Inspection Details: CFLP


Date
8/7/2024
Event ID
CFLP
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details

C0000
Severity Level: 0
Visits: 2
Scope
Visit Number
1
Visit Date
8/7/2024
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted on 08/07/24, 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.


Visit Number
2
Visit Date
10/30/2024
Corrected Date
N/A
Details

The findings of the revisit to the kitchen inspection of 08/07/24, conducted 10/29/24 through 10/30/24, 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.



C0240
Severity Level: 2
Visits: 2
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
8/7/2024
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. Findings include, but are not limited to:


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. Findings include, but are not limited to:


Observations of the facility kitchen, food storage, and food preparation areas on 08/07/24 at 2:45 pm noted the following in need of cleaning or repair:


a. General Kitchen Areas


* The floor drains throughout the kitchen had black and brown build-up;

* Entrance and exit doors had black and brown scuff marks and chipping paint;

* Garbage cans had built-up debris present on the outside and lids;

* Cutting boards, including the ones attached to the steam table and "Fridge 3", had deep grooves and score marks deeming them uncleanable surfaces; and

* The baseboards throughout the kitchen had built up black and brown matter.


b. Front Beverage and Condiment Area


* Reach-in "Fridge 1" and "Fridge 2" had food and beverages that were uncovered and undated;

* Reach-in "Fridge 1" and "Fridge 2" had built up food debris on both the outside of the doors and drips were observed inside of the refrigerators;

* The microwave was missing the handle on the door;

* The juice dispensing machine's back splash had a thick layer of debris that was sticky to the touch;

* The shelves located under the juice dispensing machine had drips and brown matter; and

* The floor to the left of the ice machine had large, circular rust stains present.


c. Front Food Preparation Area


* The underside of the shelf where the heat lamp was located, directly above the steam table, had built-up food debris;

* Inside and outside of the oven and stove had an accumulation of black and brown matter build-up;

* The floor under and around the deep fryer, including the sides of the deep fryer, had a thick layer of grease build-up;

* The hood above the stove had built-up dust and grease present;

* There was dust observed on the ceiling around the air vents;

* To the right of the convection oven, there was a ceiling light cover that was broken; and

* The wall behind the sink had built-up brown matter observed.


d. Janitor Closet


* The door and door jambs were observed to be scuffed, in disrepair, and chipped paint was present; and

* The floor sink had a large crack in it and had brown matter observed.


e. Back Food Preparation Area


* A binder entitled, "Soups and Breakfast Specials" had a thick layer of debris observed on the cover;

* There was a plastic, three drawer storage bin located under the area where the binders were kept that had a thick layer of debris build-up; and

* The industrial mixer had chipping paint.


f. Warewashing Area


* Staff were unaware of which chemical test strips to use for the warewashing machine and were not able to locate the testing strips for the machine;

* The wall underneath the stainless steal shelf to the left of the sink had built up drips and brown matter; and

* The wall behind the sink had black and brown matter around the caulking.


g. Memory Care Kitchenette


* Door and door jamb had black scuff marks and chipped paint;  

* The hand washing sink had a build-up of brown debris inside;

* The wall behind the handwashing sink had chipped and cracked paint, deeming it an uncleanable surface;

* The stainless steal drawer had debris observed inside of it;

* The walls had drips and food debris observed throughout; and

* The oven had an accumulation of brown matter inside of it.


The areas in need of cleaning and repair was reviewed with Staff 1 (ED) and Staff 2 (Health and Wellness Director) on 08/07/24. They acknowledged the findings.

Plan of Correction

Ordered puma sticks to use for floor drains.  

This will be done at cleaning party 08-31-2024 at cleaning party.

Doors to be repainted.  

Garbage can were cleaned and build-up removed on lids.  Cutting boards ordered to be replace by re-inspection. Cleaning party to address this issue

Cleaning party to address this issue.

Retraining of staff of 3 day open and date and discard procedures. Immediately were cleaned and check list has been implemented.  

See attached cleaning check list. New microwave bought, old one disposed of.

Cleaned immediately

Cleaned immediately

Need to get tile stain remover, but until then putting cookie sheet under metal canisters that left rust on tile.

Cleaning party to keep cleaned but were cleaned immediately

Power washer with degreaser to be used.

Hood cleaning was done 08-22-24

Maintenance to clean all vents by 09-05-2024

All below to be address at cleaning party

Maintenance has fixed large crack and ordered new faucet, and it is replaced.

New binders and plastic drawers. Done 08-24-24

Test strips are not needed high temp machine.  Walls will be cleaned during cleaning day and added to task list.  Need maintenance to replace and caulking. Will retain all staff on dishwasher.

Maintenance to get done by 9-07-2024

Cleaning party and Maintenance to paint by 09-07-24

Addressed immediately

Visit Number
2
Visit Date
10/30/2024
Corrected Date
10/6/2024
Details

There are no detail notes for this visit.

Z0142
Severity Level: 2
Visits: 2
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
8/7/2024
Corrected Date
N/A
Details

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 C 240.



Plan of Correction

Refer to C240

Visit Number
2
Visit Date
10/30/2024
Corrected Date
10/6/2024
Details

There are no detail notes for this visit.