Inspection Details: I0OS


Date
5/16/2024
Event ID
I0OS
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details

C0000
Severity Level: 0
Visits: 2
Scope
Visit Number
1
Visit Date
5/16/2024
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 05/16/24, 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 and OARs 411 Division 57 for Memory Care Communities.




Visit Number
2
Visit Date
7/25/2024
Corrected Date
N/A
Details





The findings of the first re-visit to the kitchen inspection of 05/16/24, conducted on 07/25/24, are documented in this report. The facility was found 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
5/16/2024
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 05/16/24 at 11:00 am, the facility kitchen was observed to need cleaning in the following areas:


* Dust build up on window sill (screened window open), next to clean cutting boards;


* Paper lined tray containing bottles of syrup next to microwave, had dried spills and food debris;


* Tray containing chemical solution jugs for dishwashing machine on the floor under the three compartment sinks was heavily soiled with black/brown matter;   


* Dried on drips and spills on sides of stove/grill;


* Hood vents above stove/grill had build up of grease/dust;


* Wall behind stove/grill had grease drips; and


* Flooring throughout the kitchen had build up of black/brown matter.


The areas in need of cleaning were observed and discussed with Staff 1 (Dietary Manager/Cook) and discussed with Staff 2 (Executive Director) and Staff 3 (Regional Director of Operations) on 05/16/24. The finding were acknowledged.

Plan of Correction

1) Dirty items of deficiency have been deep cleaned and resolved.


2) Deep cleaning of the kitchen has been

added to the routine maintenance program

twice a month. Window sill, hood vents,

Clean wall behind stove and flooring has been added to

routine maintenance program. Window sill, condiment/coffee tray, chemical tray and side of stove/grill/oven will be cleaned daily and added to the daily

cleaning check list


3) Weekly


4) Dietary Manager, Director of Environmental Services, Executive Director

Visit Number
2
Visit Date
7/25/2024
Corrected Date
7/15/2024
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
5/16/2024
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

Refer to C240.

Visit Number
2
Visit Date
7/25/2024
Corrected Date
7/15/2024
Details

There are no detail notes for this visit.