation and Retention* 5-203.11 Numbers and.Ca acities* 590.003(7) Labeling of Ingredients* - 5-204.11 Location and Placement* 7 Conformance with Approved Procedures 5-205.11 Accessibility,Operation and Maintenance 1HACCP Pians Supplied with Soap and Nand Drying 3-502.11 S ecialized Yrocessin Methods* Devices 3-502.12 Reduced ox ' en Packa ng. criteria* 6-301.11 Handwashing Cleanser,Avaitabilit 8-103.12 Conformance with A. oved Procedures* 6-301.12 Hand Drying Provision '' Denotes,critical dent in the federal 1999 Food Code or 105 ChiR 590.000, CITY OF SALEM BOARD OF HEALTH ? Establishment Name: t 1 Ca n 4S S�e2�S JXc �(/1 I t Date: 1II310-1— Pager of a j Item CodeC-Critical Item DESCRIPTION OF VIOLATION/ PLAN OF CORRECTION <, Dater No. Reference R—Red Item m verified 1 - PLEASE PRINT CLEARLY, A A ✓LIAJ C � /7r G /1 Ct �0,1 V?C5 C,, ?c (l �//C'c?' (—IV � ZK tl T� 0J S t5U G/lrG0v� IJCL f 51� dfaa) 4t /)(Y S- /) r ajL rcA ' .' A-_'d,I, +1q.0AL)x e- tf is&6 a l ccl cr4- T2L1C-- ' Iles_ fi'` v� e� vrI f)c S t�/lt �o GCP fn sdlce <. (✓pG�ii/Y' 4 I j ✓ Cert-h rc. "I n U 'Vnet- AWL, - Discussion With Person in Charge: Corrective Action Required: ❑ No I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion P o� Re-inspection Scheduled ❑ Emergency Suspension } comply with all mandates of the Mass/Federal Food Code. I understand that j noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your ford permit. % )t �v� v , ❑ Voluntary Disposal 0 Other: Violations Related to Foodborne illness tworvernions and Risk Accordi ag to Lav, Cooled to Factors(items 1-22) (Cont) 41F(45'F Within 4 Hour . SC)31.i'5 ctx)fino'W�o&for PHFs 14 PROTECTION FROM CHEMICALS L --7—�— FEPHF Hot and Cold Holding Food or Color Add�ftj!ej 7S01 TI6(B) cold PHI Maintained at of b'At"A' Adduivc,-* 5900WF410/45�'F- 3-3()2,14 protection from um ed Nddifiveql� 3-;i0 16(A) flot PHFq Maintained at or above 75 , Poisonous or Toxic Substances 140'E TTO I I-I 3-50116(A) Roasts Held at or above 130'F. Cirrumers, L20-- Time as a Public Health Control 102,11 Common Naar,� %�orR —J, 3 .()) 19 Time as a Public Health Control' 7-20t.17— 7-202-11 R""triclmD - Frest-nCC and U,e* 90,004(H) varitorw R 7-202.12 Conditions of Uso* REQUIREMENTS FOR HIGHLY SUSCEPTIBLE `foxieCornainti., Prrddbj'nw,01 POPULATIONS HSP 7�0 F7 4.11 Sanhi7er7i,Cr7teria Chemicilsl -,S(), t1(A) Jnpateurizcd Tre-paekaged jtliccs tald Reverat�&,with Wdurri T2�12 Clwnucais forkas 1, , r!2�L , 7204,14 — djIng Aaent�_�rn�Ljja 7-205,5 licidetbal FNxl Contact,I�tbncanW L(-H) 7-206,ITZ,7iid17,se Peaides-Crit Isar' 7-100A2 1 Rodev Bail slaUom' 7-206.1`{ Tracking P.,,q Control and CONSUMER ADVISORY TIME/TEMPERATURE CONTROLS i 22 3-80 11 Consumer Advisory Posted lor Caniumptirat of 26 ures Ammal F,K)&That are Raw, Undercooked to Proper Cooking Temperatures PHFs Not Other wise Proce.qved to Eliminate l:',ggs- 155'F 15 S,,c, di,ae Sur vice 1,159-15sec" Raw Shit I I t A)(2 i conbldruo6d F!'* Nferv� i7lmc Arnimfis- 155"r 15,se SPECIAL- "- --- 3-401.11(B)(I)(2) pork and 13(�d Rowst 1301, 121 rabl,r SPECIAL REQUIREMENTS 3-40 1.11(A)(2) Ratitr.' Int—cox, 590'(XF)(M-j)) violations of Section 9O.(X)9(A)-(D)in (""Iteringniobilt:, ft,4RI, temportu v and 3-401.11(A)0) Poortry, tNi1dEtvoe, ,ruttedPHhs, rcsidential kitchen opeiationsAlould txe Sloffirin Cont crinin g Fish,Mont, deldhed ander the appropriate iewons poultry or katiw.s-1 651, i5 sec. abseve if refilled to foodborne illness 401 1 If C),,3) Wbole-tousde, brum Reed"Sleaks I interveutioDs and 6sk luclor5. (Aher 145 F 590.009 violations to�txA retail (,:�x TTO 1.t2 7,w Arvoral FkAxls Cooked ins a practices ahould he debited under #29 - Microwave 165'F* Special Requirerhonts. 3-401.I I(A)(1)(b) /V1(Alict Plif's-- 145"!-'15 sec —E EC 7 Reheating for Hot Holding VIOLATIONS RELATED TO GOOD RETAIL PRACTICES I(A)&tL)) PHI: 165" 15 sac. (!terns 23-30) 3-403J I(B) tihorowavc- 16T'r 2 Nbraae Standing CtWral and rron-(rifiral violvvorts, which dry nor reiatero the Tusw' ftrodborne illness innn ventionv and mkjw fors listed above r,ur be v —Commereia!N Prr—eqsed—R1FKxx-1 -- fig in serliorrs r#the Food Code and 105(AIR 140'F* 59li.00(4 1 ' 03A I(F.) Rernamial,, Unriwed Portions of Bmf C 500 R')an'� hil an agerhe n t.!nd.EEtrs_2n nq I C -P 1 003 bar --IS TProper—Cooling of PH—F$---- 24, Food and Food Protect --3 —2S Equ�rra�ntarqLJtenai s F-- 4 '005 Conline Cook�,d PHF's fi ran 14)'F to 26, Water JPit rnc,ng_,Ln_q IN aste FC-5 006 70'F Within 2 1 lours and From 70'V 27 hysiral Facility 1-6 007 to 41�F/45�F Witian 4 Hours. �2 Poisonous or jo x Lc klLi 1_e r s FC -7 1 008 h-501 114(B) (oohing PFromx Madc From Ambient "29 S ocial RnQuirerneran 009 Tcmpo,rature Ingredients,to 41''F/45" 30Other F ------ - --- _ Within 4 IhAvO Denotes critical{ton;is The&'Jeral 1994 For !curfe or 105 CMR 596 000, 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 825-9111 Handwash Facilities FAIL Critical ❑r RED Owner: Comment:Top handwash sink has no paper towels.Provide paper towels. Maria Harris PIC: Lower handwash sink has no soap in dispenser. Provide soap. Marla Harris Same sink missing paper towels. Provide paper towels. Inspector: John Gehan Violations Related to Good Retail Practices (Blue Items) Date Inspected:Correct By: Equipment and Utensils FAIL BLUE 4/4/2007 Comment: Silver King unit requires general cleaning. Risk Level: Permit Number: BHP-2007-0068 Status: Open #of Critical Violations: 1 Time IN: Time OUT: Urgency Description(s): BLUE: Violations Related to Good Retail Practices (Critical violations must be corrected immediately or within 10 days)(Non-critical violations must be corrected immediately or within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2007 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Apr 04,2007 ) Page I oft Item Status Violation Critical Urgency RED: Violations Related to Foodborne Illness Interventions and Risk Factors (Require immediate corrective action) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2007 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Apr 04,2007 ) Page 2 oft Commonwealth of Massachusetts City of Salem Board of Health 120 Washington Street,4th Floor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/05/2007 ESTABLISHMENT NAME: Maria's Sweet Somethings File Number:BHF-2003-000025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2007-0345 Jan 5,2007 Dec 31,2007 $5.00 RETAIL FOOD BHP-2007-0068 Dec 19,2006 Dec 31,2007 $50.00 Total Fees: $55.00 PERMIT EXPIRES December 31, 2007 Board of Health (! 9 e This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 of 1 i CITY OF SALEM, MASSACHUSETTS i` BOARD OF HEALTH • KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP—FS LRAMDIN(0DSALEM.00M HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: L A-(Z -- a 01 to 1 �� Complaint Number: 0354 Complainant Address: Phone: t.A R2t J� + n �c�yw2 �• din wzrpt�.^ Z. a;-t„� (i�v—rXar GI �-- cam,..��"z. �� e3..��— 1,,,-Q.�..�' u�-7 C�wl✓�-t�u..�n..�,.��� • Investigated By: Date: Property Owner/Occupant Name Telephone#: 1 • ) ® MORRELL ASSOCIATES Current Date: 9/15/2006 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 9/11/2006 (781)837-1395 www.morrell-associates.com Customer#: SRR-10 YOI1�Y Lt -♦SGOCA Ifd C PP10/06 L Maria's Sweet Something L 0 26 Front Street A E T Salem, MA 01970 N T 0 N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream <250 EPAC < 1 EPCC IV V OCT 2 - 2006 CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliforms 50/g Other: SPC s 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH RECEIVED 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 DEC -- 7 2006 TEL. 978-741-1800 FAX 978.745-0343 CITY OF SALEM Kimberley Driscoll WWW.SALEM.COM BOARD OF HEALTH Mayor JOANNE SCOTT, MPH, RS, CHC? HEALTH AGENT 2007 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT T�}(�t 'S SW Z (Cl!}-DM0_TH7WS TEL# /11 { ADDRESS OF ESTABLISHMENT d_(I FMt JI FAX# t F7 �a� _4�0a MAILING ADDRESS (if different) EMAIL-- Business':_ Owner's:ngr i► 1J_tAal � / OWNER'S NAME 111 !71 / TEL ADDRESS \.bf f( llt {/S J 7�a ST EET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment wherepotentially azardous food is prepared) (� /- EMERGENCY RESPONSE PERSON_ HOME TEL# DAYS OFOPERATION onday Tut day wednesda i _ Thursday Friday Saturday Sundae NOURSOFOPENAI1Rx �� D �rY - 10 1 1p-�� t Please write is time al da . a �0 0 (For example Ilam-110M �p•l : '1� �7%1 0 i TYPE OF ESTABL FEEcheck oWoo RETAIL STORE E NO less than 1000sq.ft. 1000-10,000sq.ft. more than 10,000sq.ft. =$250 ---------- S -... ........ .. - ... - ._...._......... es---th --- - -- --------- RESTAURANT VES__ NO less than L5 seats =$100 25-99 seats =$150 more than 99 seats =$200 - ... -- .._.-..--- - - -YES NO------.._.---- -- --- ------- - ------ ----- ----- -- -- -------- _ ..-. ---------------- - - BEDtBREAKFAST $100 .......... .. ....--..._.................................._...._ ....-- ...._ ..-.. --------- - -- ------ --------------------- .... ADDITIONAL PERMITS � MAKE (not just serve) ICE CREAM, YOGURT, OFT S E C Y NO TOBACCO VENDOR YES NO $50 ALL NON-PROFIT(such as church kitchens) YES NO $25 *Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MCL Chapter 62C,-Section 49A, I certify under the pains and penalties of perjury that 1, to nay best knowledge and belief, havh filed all state tax ret lms and paid all state taxesgwred under the law, r o (a 011-356 �d_J6 "Signature Date Social Security or Federal Identification Number - - .- — - .. �` - ---- -------- - ------------- - .._--------------------------------------------____1----- --------- - Revised t 1113/OB FOODAP2007.adm Check#&Date_�S�" R Pe�YSS ei A Ai �+Rc .Y. a Y5 'a �:yy�,girIx. a .e �� ,.u"v^� y«.� �s�"Fti@`HF�,?"vSQ�R'TMYW+9"'76'��'I.`S �gCommouaw-ea�lyt�—h otMassachusetts,l� , y�-r i` ✓ Q `� �n.. r ;M1 �: seCity of Salem x " e vp ` a^'.. R • . 1`xA =� .i. i+�, '�`{ Eyi .- O .. �t t b ie * xNY,f' ✓,';iP�3n a4&41Nai�s 4 t r'rc 5 k64 �" ,.u 2"W Board f Health I.: _ X120 Washington Street,4th Floor IGmbeiley Dnscoll SALEM,MA 01970 FooWRetail Establishment Permit DATE PRINTED: 12/19/2006 ESTABLISHMENT NAME: Maria's Sweet Somethings File Number:BHF-2003-000025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions!Notes RETAIL FOOD BHP-2007-0068 Dec 19,2006 Dec 31,2007 $50.00 Total Fees: $50.00 PERMIT EXPIRES !December 31, 2007 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 12 of 24 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 825-9111 Handwash Facilities PASSd❑ RED Owner: Comments: Maria Harris Violations Related to Good Retail Practices (Blue Items) PIC: Equipment and Utensils PASS BLUE Maria Harris Inspector: Comments: John Gehan Other-See Notes PASS BLUE Date Inspected:Correct By: GENERAL COMMENTS: 12006 1 Risk Level: 905:all violations have been corrected. Permit Number: BHP-2006-0145 Status: SIGNED OFF #of Critical Violations: 0 Time IN: Time OUT: Urgency Description(s): BLUE: Violations Related to Good Retail Practices (Critical violations must be corrected immediately or within 10 days)(Non-critical violations must be corrected immediately or within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Oct 18,2006 ) Page 1 oft Item Status Violation Critical Urgency RED: Violations Related to Foodborne Illness Interventions and Risk Factors (Require immediate corrective action) r City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978).741.1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Oct 18,2006 ) Page 2 oft II` 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 825-9111 Handwash Facilities FAIL RED OwneMaria �mment: Bathroom missing employee must wash hands sign. Provide sign. Maria Harris PIC: ower hand wash sink missing sign. Provide sign. Maria Harrisame sink has broom on it. Keep sink clear and accessible at all times. Inspector: Violations Related to Good Retail Practices (Blue Items) John Gehan Equipment and Utensils FAIL BLUE Date Inspected:Correct By: mment 10/4/2006 v� :White chest freezer in corner requires thorough cleaning. Risk Level: rce machine has accumulation of grime on back panel. Thoroughly clean and sanitize panel. r Sanitizing log not up to date. Log to be maintained daily. Permit Number: BHP-2006-0145 Test strips not available at time of inspection. Provide test strips. Status: Open Other-See Notes FAIL BLUE #of Critical Violations: Comment: Door to establishment open at time of inspection. Owner to provide screen door or keep door closed at all times. 1 I Owner states that she cleans and sanitizies the Taylor soft serve weekly based on instructions from Taylor company. Inspector to Time IN: Time OUT: check with Health Agent regarding frequency of cleaning. Owner stated that most recent test has passed.She did shut it down and had it checked twice based on the last report. Urgency Description(s): BLUE: GENERAL COMMENTS: Violations Related to Good Retail Practices (Critical 870:Owner to fax over last three months of extermination reports to BOH. violations must be corrected immediately or within 10 days)(Non-critical violations must be corrected immediately or within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741.1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Oct 05,2006 ) Page 1 oft Item Status Violation Critical Urgency RED: Violations Related to Foodborne Illness Interventions and Risk Factors (Require immediate corrective action) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Oct 05,2006 ) Page 2 oft COURT DOCKET NO. - .__. .-.. .. -. CITATION NO. - CITYOFSALEM P� Q5Z8 VIOLATION NOTICE {4 NAME(LAST,FIRST,INITIAL} OD i STREET ADDRESS CRY/(OWN STATE ZIP � LICENSE NO. LIC.EXP.GATE BIRTH OWNERS NAME{LAST,FIRST,INITIAL} N���S Jli�'f27 STREET ADDRESS CITVROWN ST ZIP 7 REGISTRATION NO. STATE EXP.DATE MAKEAYPE YEAH COLOR Mo JQ DATE�OF VIOLATION TIME DATE CITATION WRITTEN IWYERAL 1L1 / LOOATI i7� r C..1'� ❑YES UG � �A , UF' ❑NO OF VIOLATION ENFORCING DEPT. rm A E�zew S% S�cern riaq %r�7� f/c,� 1 OFFENSE - CHAP. SECT. FINES - E`- 'ry O r n.f n B N N m O 1.1'1 C Z m Q d OFFICER W¢vi IIID l- <�74"f rp�'�J DUE Z Z w, L+- L!�Mytiy �� OFFJGER CERTIFIES COPi GIVEN TO VIOLATOR F Q l W m -` ❑ IN HAND 17 Na {-}� N rin X BY MAIL A l DI NOT MAIL CASH-PAY ONLY BY POSTAL NOTE,MONEY O ORDER OR BY CHECK MADE PAYABLE TO: ml CITY CLERK CITY HALL 93 WASHINGTON STREET m O SALEM,MA 01970 m TEL. M,M 7419595 X 251 I HEREY ELECT TO EXERCISE THE FIRST�. AS STATED ON REVERSE,CONFESS TO THE OFFENSE CHAARGIED,AND ENCLOSE PAYMENT IN THE AMOUNT OF $- CASEp SIGNATURE SEE OTHER SIDE FOR FURTHER INFORMATION ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL it i May 25 06 02: 408 Maria's Sweet Somethings 19799259900 p• 1 I"peakI1 6-k 001/76 75' Wh4,6at�-T ad May 25 06 O2: 41p Maria 's Sweet Somethings 19788259900 p. 2 s°t.- < -3155 ROPES PEST CONTROL,INC. 978-468.3670 918-927-3155 ROPES PEST CONTROL,INC. 978468.310 P.O.BOX 2512•SOUTH HAMILTON,MA 01082 P.O.BOX 2512•SOUTH HAMILTON,MA 01982 Gl�k lo- Date s!„Lf-fQ(a Order No. _ Oate G B �2� )me fK7t11`iN5 'CII1/ office Tel.-Home 17ltja Ca:n P"1442 I M � d/LrLG( -,%y MC—,*741 WGf Owrrer A:,If s : /�ZO94� S -s ''!M Address 4r ` ST 570,661 F+11,t . ils(a4Il .(< KC � Pest � 1 „ SMA 1t7Ov t-7eci I-.N ' 78 USED % AMOUNT EPA REG.NUMBER ;7CdH�EWCCAAL.SU�SED % AMOUNT EPA REG.NUMBER 1.: 4 5 JG� • �a ✓yI Kt va r 125 S w c1� k)n7 - s 44—)44 _...-. . . S 7"1 tM1 (5 A- TI v Q ,1 ry Z — • . —O j < �._ _ . 15 `S 0 Tt1+ tYv4-1 .e,12-jq z,, rum LG-(-X S[--ri ; nen Sgned by Se iceman Signed by _ d Ore -. 1 Commonwealth of Massachusetts s a - City of Salem Board of Health g 120 Washington Street,4th Floor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/03/2006 WHO'S PLACE OF BUSINESS IS: Maria's Sweet Somethings File Number:BHF-2003-0025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2006-0191 Jan 3,2006 Dec 31,2006 $5.00 RETAIL FOOD BHP-2006-0145 Jan 3,2006 Dec 31,2006 $50.00 Total Fees: $55.00 PERMIT EXPIRES December 31, 2006 Board of Health 7 This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 of 1 CITY OF SALEM, MASSACHUSETTS o i� BOARD OF HEALTH C N- 120 120 WASHINGTON STREET, 4TH FLOOR VVV _,.. SALEM, MA 01970 DEC TEL. 978-741-1800 0 8 2005 STANLEY J. USOVICZ, JR. FAx 978-745-0343 CITY OF SALEM MAYOR WWW.SALEM.COM BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 2006 APPLICATION FOR PERMIT TO OPERATE A FOOD EES A LI.SHHj MENTO r' NAME OF ESTABLISHMENT / l� I�A ') S���L r 66" I tL# �s ADDRESS OF ESTABLISHMENT MAILING ADDRESS (if different.) • <r () nk_� f (�0 OWNER'S NAME i i IY �/�Iy t c I /T p� `) / I �� TEL It - 777-10 ADD SS `1 LEll CITY 1)a'i)L12 STATE ZIP /• CERTIFIED FO MANAG 'S NAME(S) CERTIFICATE#(s) (required in an establishment where potentially hazardous food is prepared.) ��� 3 e 7k-777--1/ J EMERGENCY RESPONSE PERSON HOME TEL#_. HOURS OF OPERATION: Mon. Tue. LWed. Thu. i Fri.��Sat. � C,,—Tue. All TYPE OF ESTABLISHM FEE (check only) �O D RETAIL STORE YES NO ^/� less than 1000sq.ft. =$ 50 '-{vll�TrJ_ 1000-10,000sq.ft. =$100 more than 10,000sq.ft. =$250 RESTAURANT YES N less than 25 seats $100 25-99 seats =$150 more than 99 seats =$200 ----- ----- ------------------------------------------------------------------------------------------------- BED/BREAKFAST YES - -NO $100 -.......................... — ...... -------------- ADDITIONAL PERMITS; OO '�-O MAKE (not-justserve) ICE CREAM'YOGURT, SOFT SERVE YE5 NO $5 TOBACCO VENDOR---' YES 0 $50 ALL NON-PROFIT(such as church kitchens) YES $25 *Please pay total with one check payable to the City of Salem . This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that I, to my best kno ledge and belief, have filed all state tax returns and paid all state taxes required under the law. Signature Date Social Security or Federal Identification Number ------------------- ---------------- - ---------------- Revised 11/03/05 FOODAP2.adm Check#&DatelW- j-----IiTij57------------------------------------------- 45 6V �d COURT DOCKET NO. .CITATION NO. CITY OF SALEMPD 6033 VIOLATION NOTICE NAME((.LAST,rrFIRST,INITIIAALI q .r2F��t5. !14,412 f STREETADDRESS CITY/TOWN STATE ZIP Z� �i2OlJT Si _eC SAttoA f ItV of17t LICENSE NO. LIC.EXR DATE DATE OF BIRTH OWNER'S NAME(LAST,FIRST,INITIAL) H4&,W/s ILA 4121A STREETADDRESS CITYr-OWN STATE ZIP Z6 Fdmy7-ST. SAi ew F%AA cIg70 REGISTRATION NO. STATE EXP.DATE MAKE,TYPE i YEAR COLOR DATE D/FFVI/OLA/TION TIME DATE CITA,IONWRITWRITTEN PERONAL � faWVAY❑ ES LOCA/TION OF VIOLATION ENFORCING DEPT. ,O �doNf �- ��GLrYr? 0�7U �C F1Liw OFFENSE CHAP SECT. FINES i'asr:ror✓ B C OFFICER_J. f 1.D.NO. TONE $@ ��/� DUE W OFFICER CERTIFIES COPY GIVEN TO VIOLATOR IN HAND X 999. By MAIL 05 NOT MAIL CASH-PAY ONLY BY POSTAL NOTE,MONEY ORDER OR BY CHECK MADE PAYABLE TO: CITY CLERK CITY HALL 93 WASHINGTON STREET SALEM,MA 01970 TEL.(508)745-9595 X 251 HEREBY ELECT TO EXERCISE THE FIRST OPTION AS STATED ON REVERSE, CONFESS TO THE OFFENSE CHARGED,AND ENCLOSE PAYMENT IN THE AMOUNT OF $ CASE# SIGNATURE SEE OTHER SIDE FOR FURTHER INFORMATION ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL COURT DOCKET NO. Q CITATION NO. - CITY OF SALEM VIOLATION NOTICE PD 02� NAME(LAST,FIRST,INITIAL) 1,4 STREETADDRESS CITY/TOWN STATE ZIP [s'fvto's :;.x^ 31 LICENSE NO. LIC.EXP.DATE DATE OF BIRTH OWNER'S NAME(LAST,FIRST,INITIAL) STREETADDRESS CITY/TOWN STATE ZIP '1,4L t '— // It I c/123 REGISTRATION NO. STATE EXP.DATE MAKE/TYPE YEAR COLOR DATE OF VIOLATION TIME DATE CITATION WRITTEN INJURY nL (/ El Pm INJURYElYEs �lr0 l(J F'Z EIPM .S,I/ SSG []NO LOCATION OF VIOLATION ENFORCING DEPT. OFFENSE CHAP. SECT. FINES A /&,-s it r✓rni /''L�SI�/6!`- B C I.D.NO. TOTAL G y OFFICER CERTIFIES COPY GIVEN TO VIOLATOR /� � [}Ly.r IN HAND X ``—/(v LLL r"� BY MAIL DO NOT MAIL CASH-PAY ONLY BY POSTAL NOTE,MONEY ORDER OR BY CHECK MADE PAYABLE TO: CITY CLERK CITY HALL 93 WASHINGTON STREET SALEM,MA 01970 TEL.(508)745-9595 X 251 1 HEREBY ELECT TO EXERCISE THE FIRST OPTION AS STATED ON REVERSE, CONFESS TO THE OFFENSE CHARGED,AND ENCLOSE PAYMENT IN THE AMOUNT OF $ CASE# SIGNATURE SEE OTHER SIDE FOR FURTHER INFORMATION ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 825-9111 Handwash Facilities PASS ❑d RED `Owner: - Comments: Lower handwash sink had papertowels outside dispenser. Provide papertowels to dispenser by next routine Maria Harris _ inspection. PIC: Maria Harris Violations Related to Good Retail Practices (Blue Items) Inspector: Equipment and Utensils PASS BLUE John Gehah Comments: Ice scoop in ice machine stored incorrectly. Ice scoop to be stored handle up out of ice or in labled container stating Date Inspected: Correct By,i, "ice scoop only 5/18/2006 Risk Level: ` Physical Facility PASS BLUE Permit Number: Comments: Door open at time of re-inspection. Owner could be subject to a fine starting at 25.00. Door to be closed to prevent BHP-2006-0145 _ insect and/or rodents. Or provide screen door. Status: PARTIAL COMPLY GENERAL COMMENTS: #of Critical Violations: 622:Owner to contact exterminating company and have reports faxed over to the Board of Health. 0 , , Time IN: Time out All violations unless noted have been corrected. Urgency Description(s): BLUE: Violations Related to Good" Retail Practices (Critical violations must be corrected immediately or within 10 i days)(Non-critical violations, must be corrected immediately'' or within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeOTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. May 19,2006 ) Page 7 oft Item Status Violation Critical Urgency RED: Violations Related to Foodborne Illness Interventions and Risk Factors (Require immediate corrective action) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. May 19,2006 ) Page 2 oft Commonwealth of Massachusetts City of Salem ?= Kimberley Driscoll Board of Health Mayor Mtr�tA� 120 Washington Street,4th Floor SALEM,MA 01970 Temporary Food Permit DATE PRINTED: _ - 08/08/2006 WHO'S PLACE OF BUSINESS IS: Maria's Sweet Somethings File Number:BHF-2003-0025 26 Front Street Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit Issued Permit Expires Fee Restrictions/Notes TEMPORARY FOOD Aug 8,2006 Aug 9,2006 Ice cream to be served at Salem Common Total Fees: PERMIT EXPIRES August 9, 2006 Board of Health CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR / SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR ATEMPORARY FOOD SERVICE PERMIT FEE: 1-3 DAYS= $200 0 �j�`t � 4-7 DAYS= $300 MORE THAN 7 DAYS= $400 / {� c',,,,�L,,- / CHECK PAYABLE TO THE CITY OF SALEM,NO CASH NAME OF EVENT PiJ!- _ J%,"fs-c.X�l(1Ou-1 LOCATION E,*L I? �l/Yyt DATE(S)OF EVENT NAME OF APPLICANT��j-{�/�J�,.(S Lze-e- -NYS',$ 1/ __s TELEPHONE# ADDRESS NAMEOFBUSINESS J U ef�p SC" , �,� ieT LE ONE# � ADDRESS Aun T I CERTIFIED FOOD MANAGERS NAME"// "-w ' `U� CERTIFICATION# GSI irfr A PLAN OF THE ESTABLISHMENT IS: __ENCLOSED DRAWN ON THE BACK TYPE OF REFRIGERATION: _GAS ICE DRY ICE _OTHER METHOD FOR COOKING/HOT HOLDING: GAS _OTHER IL'1 METHOD FOR SANITIZING: L—�CHEMICAL OTHER SOURCE OF FOOD: NAME: ADDRESS FOODS TO BE SERVED INCLUDING INGREDIENTS AND METHOD OF PREPARATION: I HAVE READ THE BOARD OF HEALTH, "REQUIREMENTS FOR TEMPORARY FOOD ESTABLISHMENTS." I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS REGARDING THOSE REQUIREMENTS. I UNDERSTAND THEM, AGREE TO ABIDE BY THEM AND UNDERSTAND THAT FAILURE TO DO SO WILL RESULT IN REVOCATION OF MY TEMPORARY FOOD ESTABLISHMENT PERMIT. PERSUANT TO MGL C62C, S49A, I CERTIFY UNDER THE PENALTIES OF PERJURY THAT I, TO MY BEST KNOWLEDGE AND BELIEF, HAVE FILED AAE TAX RETURNS A D PAID ALL STATE T REPUIRED �f UNDER LAW. �,C/{A iAJ l I D b O 3a ��� SIGNATURE DATE SOCIAL SECURITY OR FEDERAL ID# ---------------------------------------------------------------------------------------------------------------------------------------- TEMPAPPL REVISED 1125102 PERMIT N CHECK#&DATE 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: FOOD PROTECTION MANAGEMENT 825-9111° ' PIC Assigned/Knowledgeable/Duties PASS ❑d RED Owner Non-compliance with: Maria Harris .. - Anti-Choking PASS PIC: Mari&Harris Tobacco PASS Inspector:° John Gehan EMPLOYEE HEALTH Date Inspected: Collect By: Reporting of Diseases by Food Employee and PIC PASS RED 5/11/2006 S 1 Y bb Personnel with Infections Restricted/Excluded PASS RED Risk Level: a - FOOD FROM APPROVED SOURCE Permit Number .A Food and Water from Approved Source PASS ] RED BHP-2006-0145 4 Receiving/Condition PASS RED Status: Open ' Tags/Records/Accuracy of Ingredient Statements PASS ❑d RED #of Critical Violations: Conformance with Approved Procedures/HACCP Plans PASS ❑d RED 3- Time IN. Urgency Description(s). BLUE: m Violations Related to Good' Retail Practices (Critical �7 " violations must be corrected= t immediately or within 10 dsys)(Non-critical violations must be corrected immediately or-within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeOTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. May 11,2006 ) Page 1 of Item Status Violation Critical Urgency RED: PROTECTION FROM CONTAMINATION Violations Related to Separation/Segregation/Protection PASS RED Foodborne Illness Interventions and Risk Factors (Require Food Contact Surfaces Cleaning and Sanitizing PASS ❑J RED immediate Corrective action) Proper Adequate Handwashing PASS Q RED Good Hygienic Practices PASS RED Prevention of Contamination from Hands PASS RED Handwash Facilities FAIL Critical ❑J RED mants: Handwash sink on upper level had no paper towels in wall hung dispenser. Provide paper towels in dispenser. L,Handwash sink on upper level did not discharge any soap. Make sure soap dispenser is working correctly or provide new soap. dwash sink upper level and lower require"hand wash only signs. ower level handwash sink obstructed by plastic wrap. Keep all handwash sinks clear and free from obstructions. Lower handwash sink had no papertowel in dispenser. Provide papertowels to dispenser. wer handwashsink requires thorough cleaning. PROTECTION FROM CHEMICALS Approved Food or Color Additives PASS ❑d RED Toxic Chemicals PASS RED TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) Cooking Temperatures PASS ❑d RED _ Reheating PASS ❑Q RED Cooling PASS RED Hot and Cold Holding PASS ❑Q RED Time As a Public Health Control PASS RED REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) Food and Food Preparation for HSP PASS RED CONSUMER ADVISORY Posting of Consumer Advisories PASS RED City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. May 11,2006 ) Page 2 of Item Status Violation Critical Urgency Violations Related to Good Retail Practices (Blue Items) Food and Food Protection PASS BLUE Equipment and Utensils FAIL Critical BLUE mm" :Small white freezer in corner had no visible thermometer. Provide visible and accurate thermometer. all white refrigerator in corner had no thermometer. Provide visible and accurate thermometer. J Ice scoop in ice machine stored incorrectly. Ice scoop to be stored handle up out of ice or in labled container stating"ice scoop ,NSsanitizer log available at time of inspection. Provide log and maintain daily. o sanitizer readily available,except in 3-bay sink,at time of inspection. Provide sanitizer in labeled container with correct ppm at each work station. ver King unit requires thorough cleaning. 9nop stored incorrectly. Mop to be stored to allow air dry thoroughly. Water, Plumbing and Waste PASS BLUE Physical Facility FAIL Critical BLUE L­�mments: Floor behind ice cream counter requires thorough cleaning. mg tile outside employee restroom out of place. Repair or replace tile correctly. Door open at time of inspection. Owner stated delivery just came in and hadWt closed it yet. Owner could be subject to a fine starting at 25.00. Door to be closed to prevent insect and/or rodents. Management and Personnel PASS BLUE Poisonous or Toxic Materials PASS BLUE Special Requirements PASS BLUE Other-See Notes PASS BLUE City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeOTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. May 11,2006 ) Page 3 of Item Status Violation Critical Urgency GENERAL COMMENTS: 616:Owner stated that the exterminator comes but she does not keep the records. Owner to contact exterminating company and have reports faxed over to the Board of Health. LqW/ner has soft serve yogurt machine. Has been turned off since November. Owner to have machine tested prior to use this year. F- aid kit must be on hand for employees. Provide kit. City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. May 11,2006 ) Page 4 of CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH' _ 31 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA o 1970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT COMMONWEALTH OF MASSACHUSETTS PERMIT TO OPERATE A FOOD ESTABLISHMENT In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter III, Section 5 of the General Laws, to operate a Food Establishment in the City of Salem is hereby granted to: Type of Establishment: RETAIL FOOD Name of Establishment: Maria's Sweet Somethings Address of Establishment: 26 Front Street Owner's Name: Maria Harris Restrictions: Application Date: 12/01/2004 Permit for Food Establishment 100-05 Frozen Desserts/Ice Cream Permit for the Sale of Tobacco Products These Permits Expire December 31, 2005 This permit is not transferable and must be reissued upon change of ownership or location. The permit must be posted in a prominent location in the Establishment, In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. �/ 14414C-f 01 HEALTH AGENT a / CITY OF SALEM9 MASSACHUSET BOARD OF HEALTH C� 9 V L( o f gj 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 NOV 3 0 2004 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO CITY OF SALEM MAYOR HEALTH AGENT BOARD OF HEALTH 2005 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT ItI,0 /,q 5 � L / ��Q��NTEL# ADDRESS OF ESTABLISHMENT Frd/77 (-*ed i � 01 70 MAILING ADDRESS (if different) /_ // OWNER'S NAME /�/i�/�ZJ/�J1�'a IR Y_ TEL# �Zs-71 ADDRE SS Y22q o c5� 6-/` , CITYSTATE ZIP_ 0o CERTIFIED FOOD MANAG R'S NAME(S) CERTIFICATE#(s) (required in an establishment where potentially hazardous food is prepared.) EMERGENCY RESPONSE PERSON J&P HOME TEL# `97�"777-1/ Thu. Fri. cam-- - HOURS OF OPERATION: Mon. Niue. L—Wed. Sat. Sun. TYPE OF ESTABLISHM FEE check on RETAIL STORE E NO less than 1000sq.ft. _$ 50 only 1000-10,000sq.ft. =$100 more than 10,000sq.ft. =$250 n- a=5 RESTAURANT YES NO /� less than 25 seats =$100 25-99 seats =$150 more than 99 seats =$200 BED/BREAKFAST YES NO $100 ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT, SOFT SERVE YES NO $5 TOBACCO VENDOR YES $50 ALL AI01t-PRCRT(such as church kitchens) YES . 0 - $25 Please pay total with one check payable to the City of Salem This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that I, to my b knowledge and be ef, have filed all sta to ret ms and paid all state taxes re wired under the law. ( s ignature ate Social Security or Federal Identification Number ---- -------- - ------ -- ----- - --- -- - q j -- Revised 11/03/03 FOODAP2.adm Check#&Date Y/ v� p CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR /r? SALEM, MA 01970 .� ,•r ` TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT COMMONWEALTH OF MASSACHUSETTS PERMIT TO OPERATE A FOOD ESTABLISHMENT In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter III, Section 5 of the General Laws, to operate a Food Establishment in the City of Salem is hereby granted to: Type of Establishment: RETAIL FOOD Name of Establishment: Maria's Sweet Somethings Address of Establishment: 26 Front Street Owner's Name: Maria Harris Restrictions: Application Date: 12/11/2003 Permit for Food Establishment 173-04 Frozen Desserts/Ice Cream Permit for the Sale of Tobacco Products These Permits Expire December 31, 2004 This permit is not transferable and must be reissued upon change of ownership or location. The permit must be posted in a prominent location in the Establishment, In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. HEALTH AGENT CITY OF SALEM, MASSACHUSETTS o r BOARD OF HEALTH \ -: t: . • 120 WASHINGTON STREET, 4TH FLOOR 2 a SALEM, MA 01970 DEC 5 ?.003 TEL. 978-741-1800 FAX 978-745-0343 // STANLEY USOVICZ, JR, b�I }' UF .�HLtIv1 JOANNE SCOTT, MPH, RS, CHO BOARD OF HEALTH MAYOR HEALTH AGENT 2004 APPLICATION FOR 1R PERMIT TO OPERATE A,,FOOD ESTABLISHMENT NAME OF ESTABLISHMENT %( //2!(316 S( 5dr' A,,� 4r #' ADDRESS OF ESTABLISHMENT a(p /'� S�✓ee% MAILING ADDRESS (if different) OWNER'S NAME 11 //"I ej��2rfA- �� TEL# ADDR S ale L! 2< elI ' CITY CGl1UU STATE ZIP 0/ D 3 CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(s) (required in an establishment where potentially/hazardous food is prepared.) EMERGENCY RESPONSE PERSON,.& ��VNG2l3 l✓ /Yl�t "ll/ /nrHOME TEL#�-116 6' /0 /0 /Pr/O /0-/G1 /0-{O /0-/U /�-/ ID-/ t] HOURS OF OPERATION: Mon.�Tue. L' We�Thu. � Fri. Sat. Sun. TYPE OF ESTABLISHM T FEE check only RETAIL STORE ES NO less than 1000sq.ft. =$50 ( 1000-10,000sq.ft. =$100 more than 10,000sq.ft. =$250 RESTAURANT YES NO less than 25 seats =$100 25-99 seats =$150 more than 99 seats =$200 BED/BREAKFAST YES NO $100 ADDITIONAL PERMITS MAKE (notjust serve) ICE CREAM, YOGURT, SOFT SERVE YES NO $5 TOBACCO VENDOR YES NO $50 ALL NON-PROFIT(such as church kitchens) YES NO $25 Please pay total with one check payable to the City of Salem This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health.' Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that I, to my b I d e nd a of have filed all state t x r ur s and paid all state taxes required under the law. I ,�I��v � D�- 3« 9aab Ignature Date Social Security or Federal Identification Number ------- ----------------------------------------- �J ----------- ---------------------- Revised 11/03/03 FOODAP2.adm Check#&Dat r Massachusetts Department of Public Health Salem Board of Health120 Washington Street, 0 Floor Division of Food and'Drugs Salem, MA 01970-3523 FOOD ESTABLISHMENT INSPECTION REPORT Tel. (978) 741-1800 Fax (978) 745-0343 Name Date Tvpe of Operations) Tvpe of Inspection �gl r S-C-A itlr TZJN� F/!�S /! ey 0-Food Se vice I]-Routine Address 2a ^d Rldk ❑ Retail ❑ Re-inspection Telephone Level ❑ Residential Kitchen Previous Inspection 9 Mobile Date: Owner HACCP Y/N ❑ Temporary ❑ Pre-operation r ❑ Caterer ❑ Suspect Illness Person in Charge(PIC) f`Aw(� Time ❑ Bed&Breakfast El General Complaint -1 HACCP Inspector D /A d ✓ Out: Permit No. E] O herr Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s)violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors Anti-Choking Tobacco Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F) ❑ action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT a °` ❑ 12. Prevention of Contamination from Hands F-11. PIC Assigned/Knowledgeable/Duties 13. Handwash Facilities EMPLOYEE HEALTH _• _. _ PROTECTION FROM CHEMICALS ❑ 2. Reporting of Diseases by Food Employee and PIC E] 3. Personnel with Infections Restricted/Excluded ❑ 14. Approved Food or Color Additives - FOOD FROM APPROVED SOURCE _ ❑ 15.Toxic Chemicals ❑ 4. Food and Water from Approved Source f TIMEfrEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑ 5. Receiving/Condition ❑ 16.Cooking Temperatures ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 17. Reheating ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 18. Cooling 'PROTECTION FROM CONTAMINATION! °_ f-''. ❑ 19. Hot and Cold Holding ❑ 8. Separation/Segregation/Protection ❑20.Time As a Public Health Control ❑ 9. Food Contact Surfaces Cleaning and Sanitizing 'REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP),. '.. El 10. Proper Adequate Handwashing El21. Food and Food Preparation for HSP ❑ 11. Good Hygienic Practices CONSUMER ADVISORY - ❑22. Posting of Consumer Advisories Violations Related to Good Retail Practices Number of Violated Provisions Related Critical (C) violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors(Items 1-22): of Health. Non-critical (N) violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board of Health. today, the items checked indicate violations of 105 CMR C X,I 590.000/federal Food Code. This report, when signed below 23. Management and Personnel (FC-2)(590.003) by a Board of Health member or its agent constitutes an 24. Food and Food Protection (FC-3)(590.004) order of the Board of Health. Failure to correct violations 25. Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of 26. Water, Plumbing and Waste (Fc-5)(590.00x) the food establishment permit and cessation of food establishment operations. If aggrieved by this order, you 27. Physical Facility (FC-6)(590.007) have a right to a hearing. Your request must be in writing 28. Poisonous or Toxic Materials (FC-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. 30. Other DATE OF RE-INSPECTION: S 590InVWFor 14.dx Inspector's Signatur Print: PIC's Signature: A Print: p p?c Page rP of 9--Pages i i Violations Related to Foodborne Illness Interventions and Risk Factors(items 9-22) PROTECTION FROM CONTAMINATION FOOD PROTECTION MANAGEMENT 8 Crass-contamination 1 590.003(A) Assignment of Responsibility' 3-302.11(A)(1} Raw Animal Foods Separated from 590.003(B) Dentonsb n'ton of Knoxledge'� Cooked and RTE{Foods" 2-103.11 Pu-son to charge-duties Contamination from Raw Ingredients 3-302.11(A)(2) Raw Animal Foods Separated from Each EMPLOYEE HEALTH _ Other- 590.003(C) Responsibility of the person in charge to Contamination from the Environment require repotting by food employees and 3-302.11(A) Fad Protection* applicants* 3-302.15 WashingFruitsand Vegetables 590.003(17) Responsibility Of`A Food Employee Or An 3-304.11 pond Contact with F,,.quipment and .Applicant To Report To The Person In Utensils* Char a' Contamination from the Consumer 590.(H)3(G) Re orcin b Person in Charge* 3-306.14(A)(B) ReLumcd Food and Reservice of Fax(* 3 59_0M03(D) Exclusions and Restrictions* _ Dispos,itionofAdulterated orCootaminated 1_5j)6 003( E) Removal of Exclusions and Restrictions Food 3-701.11 Discarding or Reconditioning Unsafe FOOD FROM APPROVED SOURCE Food' Food and Water From Regulated Sources E4 Food Contact Surfaces 590.004(A-B) Compliance with Ford La"* 4-501.111 Manual Warewashine-Hot Water 3-201.12 Food in a Hermetically Sealed Container* Sanitization Tem)eratures* 3-201.13 Fluid Milk and Milk Products:" 4-501.172 Mechanical Warewasltinb Ilot Water 3-202.13 Shell E-s* Sanitization Temperatures* 3-202.14 E-s and Milk Products.Pasteurized* 4-501.114 Chemical Sauitiz000n-temp., pH, 3-202.16 Lee Made From Potable Dcinkim,Water" concentration and hardness. 5-1.01.1.1 Drinking Water from anA roved System* 4-601'I I(A) Equipment Ford Contact Surfaces and Utensils Clean' 590.006(A) Bottled Drinking Water* 590.006(B) Water Meets Standards in 310 CMR 22.0* 4-602.11. Cleaning Frequency of NquipmentFood- Shellfish and Fish From an Approved Source Contact Surfaces and Utensils* - 4-702.11 Frequency of Sanitization of Utensils and 3-201.14 Fish and Recreationally Caught Molluscan Ftuxl Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of sanitization-Hot Water and 3-201.15 Molluscan Shellfish from NSSP Listed ChemicaP" Game and Wild Mushrooms Approved by 10 � Proper,Adequate Handwashing Re utato Authori. 2-301.11 Clean Condition-Hands and Arms* 3-203.18 Shctistockldentification Prescnt* 2-301.12 Cleaning Procedure* 590.004(C) Wild Mushrooms* 2-301.14 When to Wash'` 3-201.17 Game Animals* f.( Good Hygienic Practices g ReceivinglCondition 2-401.11 Eating,D±kin or Linin Tobacco* 3-202.11 PRFs Received at Proper Tent eratures'" 2401.12 Discharges From the Eyes, Nase and 3-202.1.5 Package htte rit.v: Month* 3-101.11 *cad Safe and Unadulterated* 3-301.12 Preventing Contamination When Tastin * 6 Tags/Records:Shelistock 72 Prevention of Contamination from Hands 3-202.18 Shelistock Identification* 590.004(8) Preventing Contamination from Employ3-203.12 Shelistock Identification Maintained* Handw sh Tags/Records:Fish Products 13 Conveniently Facilities 3-402.11 Parasite Destruction* Numbers and Located and Accessible 3-402.12 Records.Creation and Retention* 5 203.11 Numbers and Ca acftiess' 590.0040) Labeling of Ingredients' 5-204.11 Dation and Placement* ry Conformance with Approved Procedures 5-205.1.1 Aeeessibdu O rerahon and Maintenance /HACCP Plans Supplied with Soap and Hand Drying 3-502.11 Specialized Processing Methods* Devices 3-502.12 Reduced oxvizen racka ins,criteria* 6-301.11 Handwashing Cleanser, Availabilit 8-103.12 Conformance with Approved Procedures 6-3(11.12 Hand Drying Provision ' Denotes crldcal Hem in the federal 1999 Food Code or I 0 C%IR 590.000. CITY OF SALEM BOARD OF HEALTH Establishment Name: S6✓ 4r SeY461iltfrr�/rS Date: / o Page: 2 of 2 ' Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date No. Reference R—Red Item Verified PLEASE PRINT CLEARLY Ka Jt Og V4 4 r'' *f- eAdCK /frJrc2 SN Si if/c k{ 441, r7WICC i' 6'Aovf ox Q/SPdSJ4 &7¢l�- ( of Lr Fxe *d rYVo%/S ;?ec Mr kta- AA&--v.[�r�/a lat red ,qNf, 44&* W *rvs din dAr roeOf z Discussion With Person in Charge: Corrective Action Required: ❑ No ❑ Yes s I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ inspection, to observe all conditions as described, and to Exclusion violations before the next ins r. p ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency closure your food permit. Ni ❑ Voluntary Disposal ❑ Other: t. 3-50114rC) PHFs Receivedest Temperatures Violations Related to Foodborne Illness Interventions and Risk According to Law Cowled to Factors(items 1-22) (Cont.) 41IF/45'F Within 4 Hours. PROTECTION FROM CHEMICALS 3-501.75 Cooling Methods for PHFs I4 � Food or Color Additives I9 PHF Hot and Cold Holding 3 202.1 11 Additives t 3-501.16(B) Cold P1IFs Maint'ioned at or below 590.004(F) 41`/45"F _ 3-302.14 Protcefion from I Inat.roved 4ddi,tives" 3-SOL16(A) Hot PtiFs Maintained at or above l5 Poisonous or Taxic Substances 40°F. 7-101.11 .Identifying Information-Original 3-501.16(A) Roasts Held at or above 1301 Cc7ntainers" 20 Time as a Public Health Control `t-102.11 Common Natne-W%orkintr Conta{nersT 7-101.11 Se aratiou-Stora e" 3-501,19 Time as aPublic Health Control* 7-202.11 Restriction-Presence and Use" 590.004(li) Variance Rec uiremeut 7-202.12 Conditions of Use, 7-203.'11 Toxic Containers-Prohibitions* REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-204.11 Sattitizers,Criteria-Chenvc.&* POPULATIONS(HSP) _ 7-20A.L' Chemicals for Washin=Produce. Criteria* 21 3-801.f1(A) Unpasteurized Pre-packaged.Juices and Bevel t es with W atninn Labe'Is* 7-204.14 Drvm Agents.Criteria* ;-8(11.t1(B) Use of Pasteurized La as* 7-205.11 Incidental Food Contact,Lubricant.,* 7-206.11 Restricted Use Pesacules,Ctrterla" 3-301 11(D) Raw or Partially Cooked Animal Food and Raw Seed Snout's Not Betted 7-206,12 Rodent Bait Stations- 7-206.13 Tracking Powders,Pest Control and 3-801.11(C) Unopened Food Pucka>e Not Re-sensed. " Monitoring" CONSUMER ADVISORY TIMEITEMPERATURE CONTROLS 22 3-603.11 Consumer Advisory Posted for Consumption of Animal Foods lhat are Raw, Undercooked or 1G Proper Cooking Temperatures for PHFs Not Otherwise Processed to Eliminate Patlu) c.ns* rn cnLa rruroor 3-401.11Ar1)(2) Eg-s- Ii5'F15Sec. fi F es-fmmedi ate Service 145---F15sec* 3-30213 1 Pasteurized f,gs Substitute for Raw Shell 3-401.I I(A)(2) Comminuted Fish.Meats&Game .Animals-155'F 15 sec. " SPECIAL REQUIREMENTS 3-401.11(B)(1)(2) Pork andBe.t Roast- 1 5121 min" 3-401.51(,0)(2) Ratites,Injected Ricais- 590.009(A)-(D) Violations of Section 590.009(A)-(D)in 1 1.55°F 15 sec. * catering, mobile food, temporary azul 3-401.11(A)(3) Poulov,Wild Game, Stuffed PHFs, residential kitchen operations should be Stuffing Containing Fish,Meat, debited under the appropriate sections Potdtiv or Ratites-16S".F 15 sec * above if related to foodborne illness 3-401.1 1(0(3) Whole-muscle, Intact Beef Steaks interventions and risk factors. Other 145F* 590.009 violations relating to good retail 3-401.12 Raw Animal Foods Cooked inn practices should be debited under#29- Microwave 165E m Special Requirements. 3-401.11(A)(1)(b) Ail Other PHFs-145-F 15 sec. 17 Reheating for Hot Holding VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-403.11(,0)&(D) PI Ms 165°F 15 sec. * (Items 23-30) 3-403.11(B) Microwave- 165'F 2%linufe St'arrding Critical and non-critical violations, which do not relate to the Time* foodborne illness interventions and risk,factors listed above, can be 3-4D3.11(C) Commercially Processed RTF Food- ,found in ahe following sections of the Food Code and 105 CNIR 14WF* 590.000. 3-403.1 I(E) Remaining Unsliced Portions of Beef Item Good Retail Practices FC 590,000 Roasts* 1_23. Pdanagement and Personnel FC-2 .003 d 24. Food and FooProtection 1 FC-3 .004 1g Proper Cooking of PHFs ------ ------ +-- 25 E moment and UtensilsFC -- .DOS ---------- -T50I Cooling Cooked PRFs from 110`5 to 26 Water Plumbing and Waste FC 5 .006 1 70°F Within 2 Hours and From 70`5 i 27. Physical FacilityIFC-6 .007 3-001.148 C Colin g45OF Within 4 Hours.PHFs Made From Ambient F-2-9--,---!- ciialPoisonous or Toxic Materials IFC-7 .008 - ) K rpedal Requirements lemperaturc ingredients to 41°F/45'F -30--i Other _ Within 4 Hours* m Denotes crifival item in the federal 1999 Food Cede or 10i CMR 5(;(I000. i Massachusetts Department of Public Health Salem Board of Health 120 Washington Street,0 Floor Division of Food and-Drugs Salem, MA 01970-3523 FOOD ESTABLISHMENT INSPECTION REPORT Tel. (978) 741-1800 Fax (978) 745-0343 Name I Date / Tvo2 of Operation(s1 Tvpe of Inspection ✓�Q�/O C PPT P N �,S y-/cZ'0 E] Food Service ❑ Routine Address / Risk ❑ Retail ❑ Re-inspection °,L Y�� �St Level ❑ Residential Kitchen Previous I spection Telephone e k �l ❑ Mobile Date: 5 o-3 Owner HACCP Y/N ❑ Temporary ❑ Pre-operation �hg/�ia 1,17y to 7 ❑ Caterer ❑ Suspect Illness Person in Charge(PIC) Time ❑ Bed&Breakfast ❑ General Complaint n- El HACCPS Inspector Out: Permit No. ❑Other Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors Anti-Choking Tobacco Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F) ❑ action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT El12. Prevention Of Contamination from Hands [-] 1. PIC Assigned/Knowledgeable/Duties EMPLOYEE HEALTH f °-•_m ----- - ❑'rSHandwash Facilities PROTECTION FROM CHEMICALS ' ' •` " ❑ 2. Reporting of Diseases by Food Employee and PIC -- ❑ 3. Personnel with Infections Restricted/Excluded ❑ 14.Approved Food or Color Additives ❑ 15.Toxic Chemicals , FOOD` El 4. Food andAPPROVEDrom AppRCE _ .. - _ TIME/TEMPERATURE Potential) Hazardous Foods ❑ 4. Food and Water from Approved Source (Potentially ) ❑ 5. Receiving/Condition ❑ 16.Cooking Temperatures ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 17. Reheating ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 18. Cooling PROTECTION FROM CONTAMINATION _- "'• - ❑ 19. Hot and Cold Holding ❑ 8. Separation/Segregation/Protection ❑20.Time As a Public Health Control ❑ 9. Food Contact Surfaces Cleaning and Sanitizing , REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑21. Food and Food Preparation for HSP ❑ 10. Proper Adequate Handwashing ❑ 11. Good Hygienic Practices CONSUMER ADVISORY _ ,.-- ❑ 22. Posting of Consumer Advisories Violations Related to Good Retail Practices Number of Violated Provisions Related Critical (C)violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors(Items 1-22): of Health. Non-critical (N)violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board today, the items checked indicate violations of 105 CMR ofCHeaNh. 590.000/federal Food Code. This report, when signed below 23. Management and Personnel (Fc-2)(590.003) by a Board of Health member or its agent constitutes an 24. Food and Food Protection (FC-3)(590.004) order of the Board of Health. Failure to correct violations 25. Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of 26. Water, Plumbing and Waste (Fc-5)(990.009) the food establishment permit and cessation of food establishment operations. If aggrieved by this order, you 27. Physical Facility (FC-6)(590.007) have a right to a hearing. Your request must be in writing 28. Poisonous or Toxic Materials (FC-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order: 30. Other DATE OF RE-INSPECTION: ' s ssomspec�Fomrs-ie.c« In p pr's S'gna e: -7� Print: PIC's Signature: - l t B, A Print: �� I j2 Page of�,Pages Violations Related to Foodborne Illness Interventions and Risk Factors(items 1-22) ` PROTECTION FROM CONTAMINATION FOOD PROTECTION MANAGEMENT S Cross-contamination 1 590.003(A) Assignment ofResponsibility* 3-302.1.1(A}(1) Raw Animal Foods Separated from 590,003(B) I Demonstration of Knowled-e* Cooked and RTE Foods* 2-103.11 Person in chane-duties Contamination from Raw ingredients •3-302.1.1(A)(2) Raw Animal Foods Separated from Each EMPLOYEE HEALTH _ Other* 2 590.003(0) Responsibility of the person in charge to Contamination from the Environment require reporting by food employees and 3-302.1 t(A) Food Protection* applicants* 3-302.15 Washing Fruits and Veotables 590.003(F) Responsibility Of A Food Employee Or An 3-304.11 Food Contact with Equipment anti Applicant To Report To The Person In Utensils* Charee* Contamination from the Consumer 590.003(G) Re ortial-by Person in Charge* 3-306.14(A)(B) Returned Food and Reservicc of Food* 3 1 590.003(0) Exclusions and Restrictions" Disposition of Adulterated or Contaminated 590.003(E) Removal of Exclusions and Restrictions Food 3-701.11 Discarding or Reconditioning Unsafe FOOD FROM APPROVED SOURCE Food" 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 3-201.12 Food in a Hermetically Sealed Container* Sanitization Temperatures" 3-201..13 Fluid Milk and'Milk Products* 4-501.112 Mechanical Warewashim, Hot Water 3-202.13 Shell ERS*s* Sanitization Temperatures* 3-202,14 4-501-114 Chemical Sanitization-temp., pH, concentration and hardness. 3-202.16 Ice Made From Potable Drinking Water" '0 5-101.11 Driitkin Water from an Approved Svstem„ 4-601.11(A) Equipment Food Contact Surfaces and Utensils Clean* 590.006(A) Bottled Drinkin Water* 4-602.11 Cleaning Frequency of Equipment Fond- 590.006(B) Water Meets Standards in 31.0 CMR 22.0" Contact Surfaces and Utensils°s Shellfish and Fish From an Approved Source 4-702.11 Frequency of Sanitization of Utensils and 3-201.14 Fish and Recreationally Caught Molluscan Foul Contact Surfaces of E q ui ment* Shellfish" 4-703.1] Methods of Sanitization-Hot Water and 3-201.15 Molluscan Shellfish from NSSP Listed Chemical''' Sources* 10 Proper,Adequate Handwashing Game and Wild Mushrooms Approved by Regulatory Authority2-301.11 Clean Condition-Hands and Arms* 3-202.1.8 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 590.004(C) Wild Mushrooms* 2-301.14 When to Wash* 3-201.17 Game Animals* 11 Good Hygienic Practices Receiving/Condition 2-401.11 Eatin ,Drinking or Using Tobacco* 3-202.11 PHFs Received at]proper Tem eratures* 2-401.12 Discharges From the Eyes, Nose and 3-202.t5 Package Integrity* Mouth* 3-101.11 Food Safe and Unadulterated* 3-301.12 Preventin Contamination When Tastin*"` { Togs/Records:Shellstock 12 Prevention of Contamination from Hands 3-202.18 Shelistock Identification* 590.004(E) Preventing Contamination from 3-203.12 Shellstock Identification Maintained* Employees* Tags/Records:Fish Products 1=1 Handwash Facilities 3-402.11 Parasite Destruction* Conveniently Located and Accessible 3-402.12 Records.Creation and Retention; 5-203.11 Numbers and Ca acitua ; 590.004(7) Labeling of Ingredients" 5-204.1.1 1 Location and Placement* g Conformance with Approved Procedures 5-205.11 Accessibility,Operation and Maintenance BiACCP Plans Supplied with Soap and Hand Drying 3-502.11 Spec Processin .Methods* Devices 3-502.12 Redneed ox en parka do*.criteria` 6-301.11. linadwashing Cleanser,Availability 8-103.12 Conformance with Approved Procedures* 6-301.1.2 Hand Drying,Provision 'Denotes critical item in the federal 1999 Foal Cade or 105 CMR 59() CITY OF SALEM BOARD OF HEALTH r Establishment Name: "7�h,Pid s �� �ioars�mP moi. vn t Date: �/ men 4Z Pager_ Of 0� Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date No. Reference R—Red Item Verified ..PLEASE PRINT CLEARLY iii�,'-J�✓2-...�!/,l�l, Tn C-P /i n P M X77 .sl/O .d 4'1- 0 ' 3 Y 2 7Y/rP R /S O T" -Zi i w s /�c �S � v � it 77 a 1 Jn r/Ji 7 UaS 17P ^^ 7[ /J /i,a C A,Kf-�/fn /�� i Discussion With Person in Charge: Corrective Action Required: ❑ No ❑ Yes have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction Exclusion violations before the next inspection, to observe all conditions as described, and to Cl Re-inspection Scheduled ❑ Emergency Suspension cpmply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of t enty-five dollars or suspension/revocation of El Embargo El Emergency Closure your food permit. 0 Voluntary Disposal C3Other: 1 ' 3-50t.1�t(C) PHFsReceive< t"Peniperaturas Violations Related to Foodborne Inness Interventions and Risk According to Law Cooled to Factors(items 1-22) (Cont.) 41°F/45°F Within 4 Howl. PROTECTION FROM CHEMICALS 3-501.15 Cooling Methods for PHFs 14 Food or Color Additives 19 PHF Hot and Cold Holding 3--501.16(B) Cold PI IFs Maintained at or below, 3-202.72 Additives' 590.004(F) 41'/45° F* _T302-14 Prow.Pion from Toxic Substances Additives* 3-501.16(A) Hol'PHFs Maintained at or above IS Poisonous or Toxic Substances - 140'F. - _750I 40'F. * 7-101..11 IdentityingZnfonnat'ion-Original 3-501-1(i(A) Roasts Held at or above 130'fr. Containers* 7-1.02.11 Common Name-Working Containers* 20 Time as a Public Health Control 7-201.1 1 Se.ararkei-Storage* 3-501.19 Time as a Public Health Contra]* 7-20211 Restriction-Presence and Use* 590.004(H) Variance Requirement 7-202.12 Conditions of Use* 7-203.11 Toxic Containers-Pmhibitionss' REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) 7-204.11. Sanitizers.Criteria-Chemicals* 7-204.12 Chemicals for Washin Produce.Criteria* 2I 3-801.11(A) Unpasteurized Pre-packaged Juices and 7-204.14Dr in ants.Criterla- Beverages with Warning Libels* 3-901.11(B) Use of Pasteurized Eggs* 7-205.11 Incidental Food Contact.Lubricants* 3-801.11(D) Raw or Partially Ctwked Aminal Food and 7-206.11. Restricted Use Pesticides.Criteria* Raw Seed S routs Not Served. :z 7-206.12 Rodent Bait Stations* 3-801.1](C) Uno toned Food Parka>c Not Re-served, 7-206.13 'Cracking Powders,Pest Control and Monitxxing* CONSUMER ADVISORY TIMEITEMPERATURE CONTROLS 22 3-603.11 Consumer Advisory Posted for Consumption of Animal Faxls`I'hat are Raw.Undercooked or 16 Proper Cooking Temperatures for PHFs Net Otherwise Processed to Eliminate ea cove traitor 3-401.1IA(])(2) Eggs- 1555- Pathugens F 15 Sec. EaiLInnne111etc Service 145°FI5see* 3-302.13 Pasteurized Eggs Substitute for Raw Shell 3-401.11(A)(2) Comminuted Fish, Meats€c Game F'gs* Animals- 155`F 15 sec. " 3-401.11(8)(1)(2) Pork and Beef Roast -110'1, 121 min* SPECIAL REQUIREMENTS 3-401.11(A)(2) Ratites, injected Meats- 155'F 15 590-009(A)-(Q) Violations of Section 590.009(A)-(1�)in sec. * catering, mobile food,temporary acid 3-401.1I(A)(3) Poultry, Wild Game,Stuffed PHFs, residential kitchen operations should be Swifo g Containing,Fish,Meat, debited wider the appropriate sections Poultr or Ratites-165°P 15 sec. #` above if related to foodborne illness 3-401.11(C)(3) Whole-muscle,Intact Beef Steals interventions and risk factors, Other 145°F* 590.009 violations relating to good retail 3-401.12 Raw Animal Foals Cooked in a practices should be debited under#29- Microwave 165`F* Special Requirements. 14017{A)(I){h} All Othei PHFs-145'F 15 sec. 17 Reheating for Hot Holding VlOLATiONS RELATED TO GOOD RETAIL PRACTICES 3-403.11(A)&(D) PHFs 165'P 15 sec. * (Sterns 23-30) 3-403.11(B) Microwave- 165°F 2 Minute Standing Critical and non-crifical violations, w/rich do not relate to the Time" foodborne illness interventions and riskhatters[Wed obove, con he 3-403.1(C) Commercially Processed RTE Foal- ,found in the following sections q/the Food Code and 105 CMk 140°F* 590.000. 3-403.1I(E) Remaining Unsheed Portions of Beef Item Good Re-tall Practices FC 590.000 Roasts _____so el FC-2 .003 * ena ament and Personnel _._.._ 18 Proper Cooling of PHFs P4. Food and Food Prciection FC-_3 .004 25. ___._ __Equipment and Utensils FC_-4- '005_ 3-501.14(A) Cooling Coked E HFs from 140'F to 2g,_ Water.Plumbin and Waste FC 5 006_ 'OT Within 2 Hours and From 70°F 27. Physical Facility FC-6 .007 to 41`F/45°F Within 4 Hoary. * 28. Poisonous or Toxic Materials FC-7 .008 3-507.14(B) Cooling PRFs Made Front Ambient P9. S ectal Re uiremsn[s _ .009 Temperature Ingredients to 41`F/45`'F 30. ___ Other Within 4llourg* ssmron,mxeea.ao� e'Denotes critical item in t6e&decal 1999 Food Code or 105 CMR 592000. IMPORTANT FOR ,_MESSAGE�rr DATE TIME OF PHONE 4 Q FAX . MOBILEAREA .. CAU- TELEPHONEDPLEASE.III' CAME ' SEE . WILL CALL AGAIN WANTS TO SEE . RUSH RETURNED YOUR CALL ®iWILL FAX TOfieri® MESSAGE / , _I NOTES la-aa o5 bouf le_S -his ��- has -j-�c�- St __ - - -- - � _- - -- lr'J_ - r- � '' _ -%��. r - � -'�` ' �- y' -'' ��_�� `v _' �- _ � `� -- _ __ � _ � �- _ � ����_ _ ..f -' _ f - " M -- _- - � MORRELL ASSOCIATES Current Date: 8/24/2006 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 8/21/2006 (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/06 L tMaria's_Sweet Something L C 26 Front Street I E T Salem, MA 01970 N I T N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream 21,000 48y► HY SEP - 5 2006 CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS Machine: SPC s 50,000/g;Coliforrm.,s�50/g Other: SPC s 50,000/g;Coliforms METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health MORRELL ASSOCIATES Current Date: 7/18/2006 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 7/12/2006 .a,. ear,. E: (781)837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/06 L Maria's Sweet Something L OC 26 Front Street I E T Salem, MA 01970 N I T O N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Chocolate Ice Cream <250 EPAC < 1 EPCC avv AUG 3 - 2006 CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS SANDARDS Machine: SPC s 50,000/g;Coliforms 50/g Other: SPC s 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition, American Public Health Association, 2004 Board of Health s MORRELL ASSOCIATES Current Date: 6/1912006 P.O. BOX 268 Marshfield, MA 02050 Date Samples Taken: 6/14/2006 (781) 837-1395 www.morrell-associates.com Customer#: SRR-10 C PP10/06 L Maria's Sweet Something L C 26 Front Street I A E T Salem, MA 01970 N I T 0 N BACTERIA COUNT Sample Standard Plate Count/g Coliform/g Vanilla Ice Cream R J] 2,800 < 1 EPCC V JUL 5 _.zoos CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS SANDARDS Machine: SPC s 50,000/g;Coliforms 50/g Other: SPC s 50,000/g;Coliforms 20/g METHOD REFERENCE: Standard Methods For The Examination of Dairy LAB ANALYST Products 17th Edition,American Public Health Association, 2004 Board of Health 26 Front Street Maria's Sweet Somethings City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Item Status Violation Critical Urgency Telephone: PROTECTION FROM CONTAMINATION 825-9111 Handwash Facilities FAIL ❑d RED Owner: omment: Lower hand wash sink missing sign. Provide sign. Maria Harris PIC: Violations Related to Good Retail Practices (Blue Items) Maria Harris Equipment and Utensils FAIL BLUE Inspector: omment:White chest freezer in corner requires thorough cleaning. John Gehan Date Inspected.Correct By. Sanitizing log not up to date. Log to be maintained daily. 10/4/2006 i Test strips not available at time of inspection. Provide test strips. Risk Level: i Other-See Notes FAIL BLUE Permit Number: omment: Door to establishment open at time of inspection. Owner to provide screen door or keep door closed at all times. BHP-2006-0145 Owner subject to monetary fins starting at$25.00. Status: PARTIAL COMPLY GENERAL COMMENTS: #of Critical Violations: 892:870:Owner to fax over last three months of extermination reports to BOH. 1 Time IN: Time OUT: All outstanding violations to be corrected by Friday 10/13/06 Urgency Description(s): BLUE: Violations Related to Good Retail Practices (Critical violations must be corrected immediately or within 10 days)(Non-critical violations must be corrected immediately or within 90 days) City of Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeOTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Oct 11,2006 ) Page 1 oft Item Status Violation Critical Urgency RED: Violations Related to Foodborne Illness Interventions and Risk Factors (Require immediate corrective action) - Kdql Cityof Salem Board of Health 120 Washington Street,4th Floor SALEM MA 01970(978)741-1800 GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Oct 11,2006 ) Page 2 of CITY OF SALEM, MASSACHUSLITS IV BOARD OF HEAUFH 120 WASHINGTON STREET,4."FLOOR PablicHealth r..m.r.omoee.r.mem. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LdI21tY 12AMDIN,RS/REHS,CI-IO,CY-G'S I MAYOR HEN:fH AGL'N'I' July 23, 2013 Maria Harris, Owner Maria's Sweet Something's 26 Front Street Salem, MA 01970 Dear Ms. Harris, At a regularly scheduled meeting, of the Salem Board of Health, on Thursday, June 13, 2013. The Board voted to grant your request, to keep your front door and approved the use of an air curtain as a means of protecting the outer openings at your establishment, Maria's Sweet Something's, pursuant to their authority under MGL Chap 111 and the requirements of 105CMR 590 Food Establishment regulations. This approval is conditional on the following requirements: 1. The air curtain must be on and running continuously on the high setting while the doors are open. 2. All outstanding fines must be paid in full. Failure to comply with the requirements of this approval will result in further regulatory action being instituted against your facility, including the approval being rescinded and the suspension and or revocation of your food establishment permit. Should you require any further information please do not hesitate to contact this office at 978-741-1800. Yours Very truly Larry A.'95= Health Agent Maria's Sweet Somethings MORRELL ASSOCIATES 26 Front Street .e P.O. Box 268 Marshfield, MA 02050 Salem , Ma 01970 — (781) 837-1395 www.morrell-associates.com Current Dale: 6/10/2014 Date Sample Taken: 6/2/2014 Customer#: IC-158 BACTERIA COUNT Sam le Standard Plate Count/q Coliform/ Chocolate Ice Cream 290 1 RECE'Vp® JUL E?:�3 'Z014 Cj Y OF S,,,' -M BOARD OF HEALTH MASSACHUSETTS STANDARDS: Machine: SPC<50,000/g;Coliform<50/g Other: SPC<50,000/g;Coliform<20/g LAB ANALYST METHOD REFERENCE:.Standard Methods For The Examination of Dairy Board of Health Products, 17th Edition,American Public Health Association,2004 _ MORRELL ASSOCIATES Maria's Sweet Somethings -- � o P.O. Box 268 Marshfield, MA 02050 26 Front Street (781) 837-1395 www.morrell-associates.com Salem , Ma 01970 Current Date: 5/21/2014 Date Sample Taken: 5/16/2014 Customer#: IC-158 BACTERIA COUNT (Sample Standard Plate Counthq Coliform/ Vanilla Ice Cream <250 EPAC < 1 EPCC - ECEI W EI G7Y OF SALEM BOARD OF HEALTH MASSACHUSETTS STANDARDS: Machine: SPC<50,000/g;Coliform<50/g Other: SPC<50,000/g;Coliform<20/g LAB ANALYST METHOD REFERENCE:Standard Methods For The Examination of Dairy Products, 17th Edition,American Public Health Association,2004 Board of Health