The findings of  the kitchen inspection, conducted on 04/04/23, 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.

The findings of the first re-visit to the kitchen inspection of 04/04/23, conducted 08/28/23, 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 maintain the kitchen clean and in good repair and follow food safety guidelines in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

During the tour of the kitchen on 04/04/23, the following was observed:

1. The temperature gauge on the outside of the triple refrigerator closest to the kitchen entrance read 46 degrees Fahrenheit. The temperature gauge on the inside of the refrigerator read 30 degrees Fahrenheit. Staff 1 (Administrator) was apprised of the malfunctioning refrigerator. Staff 2 (Dietary Director) obtained temperatures of containers of milk and mayonnaise using a probe thermometer which measured 48 degrees Fahrenheit and 47 degrees Fahrenheit respectively. During an interview with Staff 2, he indicated he did not know how long the refrigerator temperatures had exceeded the maximum allowed temperature to ensure food safety. The facility was instructed to dispose of all protein-based food. Staff 1 stated the maintenance director would evaluate the malfunctioning refrigerator and repair it or refer to the manufacturer to fix the issue prior to resuming food storage.

2. The following areas were noted to be in need of cleaning and repair:

* There was build-up of brown/black matter and food particles on multiple food carts;

* The handles on the triple refrigerator by the entrance were broken and covered with duct tape;

* The garbage cans were uncovered; and

* The coating on an attachment for the stand mixer had an area where the rubber coating had torn and metal was exposed.

3. The following unsafe food handling and infection control practice were observed:

* Plates of pie were transported to the memory care uncovered;

* Servers were not wearing aprons;

* Staff 3 (Facility Service Aide) was observed to wash her hands with gloves on and then to dry out a clean coffee pot with a paper towel; and

* Staff 2 was observed to touch a clipboard and a pen with gloves on and then plate ready to eat foods.

The need to ensure the kitchen was maintained clean and in good repair and follow food safety guidelines in accordance with the Food Sanitation Rules discussed with Staff 1 on 04/04/23. She acknowledged the findings.

C240 1. New temperature monitors have been ordered for each refridgerator and freezer to be placed in proper locations once arrived. All protien- based food has been disposed of that exceeded proper temperatures. Refridgerator temperature has been adjusted by refrideration company to proper temperature.

C240 2. Food carts to be cleaned weekly and monitored for completion by dining manger and overseen by executive director. Replacement for triple refridgerator enterance to be ordered by 4/17/2023 and installed immedietly. Replacement for stand mixer ordered and will be installed once arrived. Explosed cabenets will be filled and covered in epoxy to prevent debris.

C240 3. All food transported to be covered at all times and ensoured by dining manager. Servers to all wear approns at all times when serving meals ensured by dining manager. Proper retraining on glove procedures and plating procedures to be implimented and overseen by dining manger. Weekly cleaning audit implimented and repares complete by 5/10/23   

Based on observation, record review 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.

Refer to C240.