The findings of the kitchen inspection, conducted 01/08/24, 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.

The findings of the first revisit to the kitchen inspection of 01/08/24, conducted 02/09/24, 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, record review, 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:

Observations of the main facility kitchen and unit kitchenette food storage areas, food preparation, and food service on 01/08/24 revealed splatters, spills, drips, dust and debris noted on:

- Can opener casing;

- Interior of plate warmer;

- Pedestal stand up fan blades and cage;

- Shelves and front vent covers in kitchenette refrigerators;

- 2 kitchenette ovens;

- Interior and exterior of ice machine;

- Paper towel dispenser; and

- Ceiling vents, light fixtures, fire sprinklers, and pipes.

The following areas/items were found needing repair;

- Thermometer in neighborhood refrigerator temping at 44 degrees; and

- Ware washing machine wash cycle temperature gauge not registering 150 degrees.

* During lunch service pureed fish product was observed served to residents at incorrect texture. Item was runny and was not smooth. Surveyor intervened and requested item be prepared again with the correct texture. Staff pureed items again and texture was appropriate to be served.

* Cutting boards were found with deep scoring and staining.

* Frying pans found with deep scoring and flaking of non-stick surface material. Dome lids for meal service were cracked. Hot pads found with holes.

* Mixer and slicer were observed not covered when not in use.

* Steam table with large wooden area that was deeply scored/damaged making it a non-cleanable surface.

* Multiple items in all neighborhood refrigerators/freezers were not covered, not labeled with resident specific identifier, and/or not dated when prepared or opened.

* Multiple items in dry storage observed not securely sealed when opened.

* Care staff observed serving food to residents without aprons.

* Hairbrush found stored in neighborhood kitchenette cupboard next to single service paper plates.

Staff 2 (Dietary Services Director) and the Surveyors toured the kitchen. Staff 2 acknowledged the above findings.

At approximately 1:45 pm, above areas in need of cleaning, repair and attention were reviewed with Staff 1 (Executive Director). S/he acknowledged the findings.

Can opener casing and blades have been; cleaned, repaired and will be cleaned by the dietary staff after each use and has been added to the cook's daily checklist for completion. Dietary Supervisor to check for cleanliness and ensure that the can opener is in good repair monthly during kitchen audit.

Interior plate warmer has been removed, cleaned and is in working condition. Dietary Supervisor or designee to clean and inspect monthly during kitchen audit and has been added to the monthly deep cleaning checklist.

Pedestal Stand up fan-blades and cage has been cleaned and will be cleaned of any build up and debris monthly by dining services director or designee during kitchen audit and has been added to the monthlly deep cleaning checklist.

Shelves and front vent covers in kitchenette refrigerators, Kitchenette ovens have been cleaned and will be checked for cleaniless daily by dining assistant and has been added to their daily check list. Dietary supervisor or designee to review monthly during dietary audit.

Interior and exterior of ice machine has been cleaned and cleaning will be completed once monthly and added to the monthly deep cleaning list. Will be inspected by the dining services director  or designee monthly.

Papertowel dispenser, ceiling vents, light fixtures, fire sprinklers and pipes have been deep cleaned and have been added to the monthly deep cleaning checklist and will be inspected monthly by the dining services director or designee.

The following items in need of repair have been corrected as follows;

Walnut neighborhood refrigerator temping at 44 degrees-vendor coming Monday 01/15/2024 to repair or replace if needed. Dining services director or designee to review weekly for proper termperatures.

Ware washing machine-Vendor completed services and temp is reading between 150-180 at this time. Dining services director to review temperature logs daily for compliance.

Pureed foods-

Dining services and Executive Director found a video training for our cooks to watch on proper food textures. Cooks are now using stocks or creams in place of only water for textured diets. Dining services director to spot check textured/pureed diets weekly for complaince.

Cutting boards, frying pans, dome lids and hot pads with deep scoring, non-stick surfaces worn or not in good repair have been discarded and replaced with new products. Dining services director or desingee to review inventory monthly and replace items as needed.

Mixer and slicer not being covered when not in use. Mixer and slicer are now covered with clear, plastic bags when not in use. Dining services director or designee to spot check for compliance weekly.

Steam table with large wooden area-

A replacement piece has been ordered and will be installed upon arrival. Dining services director to spot check monthly for any damage or un-cleanable surfaces.

Multiple items in all neighborhood refrigerators/freezers were not labeled with resident specific identifier, and/or not dated when prepared or opened.

All neighborhoods refrigerators and freezers have been cleaned out. Label stickers and markers provided to each neighborhood to complete labeling of food when placing in the refigerator or freezer. Dietary staff to check fridge and freezer daily for complaince and remove any non-labeled items. Dining services director or designee to spot check weekly for complaince.

Multiple items in dry storage observed not securely sealed when opened. All items in dry storage have been cleared and reviewed. Moving forward, staff will place open items in plastic zip lock bags and label with open dates. Dry storage items to be reviewed weekly by dining services director or designee for compliance.

Care staff observed serving food without aprons.

Aprons have been ordered and supplied for each care stadd member to wear during meal service.

Manager on duty or designee to spot check weekly for complaince.

Hairbrush found in cupboard has been discarded, training implemented with staff on kitchen cleanliness and dietary safety and dining services director or designee to spot check the cupboards weekly for cleanliness.

Based on observation, record review, 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 C 240.