Inspection Details: 1S1M


Date
7/19/2022
Event ID
1S1M
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details

C0000
Severity Level: 0
Visits: 4
Scope
Visit Number
1
Visit Date
7/19/2022
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 07/19/22, are documented in this report. The survey was conducted to determine compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

Visit Number
2
Visit Date
10/24/2022
Corrected Date
N/A
Details

The findings of the revisit to the kitchen inspection of 7/19/22, conducted 10/24/22 are documented in this report. The survey was conducted to determine compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

Visit Number
3
Visit Date
1/3/2023
Corrected Date
N/A
Details

The findings of the second revisit to the kitchen inspection of 7/19/22, conducted 01/03/23, are documented in this report. The survey was conducted to determine compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

Visit Number
4
Visit Date
2/14/2023
Corrected Date
N/A
Details

The findings of the third revisit to the kitchen inspection of 07/19/2022, conducted 02/14/2023, are documented in this report. It was determined the facility was in substantial compliance with the OARs 411-054-0030 for Residential Care and Assisted Living Facilities for Resident Services- Meals, and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

C0240
Severity Level: 2
Scope: L2 Widespread
Visits: 4
Scope
L2 Widespread
Visit Number
1
Visit Date
7/19/2022
Corrected Date
N/A
Details

Based on observation, record review and interview, it was determined the facility failed to ensure food was prepared in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:


Observations of the facility kitchen, food storage areas, food preparation, and food service on 07/19/22 revealed:


* Splatters, spills, drips, and debris noted on:

- Shelving throughout kitchen;

- Griddle;

- Interior of the ovens;

- Range tops;

- Fryer;

- Sides and behind range;

- Stand mixer;

- Flooring drains;

- The interior of the freezer underneath the tray line; and

- Electric knife sharpener.


* Undated, unlabeled, an uncovered foods were observed in the walk in refrigerator;

* Molded food was noted in the walk in refrigerator;

* Boxes were stored on the floor in the walk in refrigerator and freezer;

* Open packages of food were noted in the freezer underneath the tray line;

* Uncovered and unlabeled container of spices; and

* Bins of food were noted with cups and scoops left in the foods.


The food storage concerns and areas in need of cleaning were reviewed with Staff 1 (Executive Director). He acknowledged the findings.

Plan of Correction

 A deep cleaning of the kitchen has been conducted to idenitify and remove any outdated foods, clean and sanitized the kitchen working areas. (Hand washing sink and wall, shelving throughout kitchen, baking pans, exterior and interior of drawers, carts, fryer, sides and behind range, and stand mixer) Food Service Director is responsible for overseeing and monitoring.  


A cleaning schedule that consist of; daily task, weekly task, and monthly task has been created.  This task schedule allows for the entire kitchen to be deep cleaned on a monthly schedule with staff members sign off once itmes have been completed.  Food Service Director is responsible  for overseeing and monitoring


The Administrator will do monthly evaluations of cleaning task sheets and a physical walk through of the kitchen areas.   

Visit Number
2
Visit Date
10/24/2022
Corrected Date
N/A
Details

Based on observation and interview, it was determined the facility failed to ensure the kitchen was maintained in accordance with the Food Sanitation Rules OAR 333-150-000. This is a repeat citation. Findings include, but are not limited to:


Observations of the facility kitchen and food storage areas on 10/24/22 revealed:


* Splatters, spills, drips, and debris noted on:

- Open stainless steel shelving in the tray line area;

- Griddle;

- Interior of the ovens;

- Range tops;

- Fryer;

- Both sides of the range

- Behind the range;

- Flooring drains;

- Can opener;

- Underneath shelving; and

- Sides of garbage cans


* Undated and unlabeled foods were observed in the walk in refrigerator and the small refrigerator underneath the tray line;

* Foods noted in the refrigerator dated in excess of seven days;

* A bowl of peaches with a serving spoon left in it, unlabeled  and undated was in the reach in refrigerator;

* Open packages of food were noted in the freezer underneath the tray line; and

* Full garbage cans in the tray line were uncovered and did not have lids.


The food storage concerns and areas in need of cleaning were reviewed with Staff 1 (Executive Director). He acknowledged the findings.

Plan of Correction

 A deep cleaning of the kitchen has been conducted to idenitify and remove any outdated foods, clean and sanitized the kitchen working areas. (Hand washing sink and wall, shelving throughout kitchen, baking pans, exterior and interior of drawers, carts, fryer, sides and behind range, and stand mixer) Food Service Director is responible for overseeing and monitoring.  


A cleaning schedule that  consist of; daily task, weekly task, and monthly task has been created.  This task schedule allows for the entire kitchen to be deep cleaned on a monthly schedule with staff members sign off once itmes have been completed.  Food Service Director is responsible  for overseeing and monitoring


The Administrator will do monthly evaluations of cleaning task sheets and a physical walk through of the kitchen area

Visit Number
3
Visit Date
1/3/2023
Corrected Date
N/A
Details

Based on observation and interview, it was determined the facility failed to ensure the kitchen was maintained in accordance with the Food Sanitation Rules OAR 333-150-000. This is a repeat citation. Findings include, but are not limited to:


Observations of the facility kitchen and food storage areas on 01/03/23 with Staff 2 (Dietary Manager) revealed:


* Splatters, spills, drips, and debris noted on:

- Open stainless steel shelving in the tray line area;

- Griddle;

- Interior of the ovens;

- Range tops;

- Fryer;

- Both sides of the range and fryer;

- The stand mixer;

- Flooring drains; and

- Can opener.


* Undated and unlabeled foods were observed in the deli  refrigerator underneath the tray line.


* Foods noted in the refrigerator dated in excess of seven days.

 

* Undated and unlabeled containers of food with serving spoons submerged in the foods were noted in the small refrigerator in the tray line.


* Open, undated, and unlabeled packages of food were noted in the freezer underneath the tray line.


* Boxes of food were stored on the floor in the walk in freezer.


Staff 2 acknowledged the areas in need of cleaning and the food storage concerns.


The food storage concerns and areas in need of cleaning were reviewed with Staff 1 (Executive Director). He acknowledged the findings.

Plan of Correction

A deep cleaning of the kitchen has been conducted  clean and sanitized the kitchen working areas. An outside contractor has been hired to do a deep clean in off hours of the entire kitchen and equipment.  All opened or prepared food dates have been review and items that were out of date or undated were removed from service.  Food Service Director is responible for overseeing and monitoring.  


A cleaning schedule that  consist of; daily task, weekly task, and monthly task has been created.  This task schedule allows for the entire kitchen to be deep cleaned on a monthly schedule with staff members sign off once itmes have been completed. Outside contractor has been retained for future deep cleaning needs. Food Service Director is responsible  for overseeing and monitoring


The Administrator will do monthly evaluations of cleaning task sheets and a physical walk through of the kitchen area

Visit Number
4
Visit Date
2/14/2023
Corrected Date
2/4/2023
Details

There are no detail notes for this visit.

C0455
Severity Level: 2
Scope: L2 Widespread
Visits: 3
Scope
L2 Widespread
Visit Number
2
Visit Date
10/24/2022
Corrected Date
N/A
Details

Based on interview and observation, it was determined the facility failed to ensure their relicensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:


Refer to C 240.

Plan of Correction

The relicensure survey plan of correction will be implemented and satisfied the Department.  The Administrator will oversee that rule will be met monthly.   

Visit Number
3
Visit Date
1/3/2023
Corrected Date
N/A
Details

Based on interview and observation, it was determined the facility failed to ensure their relicensure survey plan of correction was implemented and satisfied the Department. This is a repeat citation. Findings include, but are not limited to:


Refer to C240.

Plan of Correction

The relicensure survey plan of correction will be implemented and satisfy The Department.  The Administrator will oversee that rule will be met monthly

Visit Number
4
Visit Date
2/14/2023
Corrected Date
2/4/2023
Details

There are no detail notes for this visit.