The URL can be used to link to this page

SOPHIES SWEETS - ESTABLISHMENTSSOPHIE'S SWEETS 274 ESSEX STREET lAmmonwealm of massacnuseiis *'- City of Salem xx Board or Health lQmbedey Dfiscon 120 Washington Street, 4th Floor Mayor---- SALEM, ayor -_SALEM, MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/03/2008 ESTABLISHMENT NAME: - File Number: BHF -2005-000033 Sophie's Sweet Shop 230 Essex Street SALEM MA 01970 LOCATED AT: 0270 ESSEX STREET SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes RETAIL FOOD BHP -2008-0086 Jan 3, 2008- -Dec 31, 2008 $70.00 Total Fees: $70.00 PERMIT EXPIRES December 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 33 of 46 0 QTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4Tr' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR ISCOTraSALEM. COM JOANNE SCOTT, HEALTH AGENT 2008 APPLICATION FOR PERMIT TO OPERATE NAME OF ESTABLISHMENT ADDRESS OF ES T ABLiSHM MAILING ADDRESS (if different) EMAIL - Business': OWNER'S NAME ADDRESS _/ CQ FOOD ESTABLISHMENT FAX # Website: TEL # CERTIFIED FOOD MANAGER'S NAME(S)- r , CERTIFICATE#(S) (Required in an establishment where potential] azardous foodisprp%repay d)�% EMERGENCY RESPONSE PERSON ( r�w✓7�C f it iC�-�- HOME TEL #� DAYS OF OPERATION Monday Tuesday Wednesday Thursday Frida Saturday Sunda HOURS OF OPERATION /e- Please GA/!!9 — /G • f�/yl4 /0 -� /D Please write in time of day.P5�� tl •• //�n� r1��0� �!�7�„Oi17T /' )77 TYPE OF ESTABLISHMENT RETAIL STORE (YEJNO -- ------------ RESTAURANT YESNO (Outdoor Stationary Food Cart $210) ---- --- ---------------------- BED/BREAKFAST/ YES NO CHILDCARE SEPERMITS RVICES- ADDITIONAL----,-_..__.._..._. MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE TOBACCO VENDOR ALL NON-PROFIT (such as church kitchens) FEE (check only) Liess'than 1000sq.ft. =$ 70 1000-10,000sq.ft. =$280 more than 10,000sq.ft. =$420 ----------- less than 25 seats =$140 25-99 seats =$280 more than 99 seats =$420 $100 -------------------------------------------- YES......................... --------- YES NO $25 YES NO $135 YES NO $25 'Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C, Section 49A, I certify under the pai�_p_eaallies of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required m0e law. , �,..- 03y-4i0 -z.sz SignatureDate Social Security or Federal Identification Number Revised 4/24/07 FOODAP2008.adm CheckN & Date IMPORTAIUT MESSAGE FOFY... �C1a�-�• DATE 9 - 60 TIME l! 2 >a. -M. M AP, OF 0aY& PHONE �8-�StC��1gZD AREA CODE NUMBER EXTENSION O FAX O MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH.. RETURNED YOUR CALL WILL FAX TO YOU SIGNED FORM 4009 MADE IN U.S.A. [,NOTES f,- Au- - ' a/I Ore_ el2jo v � a — — IMPORTANT MESSAiaE FOR DATE Ma DF = p -7 CM PHONE �a �� AREA CODE NUMBER EXTENEION ❑ FAX'1 ❑ MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUF WILL FAX TO YOU SIGNED FORM 4009 MADE IN U.S.A. NUIES u r` w, -Co mmonweealth of Massachusetts f .,... .'nf ✓ � 2.' .�K ;, •}', �.,��, r -Commonwealth�;4^F�$N'I, City of Salem Board of Heath WMbedey Driscoll 120 Washington Street, 4th Floor Mayor SALEM, MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/08/2007 ESTABLISHMENT NAME: File Number: BHF -2005-000033 Sophie's Sweet Shop 230 Essex Street SALEM MA 01970 LOCATED AT: 0270 ESSEX STREET SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes RETAIL FOOD BHP -2007-0246 ,tan 2, 2007 Dec 31, 2007 $50.00 Total Fees: $50.00 PERMIT EXPIRES December 31, 2007 Board of Health 40 0 it 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 t :1 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 2007 APPLICATION FOR PERMIT TOO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT �^ ^ l^ /d [�1� TEL # ADDRESS OF ESTABLISHMENT_�� FAX # MAILING ADDRESS (if different) EMAIL -- Business':_ Owner's: OWNER'S NAMEIj/P p'�1/12 ^�J TEL# // / Nle- /Yd 9'7 J4CXSo w S-r— ADDRESS STREET CITY STATE fYy/� ZIP/9 7� �4 /ems. o CERTIFIED FOOD MANAGER'S NAME(S) R 0/N a'L/li "6 e-/ CERTIFICATE#(S) ✓`f— (Required in an establishment where potentially hazardous food is prepared) G / (% EMERGENCY RESPONSE PERSON 9, r/�G/ �//ti /� HOME TEL # � �f1 _� 71 DAYS OF OPERATION Monday Tuesday Wednesday ! Thursday Friday SaturtlaV Sunday HOURS OF OPERATION ph, _ ai.3aA�r C�'3Of� 19.'-30 ."W Please write in time ofday. .7• S-.�m, _s-� g-.® ,., �,� �;�jy,7 S�.-fir// IFofexample 11am-11om1 TYPE OF ESTABLISHMENT RETAIL STORE kYES NO RESTAURANT YES NO FEE check onl less than 101 = 50 1000-10,OOOsq.ft. =$100 more than 10,OO1 =$250 - - - --- -- ------ -- - -- ------ less than 25 seats - - -- - =$100 25-99 seats =$150 more than 99 seats =$200 BE- --D/BREAKFAS-T -- YES NO - ------ -- $100 ADDITIONAL PERMITS MAKE (not just 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 best knowledge and belief, have filed all state tax returns and aid all state taxes required under the law. d� n n � h r,�I'd 17 19 n A L/'q,9 027 oZ� Number Revised 11/13/06 FOODAP2007.adm Check# & Date a DATE PRINTED: 02/10/2006 WHO'S PLACE OF BUSINESS IS: File Number: BHF -2005-0033 Commonwealth of.Massachusetts City of Salem Board of Health 120 Washington Street, 4th Floor SALEM, MA 01970 Sophie's Sweet Shop 274 Essex Street ILr:WOU2101 LOCATED AT: 0270 ESSEX STREET SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes TEMPORARY FOOD BHP -2006-0412 Feb 10, 2006 Feb 11, 2006 $0.00 / TO BE SERVED: Ye Olde Pepper Co. prepacked candies. Total Fees: $0.00 PERMIT EXPIRES February 11, 2006 Board of Health Page 8 of 9 Jul 11 US 11:29a _TAIL" U10VICL MAYOR Joenne Scott Salem 90H 979 745 0343 ,%.1 CITY CF SALEM, MAGG-ACHUSETTS BOARD of HE.AUYH .2U 1v/ sHTfVGTO,N STREET, 4TH FT-OOR MA 011,70 TEL, 9713-741 1800 PAX 978-745-0343 _-onn ME SCOTT, MPH. RS -CBO ,HFaL7H. ACFNT VI vsc �i li Cor APPLICATION FOR ATEMIPORARY FOOD SERVICE PERMIT FEC; 1-3 DAY$ _ ,"s'oa HILI j c f .'ficI 4-1 DAYS= /sl-oc g 1,2SSe J c" C Mc c THAN 7 DAYS T JCi�C'-VY\ C tel.-iE?. T C4ECX PAYA.6LF iQ fhE Cir,' Ur Onl M: NO l'AgH NAME OFEVEIUT 0-'crs.:1�Tc (LiN� lU1x�! LOCATION 'n 1 I I J� care{ �>N ME ?c) ' —�NAME OFBU$INESS. ADDRtSs��T CERTIFICATIONtt �C LERTIFILC 1=00D MANAGER 5 Nr1ME _ — - A PL4N 61= THE ESl'ABLISHMENT IS: ENCLOSED DRA^1N GN 1HE BACK TYPE OF REFRIGEP.A i ION: GAS ICE DRY fUL- OTH�E./R "/� G��,. MET140D FOR COOKINGiHC T HOI,DING' GAS OTHER IYIETNGC FOR S'ANIT¢I14G:�LZ6I EI•+11CAL 'OTHER. /7i/ SQURt;F OF FpUL✓ NAME 4 - F _ r -R rotc Z,ir inl' — f`OOD3l0 Et CERVT lilGLUD{NG +UrtE7!L �//I �j nIC' ivSE r� HAVE BEAU 1, -IF ERARU OF HFAI,TH, "P,EgUREMENTS FCR Ti iMPORARY FOOD ESTABLISHMENTS." I HAVE r:F,D THE'JPPORTONIT: SO J•Sri CUESI'ION�'. rvFCARDING T! -LOSE REOUIRF^dGN-D. I IIN01-PSTAND THE- , AU+IRE ?-O r4EtOE 3Y THEi�" P.NO UND FkST,4..in I'HA' }•AILi-IRC 1WILL R�SULT IN REVOCATION 4Y TEit4PORARY FU1)0 E;STABLISHNIENYP 0 DO -Cu kHh11T_ (AERSUAN' TO MGL lrbLG,, j'}9P, i [-LitiT lFl JNCF., T -E 'CNALI;ES Of PI=RJUR.Y IHA� I, TO ¢li EE3T k'N �WLL =i.NL BJ.IUFH HAVE FILED ALL STA CE TA.: RI VURNS UNDER I.A1N.,�� SIGNAIUHe 7ECA'.1p1 uHvi_p 11121'1101 P".,1 C—, ,.— T=nIC AJ 'TA TE TAXES RGOUIRED -y P, C DATc SOCIAL JECURITY OP. FEDERAL ID � FORM 4009 MADE IN U.S.A. IMPORTANT MESSAGE FOR DATE/J ��`� �� TIMEAM i' OF��'. 121�in &V4d PHONE 998 -'75M- AREA CODE U FAX U MOBILE AREA CODE NUMBER EXTENSION NUMBER TIME TO CALL FAX TO YOU PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL MESSAGE SIGNETELEPHONED � FORM 4009 MADE IN U.S.A. FAX TO YOU � FORM 4009 MADE IN U.S.A. NOTES 4 Commonwealth of Massachusetts City of Salemr Board of Health Kimberley Driscoll _. Mayor 120 Washington Street, 4th Floor SALEM, MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/23/2006 WHO'S PLACE OF BUSINESS IS File Number: BHF -2005-0033 Sophie's Sweet Shop 274 Essex Street SALEM MA 01970 LOCATED AT: 0270 ESSEX STREET SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes RETAIL FOOD BHP -2006-0344 Jan 19, 2006 Dec 31, 2006 $0.00 Total Fees: $0.00 PERMIT EXPIRES (December 31, 2006 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location. The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, beofre any revonations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Page 8 of 9 CITY OF SALEM, MASSA ... SE# � �' Th BOARD OF HEALTH (((((iiiii"'''"''' �//�l + 120 WASHINGTON STREET, 4TH FLOOR JAN /l//�//// SALEM, MA O 1970 �Y 2 ?006 .� TEL. 978-741-1800 Q FAX 745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOT , MPH, RS, CHO BOAROOF '�t-wFM MAYOR HEALTH AGENT WLTy 2005 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT 5 oIp t� � f_,S 1 A,eet S on TEL #14 ADDRESS OF ESTABLISHMENT A - m) L SSE X Sk MAILING ADDRESS (if different) ``'' OWNER'SNAME �uv�✓��Ll L �V�el �✓- TEL #91`U -9b5'7847 ADDRESS t�2✓ahC' CITY k e " CERTIFIED FOOD MANAGER'S NAM STATE Atic ZIP o \S"1 u CERTIFICATE#(s) (required in an establishment where potentially hazardous food is prepared.) EMERGENCY RESPONSE PERSON HOME TEL # HOURS OF OPERATION: Mon./a-5 Tue./o- _S Wed. N-SThu.ro-5 Fri. /o-SSat. io S Sun. it —S TYPE OF ESTABLISHMENT FEE check only RETAIL STORE YES NO�� less than 1000sq.ft. =$ 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 (not just 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 best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law. 2 D�_1��cQ� tt 18-200.5 (DIV'VO- Z92-1 Signature Date Social Security or Federal Identification Number ------ ----adrn--------------------ate_-- � ��]] J - --------------------------------------- Revised 11/03/03 FOODAP2.adm Check# 8 Date � Y� / �� {. TEL 978-741-:18001`-~ 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: 40`* Type of Establishment: RETAIL FOOD Name of Establishment: Sophie's Sweet Address of Establishment: 274 Essex Street Owner's Name: Ronald L Noel Jr Restrictions: Application Date: 6/2/05 Permit for Food Establishment 304-05 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. HEALTH AGENT 0 STANLEY J. USOVICZ, JR. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2005 APPLICATION FORPERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT SopL e S S we A TEL #q %S--2 1/0- /d 20 ADDRESS OF ESTABLISHMENT 1 �2 y ES S G ' _57- SAS % zAz, D /SAO MAILING ADDRESS (if different) -14 OWNER'S NAME S q�G L noel SfL TEL#9-�8-985--261/7 ADDRESS CITY F2 A V1C i S (� CERTIFIED FOOD MANAGER'S NAM STATE MC ZIP 01`l10 CERTIFICATE#(s) (required in an establishment where potentially hazardous food is prepared.) EMERGENCY RESPONSE PERSON HOME TEL # HOURS OF OPERATION: Mon.1-6 Tue.9/ 6 Wed.q-6 Thug -& Fri.q-6 Sat.96 Sun. 9—.s TYPE OF ESTABLISHMENT FEE check only RETAIL STORE YE�D NO / less than 1000sq.ft. =$ 50 1000-10,000sq.ft. than 10,000sq.ft. =$100 =$250 more 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 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 best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law. SignatureDate Social Security or Federal Identification Number ------ ------ ------ ------------------------------------------------------------_::__Y0 -_ 2_9 2-1 Revised 11/03/03 FOODAP2.adm 50 0270 ESSEX STREET Telephone: (978) 740-1820 Owner: Ronald L Noel PIC: Camille Noel Inspector,. David Greenbaum Date Inspected: ICorrect By := x 11/29/2005 4 ` Risk Level: Permit Number &P-2005-04581 Status: SIGNED OFF # of Critical Violations: a 0 Time IN: Time OUT: Urgency Description(s):, BLUE. ViolationsRelatedto 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 RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Sophie's Sweet Item Status Violation Critical Urgency FOOD PROTECTION MANAGEMENT PIC Assigned / Knowledgeable / Duties PASS RED Non-compliance with: Anti -Choking PASS Tobacco PASS EMPLOYEE HEALTH Reporting of Diseases by Food Employee and PIC PASS RED Personnel with Infections Restricted/Excluded PASS ❑Q RED FOOD FROM APPROVED SOURCE Food and Water from Approved Source PASS RED Receiving/Condition Tags/Records/Accuracy of Ingredient Statements Conformance with Approved Procedures/HACCP Plans PASSd❑ RED PASS ❑D RED PASS RED City of Salem Board of Health 120 Washington Street, 4th Floor SALEM MA 01970 (978) 741-1800 GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Nov 29,2005 ) Page I of Good Hygienic Practices Prevention of Contamination from Hands Handwash Facilities PASS Item Status Violation Critical Urgency RED: PROTECTION FROM CONTAMINATION RED PASS Violations Related to Separation/ Segregation/ Protection PASS PASSd❑ RED Foodborne Illness Interventions Cooling PASS ❑d RED and Risk Factors (Require Food Contact Surfaces Cleaning and Sanitizing PASS RED RED immediate corrective action) ❑J RED REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) Proper Adequate Handwashing PASS PASS RED Good Hygienic Practices Prevention of Contamination from Hands Handwash Facilities PASS PASS RED PASS TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) RED PASS RED PROTECTION FROM CHEMICALS Approved Food or Color Additives PASS 0 RED Toxic Chemicals PASS RED TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) Cooking Temperatures PASS ❑d RED Reheating PASSd❑ RED Cooling PASS ❑d RED Hot and Cold Holding PASS ❑J RED Time As a Public Health Control PASS ❑J RED REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) Food and Food Preparation for HSP PASS RED Posting of Consumer Advisories PASS City of Salem Board of Health 120 Washington Street, 4th Floor SALEM MA 01970 (978) 741-1800 RED GeOTMS® 2005 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Nov 29,2005 ) 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 PASS BLUE Water, Plumbing and Waste PASS BLUE Physical Facility PASS BLUE Management and Personnel PASS BLUE Poisonous or Toxic Materials PASS BLUE Special Requirements PASS BLUE Other- See Notes PASS BLUE GENERAL COMMENTS: 385:Owner will check to make sure the basement restroom hot water is working properly. Please notify the Board of Health when hot water is restored. Basement will not be used for food storage. All other requirements to operate a food establishment have been satisfied. City of Salem Board of Health 120 Washington Street, 4th Floor SALEM MA 01970 (978) 741-1800 GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Nov 29,2005 ) Page 3 of cJ L kZ n N }£ W N N LL r� o m M c7 N 06,6L af'�PPORTAMT MESSAGE FOR DATE L-0 -TIME P.M M Hm `l n. P Jk OF PHONE AREA CODE NUMBER EXTENSION O FAX O MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED, PLEASE CALL CAME TO SEE YOU V 11'WILL CALL ASAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU SIGNED I t CD W O I"DRTAPJT MESSAGE M FOR i DATE 6� - TIME'S .M: W. PHONE AREA CODE NUMBER EXTENSION O FAX Cl MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PIEASE:CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE SIGNED FORM MARE IN 7 i w co W O z , 0270 ESSEX STREET Sophie's Sweet City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ _Telephone: (978) 740-1820 Item Status Violation Critical Urgency Nature of problem or correction Non-compliance with: Done Time OUT' ; Owner:` _ Ronald L Noel; Anti -Choking Tobacco PASS PASS ❑ ❑ PIC: % ". yr 3 F Camille' Noel FOOD PROTECTION MANAGEMENT Done ❑d RED PIC Assigned / Knowledgeable / Duties PASS Q RED .Inspector: - Janet Dionne, .. ,;. =r., EMPLOYEE HEALTH Done Good Hygienic Practices PASSd❑ Date Inspected. 6/3/2005 CorreCt By. Reporting of Diseases by Food Employee and PIC Personnel with Infections Restricted/Excluded PASS PASS ❑d RED RED Risk Level: ' FOOD FROM APPROVED SOURCE Done Food and Water from Approved Source Receiving/Condition Tags/Records/Accuracy of Ingredient Statements Conformance with Approved Procedures/HACCP Plans PASS PASS PASS PASS ❑o d❑ d❑ ❑d RED RED RED RED + Permit Number: 'BHP -2005-0456` Status.. "s- .: = _: _ Closed # of Critical Violations: reven ion o on amna Violations Related to Good PROTECTION FROM CONTAMINATION Done Time IN: _ Time OUT' ; Separation/ Segregation/ Protection PASS ❑d RED Contact Surfaces Cleaning and Sanitizing PASS ❑d RED Notes.Food 198: Proper Adequate Handwashing PASS ❑d RED Urgency Description(s): +; '"T., =; Good Hygienic Practices PASSd❑ RED BLUE: P t i fC t t f H d It PASS (] RED rom an s Retail Practices (Critical Handwash Facilities PASS ❑J RED violations must be corrected immediately or within .10 days)(Non-critical violations GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. ( Rev. Jun 08,2005 ) Page I of a 0270 ESSEX STREET must be corrected immediately or within 90 days) ;= RED: Violations Related to s Foodborne Illness Interventions and Risk Factors (Require immediate'corrective action) Sophie's Sweet PROTECTION FROM CHEMICALS Done Approved Food or Color Additives PASS ❑J RED Toxic Chemicals PASS ❑d RED TIME/TEMPERATURE CONTROLS (Potentially Haz Done Cooking Temperatures PASS ❑d RED , Reheating PASS ❑d RED Cooling PASS RED Hot and Cold Holding PASS BLUE RED Time As a Public Health Control PASS 0 RED REQUIREMENTS FOR HIGHLY SUSCEPTIBLE PO Done PASS ❑ Food and Food Preparation for HSP PASS 0 RED CONSUMER ADVISORY Done Special Requirements Posting of Consumer Advisories PASS 7 RED Violations Related to Good Retail Practices (Blue Done - Management and Personnel PASS ❑ BLUE Food and Food Protection PASS ❑ BLUE Equipment and Utensils PASS ❑ BLUE Water, Plumbing and Waste PASS ❑ BLUE Physical Facility PASS ❑ BLUE Poisonous or Toxic Materials PASS ❑ BLUE Special Requirements PASS ❑ BLUE Other- See Notes PASS ❑ BLUE plumber was working on restroom sink at time of re -inspection. Mrs. Noel to call BOH office on monday to let me know status of sink. initial Extermintation has been conducted. GeOTMS® 2005 Des Lauriers Municipal Solutions, Inc. ( Rev. Jun 08,2005 ) PaQe 2 of 0270 ESSEX STREET Sophie's Sweet GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. ( Rev. Jun 08,2005 ) Page 3 of HomeSavers ) N VOIC 10 Central Street Saugus, MA. 01906 (781) 233-2321 Name ) Address Dilution & I or Rate City, State, Zip SC( P VIA IqA , 011'10 Phone (q7V 7 YO — 18 20 Job Location S CZ Date G b,, Time 7/Pi Tech. i - /.,r1 hl Tech. ,l y D Z S Chemical EPA Reg. # Method of Application Dilution & I or Rate Amount Un; iiac u // aLj LA' n ! fi 1° / hG G 5 let N,4 CZ SG/� Uv1<arL U/J, (J WI ✓�i0t1��1, /�AJI( Make checks payable to: HomeSavers Guarantee Type: (covers our retreatment only) Total I rlU I Description of Work Performed Dollars Cents 1 / �'a n Pci' + a�mpnf /2°V�✓I r''J�t vi u // aLj LA' n ! fi 1° / hG G 5 SG/� Uv1<arL U/J, (J WI ✓�i0t1��1, /�AJI( Make checks payable to: HomeSavers Guarantee Type: (covers our retreatment only) Total I rlU I None Standard Guarantee. Treated area(s) guaranteed until ✓Service Guarantee. Treated area(s) of pr9perty guaranteed against reoccurance ofPiadke, i�)rcb/iodtoh until 7 4 #J -Policy is re-newable on a _ }� h� basis, fere ma of w(MI years. Renewal requinspection Wor treatment at a cost of J O per Mrx Isubject to future increases). Any reoccurances while this policy is active are treated at no charge. Yeu-rAust- make-youraext.appoiaiment by au4ftaf,t_ or this policy will expire. We are not responsible for any structural damage. Office Use Only Payment(s) Thankyou for your business) 10270 ESSEX STREET City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Sophie's Sweet Telephone: ` Item Status Violation Critical Urgency Nature of problem or correction Non-compliance with: Done (978) 740-1820 Owner: Anti -Choking PASS ❑ Ronald L Noel Tobacco PASS ❑ PIC: FOOD PROTECTION MANAGEMENT Done Camille Noel PIC Assigned / Knowledgeable / Duties PASS ❑� RED Inspector. _ - - EMPLOYEE HEALTH Done Janet Dionne ° s- - "' Date Inspected: CorrectBy: _ Reporting of Diseases by Food Employee and PIC PASS ❑d RED 6/2/2005 r Personnel with Infections Restricted/Excluded PASS ❑d RED Risk Level: FOOD FROM APPROVED SOURCE Done - Food and Water from Approved Source PASS RED 'Permit Number:_ BHP -2005-0456 Receiving/Condition Tags/Records/Accuracy of Ingredient Statements PASS PASS ❑d RED RED Status ; PARTIAL COMPLY Conformance with Approved Procedures/HACCP PASSd❑ RED # of Critical Violations _ Plans 1 r PROTECTION FROM CONTAMINATION Done Time IN: _ - Time OUT: Separation/ Segregation/ Protection - PASSd❑ RED m Food Contact Surfaces Cleaning and Sanitizing PASS ❑d RED Notes: _ 195:' - Proper Adequate Handwashing FAIL ❑d RED sink in restroom does not have running hot -- water. repair sink and provide hot water in Urgency Description(s): ;; restroom. BLUE: xe Good Hygienic Practices PASS RED Violations Related to Good from ❑d RED Retail Practices (Critical ,' a. m Prevention of Contamination Hands PASS Violations must be corrected Handwash Facilities PASS ❑d RED immediately or within .10 _ days)(Non-critical violation's GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. ( Rev. Jun 03,2005) Page I of REQUIREMENTS FOR HIGHLY SUSCEPTIBLE PO Done ❑ BLUE Physical Facility 0270 ESSEX STREET PASS 0 RED Sophie's Sweet must be corrected immediately PROTECTION FROM CHEMICALS Done PASS ❑ or within 90 days) Approved Food or Color Additives PASS ] RED RED: Done ❑ BLUE Violations Related to =: Toxic chemicals PASSd❑ BLUE RED Foodborne Illness Interventions TIMEITEMPERATURE CONTROLS (Potentially Haz Done BLUE and Risk Factors (Require Cooking Temperatures PASS BLUE RED immediate corrective action) - test strips to test concentration with. Reheating PASS ❑J RED Cooling PASS ❑J RED Hot and Cold Holding PASS RED Time As a Public Health Control PASS RED REQUIREMENTS FOR HIGHLY SUSCEPTIBLE PO Done ❑ BLUE Physical Facility Food and Food Preparation for HSP PASS 0 RED CONSUMER ADVISORY Done Poisonous or Toxic Materials PASS ❑ Posting of Consumer Advisories PASS PASS RED BLUE Violations Related to Good Retail Practices (Blue Done ❑ BLUE Management and Personnel PASS ❑ BLUE Food and Food Protection PASS ❑ BLUE Equipment and Utensils FAIL ❑ BLUE Sanitizing solution does not have proper test strips to test concentration with. provide sanitiing test strips with correct type of sanitizer. Water, Plumbing and Waste PASS ❑ BLUE Physical Facility FAIL ❑ BLUE floor at end of counter has a crack is trip hazard. repair Floor/ replace Floor tile Poisonous or Toxic Materials PASS ❑ BLUE Special Requirements PASS ❑ BLUE Other- See Notes PASS ❑ BLUE GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. ( Rev. Jun 03,2005 ) PaQe 2 of 0270 ESSEX STREET Sophie's Sweet GeoTMS® 2005 Des Lauriers Municipal Solutions, Inc. ( Rev. Jun 03,2005 ) Paee 3 of IM` PORTI -ANT MESSAGE FOR JSa.iC�P�`i� DATE � TIME 210D-- M PHONE AREA CODE //NUCM�BERrn/ EXTENSION Q FAX &MOBILE9CODE �10 AREA C OE NUMBER TIMETO CALL TELEPHONED PLEASE CALL - CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL '.. WILL FAX TO YOU MESSAGE SIGNED NvQ NOTES IMPORTANT MESSAGE-� ATE OF PHONE AREA CODE NUMBER EXTENSION U FAX O MOBILE AREA CODE MBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE .meq SIGNED �A NOTES OL �s i n � lie f�wh n %z or �a�ce, Span wl� ann `�h%4 �C1, 1 v f Jib had --tz) -h 56 up a"610 a CITY OF SALEM BOARD OF HEALTH Name of Establishment: Sophie's Sweets Address: 274 Essex St St. Owner(s): Mrs. Noel Phone: 978-767-0636 The owner of this establishment presented a preliminary Floor Plan for review in accordance with the State Food Code. This establishment will be a candy store serving only non -potentially hazardous food such as candy and soda. Any change in the menu or floor plan must be approved by the Board of Health. FLOOR PLAN A Hand Sink must be located in each food prep and service area. Therefore there must be a hand sink in the front candy counter area. Hand sinks must have wall hung soap and paper towel dispensers. These must be stocked at all times. Hand sinks must be used for hand washing only. The only utensil to be used are knives for cutting fudge. These may be cleaned with the sanitizer spray bottle. All floors, walls, and ceilings where food, utensils, paper products, etc, are stored, prepared or served must be intact, impervious, and easily cleanable. Any pre -made items must be purchased from a wholesaler licensed by the State. There may be no bare hand contact of ready -to -eat foods. Gloves, tongs, or tissues must be used when handling such food. CERTIFICATION No potentially hazardous foods will be prepared in this establishment. Therefore a Certified Food Manager is not required. FLOORS and WALLS All floors, walls and ceilings must be intact and easily cleanable. RESTROOMS Restrooms must have a sign stating that employees must wash their hands before returning to work. Restrooms must be clean and sanitary. The woman's room must have a covered receptacle. EXTERMINATION Monthly services of a Licensed Pest Control Operator are required. Please keep receipts for inspections. SANITIZING SOLUTION Sanitizing Solution must be accessible at the Candy Counter area. Test strips corresponding to the kind of sanitizer, must be on hand to check concentration of solution. Solution must be made daily, tested, and the results recorded on a log sheet for examination by Board of Health inspectors. Spray bottles with clean paper towels may be used, as well as wiping pails with wiping clothes always held in the solution in the pail. PREMISES Outside area of premises, including the dumpster area, must be kept clean and sanitary. Please call one week prior to opening to schedule an opening inspection. Joanne Scott Health Agent Date Owner Date