The findings of the kitchen inspection, conducted 11/20/23, 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 revisit to the kitchen inspection of 11/20/23, conducted 01/24/24, 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 second revisit to the kitchen inspection of 11/20/23, conducted 04/11/24, 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, record review, and interview, it was determined the facility failed to ensure the kitchens were maintained in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:
Observations of the facility main kitchen, food storage areas, food preparation, and food service on 11/20/23 revealed splatters, spills, drips, and debris noted on:
- Stand mixer;
- Food processor;
- Reach-in refrigerator;
- Interior and exterior of the microwave;
- Interior and exterior of oven and range, including oven handles;
- Interior of hot cart for food service;
- Stove hood;
- Walls throughout the kitchen;
- Flooring throughout the kitchen;
- Floor drains;
- Ceiling throughout the kitchen including grates and sprinkler heads;
- Doors, flooring, fans, and shelving of walk-in refrigerator and freezer;
- Dry storage area flooring, shelving, and food containers;
- Dishes and cookware stored on open shelving and racks;
- Open shelving and metal rack shelving;
- Bakery racks;
- Carts;
- Underneath shelving and equipment throughout kitchen;
- Triple pot sink area; and
- Dishwashing area including flooring, drains, walls, and equipment.
* The tray-line cutting board was damaged, creating uncleanable surfaces.
* There were undated and unlabeled foods in all refrigerators.
* Open packages were noted in the dry food storage area.
* Box of food was on the floor in the walk-in freezer.
* Dish washing racks were stored on the floor.
Observations of the Memory Care service kitchen and kitchenettes on 11/20/23 revealed splatters, spills, drips, and debris noted on:
- Interior and exterior of cupboards;
- Interior of drawers;
- Flooring; and
- Floor drain.
* The dish sanitizer in the Memory Care service kitchen was not reaching the required wash temperature. There was no evidence of monitoring the dish sanitizer temperature.
* Undated foods noted in the mini refrigerators on both units.
Staff 1 (Executive Director) and the Surveyor toured the kitchens on 11/20/23. The food storage concerns and areas in need of cleaning and repair were reviewed with Staff 1. He acknowledged the findings.
- Stand mixer will be cleaned. Added to daily task list.
- Food processor will be cleaned. Added to daily task list.- Reach in freezer will be cleaned. Added to weekly task list.
- Microwave will be cleaned. Added to daily task list.
- Oven will be cleaned. Added to monthly task list.
- Hot cart will be cleaned. Added to daily task list.
- Stove hood will be cleaned. Added to monthly task list.
- Walls will be cleaned. Added to weekly task list.
- Flooring will be cleaned. Added to daily task list.
- Floor drains will be cleaned. Added to monthly task list.
- Ceiling will be cleaned. Added to monthly task list.
- Walk in freezer will be cleaned. Added to monthly task list.
- Dry storage flooring will be cleaned. Added to daily task list.
- Dry storage shelving will be cleaned. Added to monthly task list.
Dry storage food containers will be cleaned. Added to daily task list.
- Dishes and Cookware will be stored on covered racks
- Shelving will be covered.
- Bakery racks will be cleaned. Added to weekly task list.
- Carts will be cleaned. Added to daily task list.
- Underneath shelving will be cleaned. Added to weekly task list.
- Dishwashing area drains walls and equipment will be cleaned. Added to daily task list.
- Tray line cutting board will be replaced. Item has been ordered.
- Labelling and dating open containers: training to be provided to kitchen staff. Will be monitored daily by Kitchen manager, ED, and AED.
- Open packages in the dry storage area: Closeable containers will be purchase for dry goods.
- Box of food on floor in walk in: Staff will be trained on proper food storage.
Memory Care kitchenette:
- Cupboards will be cleaned. Added to weekly task list.
- Interriors and drawers will be cleaned. Added to weekly task list.
- Flooring will be cleaned. Added to daily task list.
- Floor drain will be cleaned. Added to monthly task list.
- Dish santizer not reaching temp: Service provider contacted for maintenance.
- Dish sanitizer temp log not in place: Temp log will be imlemented and training will be provided.
- Undate food in fridge: Trainining on dating and labeling will be provided. Will be monitored daily by Kitchen Manager, ED, and AED.
Based on observation, record review, and interview, it was determined the facility failed to ensure the kitchens were 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 main kitchen, food storage areas, food preparation, and food service with Staff 3 (Dietary Service Manager) on 01/24/24 identified splatters, spills, drips, build up of black matter, and debris on:
- Hand washing sinks;
- Stand mixer;
- Food processor;
- Stainless steel counters and prep areas;
- Walls throughout the kitchen;
- Flooring throughout the kitchen;
- Ceiling throughout the kitchen including vents, sprinkler heads, with debris hanging above food prep area;
- Flooring and fans of walk-in refrigerator and freezer;
- Dry storage areas flooring and food containers;
- Dishes and cookware stored on open shelving and racks;
- Open shelving and metal rack shelving;
- Blade and casing of the can opener;
- Carts;
- Oscillating floor fan blowing into food prep area;
- Underneath shelving and equipment throughout kitchen;
- Triple pot sink area; and
- Dishwashing area including flooring, drains, walls, sinks, caulking, and equipment.
* The shelving below the tray line was damaged creating un-cleanable surfaces.
* The wall panels above the walk in refrigerator were loose creating areas for build up of debris.
* There were undated and unlabeled foods in all refrigerators.
* A box of food was on the floor in the walk-in freezer.
* There were open, uncovered, and undated foods in the dry storage area.
* The prep area hand washing sink was directly next to clean utensil and dish storage and lacked a splash guard.
* The dishwasher was observed to not remove gloves or wash hands between handling dirty and clean dishes.
* Dietary staff were observed without hair and beard restraints.
* Dry, soiled wiping towels were observed on the tray line cutting board. There were no sanitizer buckets prepared or in use. When testing the auto dispensed Quaternary sanitizer, the ppm were above the recommended levels.
* The high temperature warewashing machine thermometers lacked numbers to determine if it was operating at the correct temperature.
Observations of the Memory Care service kitchen on 01/24/24 revealed splatters, spills, drips, and debris noted on:
- Interior of the reach in freezer,
- Interior and exterior of cupboards; and
- Flooring.
* Dish machine racks were stored directly on the floor.
* The dish sanitizer in the Memory Care service kitchen was not reaching the required wash temperature. There was no evidence of monitoring the dish sanitizer temperature.
* There was no evidence of monitoring the temperature of the reach in refrigerators. The Refrigerator on the right lacked a thermometer.
* The reach in freezer had a large build up of ice on boxes of food and the floor of the freezer.
The food storage findings and areas in need of cleaning and repair were reviewed with Staff 2 (Associate Executive Director) on 01/24/24. She acknowledged the findings.
- Hand washing sinks; Cleaned and added to daily check list.
- Stand mixer; Cleaned and added to daily checklist.
- Food processor; Cleaned and added to daily checklist.
- Stainless steel counters and prep areas; Cleaned and added to daily checklist.
- Walls throughout the kitchen; - Flooring throughout the kitchen; Cleaned and added to daily checklist.
- Ceiling throughout the kitchen including vents, sprinkler heads, with debris hanging above food prep area; Cleaned and added to weekly checklist.
- Flooring and fans of walk-in refrigerator and freezer; Cleaned and added to monthly checklist.
- Dry storage areas flooring and food containers; Cleaned and added to daily checklist.
- Dishes and cookware stored on open shelving and racks; Staff educated on dish storage.
- Open shelving and metal rack Cleaned and added to weekly checklist.
shelving;
- Blade and casing of the can opener; Cleaned and added to daily checklist.
- Carts; Cleaned and added to daily checklist.
- Oscillating floor fan blowing into food prep area; Fan removed. Staff educated on not using fan.
- Underneath shelving and equipment throughout kitchen; Cleaned and added to weekly checklist.
- Triple pot sink area; Cleaned and added to daily checklist.
- Dishwashing area including flooring, drains, walls, sinks, caulking, and equipment. Cleaned and added to daily checklist.
* The shelving below the tray line was damaged creating un-cleanable surfaces. Shelf repaired. Monthly inspection of kitchen furniture by ED and DSM.
* The wall panels above the walk in refrigerator were loose creating areas for build up of debris. Repaired.
* There were undated and unlabeled foods in all refrigerators. Further training provided on dating and labeling open containers.
* A box of food was on the floor in the walk-in freezer. Further training provided on sanitary food storage.
* There were open, uncovered, and undated foods in the dry storage area. Further training provided on sanitary food storage and dating/labelling open containers.
* The prep area hand washing sink was directly next to clean utensil and dish
storage and lacked a splash guard. Further training provided on clean utensil storage.
* The dishwasher was observed to not remove gloves or wash hands between handling dirty and clean dishes. Kitchen staff retrained on cross contaminational practises.
* Dietary staff were observed without hair and beard restraints. Staff retrained on beard and hair restraint use.
* Dry, soiled wiping towels were observed on the tray line cutting board. There were no sanitizer buckets prepared or in use. When testing the auto dispensed Quaternary sanitizer, the ppm were above the recommended levels. Training provided on towel and sanitary bucket use. PPM log impleneted and traing provided. added to daily checklist.
* The high temperature warewashing machine thermometers lacked numbers to determine if it was operating at the correct temperature. Dial gauges replaced by ecolab.
Observations of the Memory Care service kitchen on 01/24/24 revealed splatters, spills, drips, and debris noted on
:
- Interior of the reach in freezer, Cleaned and added to weekly checklist.
- Interior and exterior of cupboards; and Cleaned and added to weekly checklist.
- Flooring.
* Dish machine racks were stored directly on the floor. Training provided on dish rack storage.
* The dish sanitizer in the Memory Care service kitchen was not reaching the required wash temperature. There was no evidence of monitoring the dish sanitizer temperature. This macchine has been replaced with ew sanitizer. Dish sanitzer has been replaced with new unit. Tempertaure tracking put in place.
* There was no evidence of monitoring the temperature of the reach in refrigerators. The Refrigerator on the right lacked a thermometer. Temperature log put in place.
* The reach in freezer had a large build up of ice on boxes of food and the floor of the freezer. Deiced and added to monthly checklist.
All items will be monitored by ED and DSM.
There are no detail notes for this visit.
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.
Refer to C 240
There are no detail notes for this visit.
Based on observation, interview, and record review, 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 C 240.
See C240 above.
Based on observation, interview, and record review, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:
Refer to C 240.
Refer to C 240
There are no detail notes for this visit.