The findings of the kitchen inspection, conducted 08/08/22, 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 first revisit to the kitchen inspection survey of 08/08/22, conducted 12/29/22, are documented in this report. It was determined the facility was in substantial compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities and OARs 411 Division 57 for Memory Care Communities.

Based on observation, interview and record review, it was determined the facility failed to ensure food was prepared in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the five facility kitchens, including food storage areas, food preparation, and food service, on 08/08/22 revealed:

a. Emerald House, the main kitchen, was toured at 9:45 am:

* The walk-in freezer had food and debris on the floor;

* The walk-in refrigerator had metal storage racks that were covered in areas with a white residue;

* The exhaust fan cage blowing into the walk-in refrigerator had dust and debris;

* A bowl of pasta dated 07/06/22 continued to be stored on the shelf instead of being discarded;

* Meat was wrapped in clear wrap without a label or date; and

* Scoops were left in the dry goods bins, which included flour, sugar, polenta and oats.

b. Diamond House kitchenette was toured at 10:08 am:

* Splatters, spills, debris, drips and items not dated or labeled were noted:

- On shelving below the hand washing sink;

- On shelving in the refrigerator;

- A container of rice was not labeled or dated;

- A container of white substance was not dated or labeled;

- Breakfast plates including eggs, toast and bacon were observed on the counter;

- The front of the oven; and

- Food debris in the drawer under the microwave.

c. Barlow House kitchenette was toured at approximately 10:15 am:

* Splatters, spills, debris, drips and items not dated or labeled were noted in the following areas:

- Cupboards and shelves with food crumbs;

- The drain and surrounding floor under the sink had black/brown matter;

- Shelving used to store clean dishes had chipped laminate and was an unclean surface;

- Broken cupboard doors;

- Shelving in the refrigerator had dried food debris; and

- There was uncovered, unlabeled food in the drawers of the refrigerator.

d. Crown House kitchenette was toured at 10:30 am:

* Splatters, spills, debris, drips and items not dated or labeled were noted in the following areas:

- The island used to prep and store food had dried food residue and was sticky to the touch;

- Drawers and cupboards throughout the kitchenette had food spills and dried liquid and were sticky to the touch;

- Shelving in the refrigerator;

- There was a broken cupboard and drawer;

- The drain and surrounding floor under the sink had black/brown matter; and

- The flooring throughout the kitchen had cracks in the linoleum and created a non-cleanable surface.

e. Astor House kitchenette was toured at approximately 10:45 am:

* The flooring and drain under the sink had black/brown matter; and

* Cupboards and shelving that stored clean dishes and silverware had dried food debris.

The Emerald, Diamond and Barlow kitchens were toured with Staff 1 (Administrator) on 08/08/22 at 11:10 am, who verified the findings.  The Crown and Astor House kitchens were discussed with Staff 1 at 11:15 am.  Staff 1 stated she was in the process of hiring a dietary manager.

1. The kitchens and equipment will receive a deep clean, and repairs completed as necessary.

2. The Dining Services staff will receive additional training on  the kitchen Cleaning Schedule policy and procedure as well as the Food, Supplies and Equipment Storage policy and procedure.

3. The Dining Services Director will review this area weekly per the Quality Assurance - Dining Review Schedule.

4.  The Executive Director will be responsible for ensuring corrections are completed and monitored.

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.  

Refer to C 240.