The findings of the kitchen inspection, conducted 08/18/22, 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.

The findings of the revisit to the kitchen inspection of 08/18/22, conducted 10/24/22, 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 the kitchen was clean and in good repair, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

On 08/18/22 at 4:00 pm, the facility kitchen was observed to need cleaning and repair in the following areas:

a. Food spills, splatters, debris, dirt and black matter was observed on or underneath the following:

* Multiple air vents near the ceiling and the walls surrounding them;

* Ceiling lights;

* A floor fan;

* Flooring in dish machine area; and

* Wall behind and underneath the dish machine.

b. The following areas needed repair:

* Ice build-up in several freezers;

* Peeling paint on the wall behind the dish machine;

* Scraped paint on wall corners near the dish machine area;

* Entry doors and jambs had scraped paint;

* A cabinet door had peeling laminate; and

* The low temperature chemical dish machine was observed to operate multiple times and inconsistently registered the required temperatures for sanitation. The repair company was immediately contacted.

The areas which required cleaning and repair were observed and discussed with Staff 1 (Administrator) on 08/18/22. The findings were acknowledged.

Refer to POC for C240

1). What action will be taken to correct the rule violation?

The cabinet door that had peeling laminate will be replaced. All scraped paint will be touched up with fresh paint. Ice build up in the freezers will be removed. Peeling paint on the wall behind the dish machine will be covered up with boarding that doesn't peel and can be keeped cleaned with out chipping. Water heater will be replaced to keep up with the number of loads ran so it maintains required temperature for sanitation. All areas (air vents, ceiling lights, floor fan, flooring and area in the dish machine will be cleaned to the standards as required in Sanitation Rule OAR 333-150-000.

2). How will the system be corrected so this violation will not happen?

Using new daily tasks sheets (already in place), the community will ensure the kitchen is clean & in good repair, accordance with Food Sanitation Rules OAR 333-150-00.

3). How often will the area needing correction be evaluated?

The Lead Cook along with Administrator will check all tasks sheets are completed and task lists are signed, at the end of each shift.

Additionally, the Lead Cook & Administer will inspect the kitchen and review the task sheets at least weekly. The results of the weekly inspection will be review with Administrator during the weekly one-on-one meeting to ensure complance.

4). Who will be responsible to see that the correction area completed / monitored?

The Lead Cook will ensure compliance at least once a week. The Administartor will ensure that the corrections are monitored on a weekly basis through the weekly one-on-one meeting with the Lead Cook.