Inspection Details: DEFI


Date
8/29/2023
Event ID
DEFI
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details

C0000
Severity Level: 0
Visits: 2
Scope
Visit Number
1
Visit Date
8/29/2023
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 08/29/23, 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.



Visit Number
2
Visit Date
10/27/2023
Corrected Date
N/A
Details




The findings of the first revisit to the kitchen inspection of 08/29/23, conducted 10/27/23, 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.

C0240
Severity Level: 2
Visits: 2
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
8/29/2023
Corrected Date
N/A
Details

Based on observation and interview, it was determined the facility failed to ensure kitchen practices were in accordance with the Food Sanitation Rules OARs 333-150-0000.


Findings include, but are not limited to:


On 08/29/23 at 11:10 am, the following concerns were observed in the kitchen:


* The sandwich bar refrigerator had uncovered tray of plates with sliced fruit;


* The walk in refrigerator had trays of uncovered/unlabeled food items (breaded meat, chicken) on a rolling cart and a pan of uncovered/unlabeled jello on a refrigerator shelf;


*At least five garbage cans throughout the kitchen were uncovered when not in use, including areas just outside of dishwashing room, between steam table and stove/grill, and prep area near the office; and

 

* The dishwashing area floor had standing water and no anti-slip covering for staff safety.


The areas of concern were observed and discussed with Staff 1 (Dining Services Director) and Staff 2 (Executive Chef) on 08/29/23. The findings were acknowledged.

Plan of Correction

OAR 411-054-0030:


We acknowledge that this regulation was not met as evidence of the findings found in the recent survey. Each violation listed has been corrected, which we will list below individually.


* Sandwich bar contained uncovered tray of plates with sliced fruit. Deficiency has been corrected by re-educating the staff on proper food santiation practices, adding a check to the sous chef's opening check list, and establishing two additional observational checks of the sandwich bar by the sous chef or lead cook each day.


* Walk in refrigerator had trays of uncovered/unlabeled food items. Deficiency has been corrected by re-educating the staff on proper food sanitation practices, adding a check to the sous chef's opening check list, and establishing two additonal observational checks of the refrigerator by the sous chef or lead cook each day.


* Five garbage cans throughout kitchen were uncovered. Deficiency has been corrected by purchasing lids for each of these recepticals. Staff has been educated to not remove these lids unless the lid is being cleaned and sanitized.


* Dishwashing area floor had standing water and no non-slip mat. Deficiency has been corrected by purchasing and installing new non-slip mat in that area around the dishwasher.


All kitchen staff have been trained on the proper kitchen practices for food sanitation and have completed a training that show competence in all deficient areas. We will avoid future violation in each of these areas by assigning our Dining Service Director, Floor Supervisors and sous chefs the responsibility auditing the deficient areas on a routine basis.

Visit Number
2
Visit Date
10/27/2023
Corrected Date
9/15/2023
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
8/29/2023
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 C240.



Plan of Correction

Please reference Plan of Correction for Tag C240.

Visit Number
2
Visit Date
10/27/2023
Corrected Date
9/15/2023
Details

There are no detail notes for this visit.