Inspection Details: JB5R


Date
5/1/2024
Event ID
JB5R
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details

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

The findings of the kitchen inspection, conducted on 05/01/24, 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.



Visit Number
2
Visit Date
7/3/2024
Corrected Date
N/A
Details

The findings of the revisit to the kitchen inspection of 05/01/24, conducted on 07/03/24, are documented in this report. The facility was determined to be 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
5/1/2024
Corrected Date
N/A
Details

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


Observation of the kitchen was conducted on 05/01/24. The following was noted:


a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and/or black matter was visible on or underneath the following:


* Multiple food carts throughout the kitchen;

* Multiple stainless steel racks and shelves throughout the kitchen;

* Ceramic floor drains throughout the kitchen;

* Tile floors and grout throughout the kitchen; and

* Backsplash caulking behind the sink in the dishwashing area.



b. Wooden shelf holding spices, located above the plate warmer had brown and black debris, food particles and was not a cleanable surface.



The need to ensure the kitchen was kept clean and in good repair, in accordance with the Food Sanitation Rules was discussed with Staff 1 (ED) on 05/01/24. She acknowledged the findings.

Plan of Correction

1. A. Immediate cleaning by DSM  5/2/24 completed. Food spill, loose food, dust, and trash removed.

DSM 5/2/24 cleaned and sanitized stainless steal racks and shelves.

DSM and Maintenance 5/3/24 cleaned the ceramic floor drains

Maintenance scheduled Summett Facility Professional services to deep clean tile, grout and Kitchen walls on 5/29/24.

B.Maintenance 5/13/24 took down wooden spice rack and purchased and installed a new wire rack that is cleanable.

2.DSM has implemented a daily, weekly, and monthly cleaning list.

3.DSM, or designee will bring daily to standup the cleaning list and will do a walk through with ED, Maintnance, or MOD on duty to inspect kitchen.

4. DSM, ED, Maintnance and designee will be responsible for ensuring the above is completed.


Visit Number
2
Visit Date
7/3/2024
Corrected Date
6/10/2024
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
5/1/2024
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
7/3/2024
Corrected Date
6/10/2024
Details

There are no detail notes for this visit.