The findings of the kitchen inspection, conducted 06/27/24, 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.

Tag numbers beginning with C refer to the Residential Care and Assisted Living Facilities rules. Tag numbers beginning with the letter Z refer to the Memory Care Community rules.

The findings of the revisit to kitchen inspection of 06/27/24, conducted on 10/03/24, are documented in this report. The facility was found 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.

Based on observation, interview, and record review, it was determined the facility failed to maintain the kitchen in good repair and in a sanitary manner, and to ensure meals were served at appropriate temperatures and were palatable, in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

Observation of the main kitchen and five cottage kitchenettes on 06/27/24 at 10:30 am through 2:00 pm revealed the following deficiencies:

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

* Fan next to three compartment sink and fan in kitchenette Building E;

* Fans in reach in cooler;

* Can opener and housing;

b. The following areas were found in need of repair:

* Screen door to main kitchen area with 1/2-1 inch gap. Door observed open allowing entry point for pests/insects. Multiple flies were observed in kitchen area.

* All cottages noted with kitchenette cabinets and/or drawers with damage. Protective coating worn, chipped causing non-cleanable surfaces. Some drawers or cabinets missing front covers or not opening correctly.

* Cottage F and A with severe water damage to cabinets under sink. Large holes in walls under sinks where pests could enter. Visible build up of black matter/debris where water damage occurred.

c.  Container of strawberry cream cheese noted stored in cabinet not refrigerated. Food product was warm to touch. It did not contain a date as to when it was opened. Staff 1 (Administrator) discarded item.

d.  Multiple kitchen staff and caregiving staff were observed to wash hands for less than the 20 seconds required to effectively remove dirt/debris stopping at 10 seconds. Some were observed to immediately rinse hands after applying soap and failing to lather up hands/finger/etc with soap prior to rinsing in order to effectively clean hands.

e. Staff were observed to serve resident meals to rooms with food and beverages uncovered failing to protect from potential contamination during transport.

f. Care staff were not wearing aprons when serving and/or assisting residents with meals.

g.  Multiple kitchenettes did not have lids for trash cans to cover garbage when not in use.

h. Multiple small saute pans with noted build up of black carbon debris on cooking surface and/or scratches in non stick coating.

Staff 1 (Administrator) and Staff 2 (Maintenance Director) toured kitchen and kitchenettes with surveyors and they acknowledged areas needing to be addressed.

A. Cleaning portable fans will be added to cleaning tasks list

B. Screen door will be repaired by maintenance department

C. Cabinettes, drawers, and damage under sinks will be repaired by Plant Ops department and contractor of facilities choosing

D. Staff training on proper handwashing, wearing [full] aprons, and covering meal items when delivering trays

E. Kitchen to purchase new cookwear

F. New trash cans to be repurchased

Based on observations and interviews, 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.

Facility to follow plan of correction of C240 to be in compliance of Z142