The findings of the kitchen inspection, conducted on 12/19/23, 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 12/19/24, conducted on 04/17/24, 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.

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

Observations of the satellite kitchen and food storage areas on 12/19/23 revealed the following:

* Three doors leading out of the kitchen were observed to have either chipped paint, holes, and/or black scuff marks;

* There was no thermometer observed in the refrigerator;

* There was a dusty air vent directly above the steam table where uncovered hot food was observed;

* An uncovered garbage can was observed to the right of the steam table;

* Lower shelving had multiple areas where wood was exposed, leaving the surfaces uncleanable; and

* Under a sink located to the right of the kitchen entrance door, brown matter was observed throughout the bottom of the cabinet.

The areas in need of cleaning and repair were reviewed with Staff 1 (Campus Director) on 12/19/23. She acknowledged the findings.  

1.  

A.  Three doors will be repainted and a kickplate added to each door at the bottom to help with wear and tear from carts going in and out of door.

   B.  Thermometer had been ordered and placed in the fridge.

  C. The air vent was removed and cleaned.  We have also added to our Preventative Maintenance Schedule in TELS, for every other week cleaning.  

 D.  The cover for the garbage can was purchased and put onto the garbage can with a reminder note put on the lid, to remind staff to keep the lid on the garbage can.  

 E.  Lower shelving will be replaced with finished shelves or if the shelves are not being used we will remove the shelves, so that all wood is covered and cleanable surfaces.

 F.  The under the sink is actually covered with vinyl, that is why is looks brown.  The area will be cleaned and put on a routine cleaning schedule, but it is currently in vinyl, which makes it cleanable, so there this nothing else to do with this area to meet the regulation.

2.  We will have routine maintenance walk thrus of the kitchen on a monthly basis, and identify and correct any issues as they arise.  This walk thru will be done by Administrator (or designee) and a member of the maintenance department.

3.  The walk thru documentation will be brought to the QAPI meeting and reviewed quarterly to make sure that we are staying in compliance.  

4.  The Administrator or designee will be responsible for maintaining compliance.