The findings of the kitchen inspection conducted 12/20/22, 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.

Our plan of correction is to have monthly meetings regarding kitchen sanitiation and cleanliness. Snacks will be available to all residents. Verifying with clinical when diet orders are changed to motified so we can make sure proper documentation is being completed. Having the alternative menu availble to all residents and displayed on their tables. Posting and having following week menus availble to all residents by the end of the prior week. We are working on getting more light by the dishpit to make it more bright over the dish area. Having audits in place to make sure all fans, shelves and storage bins are being properly cleaned. Light fixtures are now on a routine cleaning schedule. We have ordered the fixture covers- and are currently on back order. We have patched the hole behind the ice machine as well. On 1/06/2023 had Manditory Meeting and discussed the importance of not keeping the ice scoop in the ice bin, having items on the floor.  Monthly meetings regarding kitchen sanitation and cleanliness with will be directed by ESD and ED monthly, next sanitiation meeting will be held during ALL staff on the 10th and the 25th of the month(if lands on weekend will be that Friday).  

The findings of the first revisit to the kitchen inspection of 12/20/22, conducted 02/28/23 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.

The findings of the second revisit to the kitchen inspection of 12/20/22, conducted 06/06/23, 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.

Based on observation and interview, it was determined the facility failed to ensure the kitchen was in good repair, clean and appropriate storage was maintained in accordance with the Food Sanitation Rules 333-150-0000. Finding include, but are not limited to:

On 12/20/22 at 10:10 am, the facility kitchen was observed to need repair, cleaning and appropriate storage in the following areas:

Ceiling lighting concerns throughout the kitchen included:

* Lights were out/not operating at the kitchen entrance;

* Two of three lights in the dry storage area did not have light bulbs installed; and

* Light covers were broken and/or cracked, contained dead flies, dust and debris.  

An approximate three inch hole was in the wall between the ice machine and the beverage bar.

Operating fan in the walk in refrigerator had a build up of dust/grease. Improper storage of the following was noted:

* Ice machine had a scoop stored in the ice bin;

* Fifty pound bag of rice was sitting directly on the kitchen floor; and

* A cardboard box of concentrate was sitting directly on walk in freezer floor.

The areas above were observed and discussed with Staff 1 (Executive Director) and Staff 2 (Kitchen Manager) on 12/20/22. The findings were acknowledged.

Based on observation and interview, it was determined the facility failed to ensure the kitchen was in good repair in accordance with the Food Sanitation Rules 333-150-0000. Finding include, but are not limited to:

On 02/28/23 at 12:40 pm, the facility kitchen was observed to need repairs in the following areas:

a. Ceiling lighting concerns throughout the kitchen included:

* One of two light bulbs was out/not operating at the kitchen entrance;

* One of three lights in the dry storage area did not have light bulbs installed, covers were missing; and

* Light covers were broken and/or cracked, contained dead flies, dust and debris.  

Staff 1 (Environmental Services Director) stated in an interview at 12:50 pm on 02/28/23, light covers had been ordered, per the invoice, were ordered 02/28/23. Staff one also indicated extra bulbs were available and would be placed in the light fixtures.

b. An approximate three inch hole was in the wall between the ice machine and the beverage bar.

The areas above were observed and discussed with Staff 1 (Environmental Services Director), Staff 2 (Kitchen Manager) and Staff 3 (Memory Care Director) on 02/28/23. The findings were acknowledged.

Based on observation and interview, it was determined the facility failed to ensure the kitchen inspection survey plan of correction was implemented and satisfied the Department. Finding include, but are not limited to:

Refer to C 240.