Inspection Details: F6PM


Date
12/12/2023
Event ID
F6PM
Inspection type(s)
State Licensure
Deficiencies cited
2

Citation Details

C0000
Severity Level: 0
Visits: 2
Scope
Visit Number
1
Visit Date
12/12/2023
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 12/12/23, 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
1/24/2024
Corrected Date
N/A
Details


The findings of the revisit to the kitchen inspection of 12/12/23, conducted 01/24/24, 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
12/12/2023
Corrected Date
N/A
Details

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


Findings include, but are not limited to:


On 12/12/23 at 10:50 am, the following concerns were observed in the facility kitchen:


* The hood vents above the stove and grill area had a build-up of grease and dust;


* The ceiling vents throughout the kitchen had dust build-up, including the ceiling area surrounding those vents;


* The wall area near the ceiling between prep area and the stove/grill area had a build-up of dust; and


* Four staff were not wearing hair and/or beard restraints.


The areas of concern were observed and discussed with Staff 1 (Dining Manager) and discussed with Staff 2 (Executive Director) on 12/12/23. The findings were acknowledged.



Plan of Correction

*Cleaned the celling vents.

*Vents above the stove and grill area grease was cleaned and removed.

*Ceiling between the prep area and the stove/grill area, build up of dust was cleaned.  


Maintenance Director and Dietary Manager have weekly greese vents and monthly air vents placed into TELS system. This will be monitored there.


On going monitoring with the TELS program. It will "pop" up as task due and then signed off on weekly and monthly.


Executive Director and Maintenance Director

Visit Number
2
Visit Date
1/24/2024
Corrected Date
12/14/2023
Details

There are no detail notes for this visit.