The findings of the kitchen inspection, conducted 06/01/23, 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 Sanitation Rules OARs 333-150-0000.

The findings of the first revisit to the kitchen inspection of 06/01/23, conducted 08/16/23, 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.

Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to:

On 06/01/23 at 11:35 am the following concerns were observed during the facility kitchen observation:

* Two trays of individual servings of pudding stored on roll in cart were uncovered in the walk in refrigerator;  

* Three garbage cans were stored without lids, at the time they were not actively being used;

* The interior of the microwave had food splatters; and

* All ceiling lights throughout the kitchen did not have covers protecting the light bulbs.

The areas of concern were observed and discussed with Staff 1 (Dietary Services Manager and Staff 2 (Executive Director) on 06/01/23. The findings were acknowledged.

Uncovered Items:

The two uncovered pudding trays to be used for lunch were removed from walk-in. The Dietary manager and ED have reveiwed the policy and practice of properly covering product when in refridgerator.

Kitchen staff have been in-serviced on properly covering product on 6/16/23.

The Dietary manager will perform routine product checks per Sapphire QA protocol to ensure that stowed items are properly covered ongoing.

The dietary manager will be responsible for ongoing training of kitchen staff and monitoring for compliance.

Garbage Cans uncovered:

New garbage cans with lids were purchased and arrived on 6/15/23 with lids are the swinging type so that the garbage cans will be covered.

Kitchen staff were inserviced on importance of lid use on 6/21/23.

The Dietary Manager will perform routine checks per Sapphire QA protocol to ensure lids are on cans.

Interior of the microwave had food splatters:

Microwave was cleaned of splatter immediately on 6/1/23. Microwave cleaning was added to kitchen cleaning list. Staff were in-serviced 6/21/23 to check the microwave cleanliness after each use to ensure that it remains clean.  

The dietary manager will be responsible to perform routine checks per Sapphire QA protocol to ensure compliance.

Ceiling Lights are uncovered:

Picture and light brand was collected on 6/20/23 and sent to supplier to assist in sourcing light covers. Efforts will be made to source light covers and will be installed once procured.  

Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to:

Refer to  C240.

See C240.