The findings of the kitchen inspection, conducted 02/21/23, 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 revisit to the kitchen inspection of 02/21/23, conducted 04/24/23 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 and OARs 411 Division 57 for Memory Care Communities for Resident Services - Meals and Oregon Health Service Food Sanitation Rules 333-150-0000.

Based on observation and interview, it was determined the facility failed to have kitchen protocols and procedures in place according to the Food Sanitation Rules 333-150-0000.  Findings include, but are not limited to:

On 02/21/23 at 10:45 am, observations revealed the following:

* Seven food bins in the dry storage area were not securely closed in a manner to prevent contamination and/or rodent/pest infestation;

* The ceiling vent above refrigerator number 2 had a heavy build-up of dust;

* The hood above the dishwashing machine had a layer of dust;

* Dishwashing staff was observed to wear gloves while rinsing and racking soiled dishes, then observed to change those gloves without handwashing; and

* Hair and beard restraints were not observed to be worn by two staff.

The areas of concern were discussed with Staff 1 (Food Service Director), Staff 2 (ALF Administrator) and Staff 3 (Executive Director) on 02/21/23. The findings were acknowledged.

C240 1. *Ceiling vents were cleaned on 2/21/2023.

*Food Bins in storage were covered securely on 2/21/2023

*Hood above dishwashing machine was cleaned on 2/21/2023.

*Retraining completed with dishwashing staff regarding hand washing and proper useage of gloves on 2/21/2023.

*Retraining completed with all kitchen staff regarding use of hair and beard restraints, when hair needs to be covered 02/21 and 02/22/2023.

2. *Cleanliness of ceiling vents and dishwashing hood were added to the daily and weekly cleaning log and implemented.

*Ongoing training to be continued with all staff regarding handwashing and proper glove use.

*Ongoing training to be continued with all staff regarding use of hair and beard restraints.

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.

3. *Cleanliness and use of cleaning log will be evaluated weekly by Food Service Director and monthly by Executive Director to ensure that it is being used and followed.

* Food Service Director will complete a full kitchen audit monthly and report findings to Executive Director.

*Training added to Relias regarding handwashing as a quarterly training for all kitchen staff.  Additional signage placed in kitchen for ongoing reminders. Business Office Manager will be responsible for tracking training.

*Food Service Director will be observing hair and beard restraints daily and reporting to Executive Director any violations of hair/beard restraints.  m