The findings of the kitchen inspection, conducted 08/15/22, 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.

The findings of the kitchen inspection, conducted 11/02/22, 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, record review and interview, it was determined the facility failed to ensure food was prepared in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the facility kitchens, food storage areas, food preparation, and food service on 08/15/22 revealed:

* Splatters, spills, drips, and debris noted on:

- Can opener blade and casing;

- Interior of drawers, cupboards and cabinets;

- Interior of reach in refrigerators; and

- Floor of pantries.

* Damage to the door jambs creating an un-cleanable surface.

* Missing laminate on multiple drawers and cabinets creating an un-cleanable surface.

* Egg shells were left in the cardboard egg holder.

* There was not a small diameter probe thermometer available  to measure thin foods.

* Staff were observed to not change gloves between tasks while preparing lunch or sanitize hands upon entering the kitchen; and

* Caregiving staff assisting with meal service and delivery were not using aprons.

* There was not evidence the sanitizer was monitored and sanitizer strips were available for the triple compartment sink used to wash cooking items to ensure the correct sanitizing solution.

The areas in need of cleaning and repair were reviewed with Staff 1 (Executive Director) and Staff 2 (Dietary Manager).  They acknowledged the findings.

C240

1. Kitchen cleaning of all areas observed and addressed.

Cleaning of walls, back splashes, floors, cupboards, drawers, can openers, refrigerators, have been initially cleaned.

Pantry door jams sanded and repainted. Pantry doors removed, sanded, and replaced.

Broken/missing laminate to be removed and replaced. New Laminate on order to be received 9/4.

All refrigerators checked for egg shells in/on carton, addressing any issues.

Small Diameter probe thermometer located for measuring the temperature of food.

Staff Retraining on proper glove use completed.

Correct sanitizer strips ordered and in use. The wrong strips were disposed.

2. Daily monitoring and weeekly monitoring by cottage RCC and Executive Diector to ensure tasked kitchen cleaning has been completed on time and correctly.

3. Main Kitchen Chef, cottage RCC's, and Executive Director to monitor daily and weekly with spot checks  all kitchens. Ongoingg monitor of proper glove use.

4. Chef, cottage RCC's, and Executive Director aree responsible for monitoring of kitchens andtheir compliance.

5. This facitity alleges compliance October 1, 2022 giving time to receive repair supplies and instal of those items.    

Based on observation, interview and record review, 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 C 240.

Z142

Pllease refer to C142