The findings of the kitchen inspection, conducted 08/16/23, 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 first revisit to the kitchen inspection of 08/16/23, conducted 10/26/23, 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 second revisit to the kitchen inspection of 8/16/23, conducted 02/12/24, 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 and interview, it was determined the facility failed to ensure food was prepared, and the kitchen was maintained, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the facility kitchen, food storage areas, food preparation, and food service on 08/16/23 revealed splatters, spills, drips, and debris noted on:

- Can opener blade and casing;

- Stand mixer;

- Plate warmer and clean plates in the warmer;

- Shelving below the steam table;

- Shelving and floors of reach-in and walk-in refrigerators;

- Dry storage shelving, flooring, and food containers;

- Dishes and cookware stored on open shelving and racks;

- Open stainless steel shelving and metal rack shelving throughout the kitchen;

- Interior of drawers and cupboards in the beverage station;

- Carts;

- Underneath shelving and equipment throughout kitchen; and

- Janitorial closet floor sink and drain heavily soiled.

* Staff serving food did not have long beard restrained.

* A serving utensil was left in a bin of undated, unlabeled food in the refrigerator in the tray line

* Cutting boards on the steam table, the deli fridge, in the Memory Care kitchenette, and the color code cutting boards were stained and deeply scored.

* Scoops left in multiple bulk bins of food.

* Uncovered, undated, and unlabeled prepared foods in the walk-in, deli, tray line, Memory Care reach in, and beverage station refrigerators.

* Packaged foods not dated when opened.

* Dish washing racks were stored on the floor.

* There were no strips to test the sanitizing solution to ensure it was at the correct ratios.

* Caregiving staff, who assisted residents with incontinent care, were not using aprons while serving food.

* Dish machine in the Memory Care Unit was not reaching 180 degrees Fahrenheit to sanitize the dishes. Staff 1 (Executive Director) agreed to have all dishes cleaned in the main kitchen.

The areas in need of cleaning and repair were reviewed with Staff 1 on 08/16/23. She acknowledged the findings.

1. Kitchen will be cleaned thoroughly, including floors,  storage area, food preparation area and all spills, drips, and debris noted during survey.

-New stand mixer has been ordered and old one is not being used.

-New can opener was ordered and current one was cleaned.

-All opened containers without label/date were thrown away. Provided education to staff regarding importance of labeling/dating on day of survey.

-Hair/Beard nets ordered.

-Test strips for sanitizing solution ordered.

-Dish washing racks are being stored on racks, not the floor. Education provided day of survey.

-A meeting with all dining services team members occurred on 8/24/2023 to provide education on all findings during survey.

-Cleaning checklists were revised and posted.

2. Executive Director and Associate Executive Director will check kitchen cleanliness and storage each day to ensure cleaning checklists and storage procedures are being done properly.

3. Three times per week.

4. Executive Director and Associate Executive Director.

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

Observations of the facility kitchen, food storage areas, and food preparation on 10/26/23 revealed splatters, spills, drips, and debris noted on:

- Can opener blade and casing;

- Stand mixer;

- Dry storage shelving, flooring, and food containers;

- Dishes and cookware stored on open shelving and racks;

- Open stainless steel shelving and metal rack shelving throughout the kitchen; and

- Underneath shelving and equipment throughout kitchen.

* Staff preparing food removed their hat and placed it on food preparation area.

* Dishwasher did not change gloves between handling dirty and clean dishes.

* Staff preparing food did not change gloves between tasks.

* Tongs left in containers of food.

* Uncovered, undated, and unlabeled prepared foods in the walk-in, deli, tray line, and Memory Care reach in refrigerators.

* Packaged foods not dated when opened.

* Opened, uncovered foods in the dry storage.

* Dish machine in the Memory Care Unit was not reaching 180 degrees Fahrenheit to sanitize the dishes. Staff 3 (Dietary Services Director) agreed to have all dishes cleaned in the main kitchen.

The above information was reviewed with Staff 1 on 10/26/23. He acknowledged the findings.

Based on interview and record review, it was determined the facility failed to ensure their relicensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:

Refer to C 240 and Z 142.

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.

Refer to C240

Based on observation, interview, and record review, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:

Refer to C 240.