The findings of the kitchen inspection, conducted on 09/21/22, 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 re-visit to the kitchen inspection survey of 09/21/22, conducted on 12/22/22, 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 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 kitchen, including food storage areas, food preparation, and food service, on 09/21/22 revealed:

a. The kitchen area walls, including the food prep areas, the food storage area and both the warewashing area and janitorial closet were in need of repair and painting.

b. Food Prep Area

* The cabinet under the main food prep area had multiple places in need of repair and cleaning;

* There were cupboard doors and drawers on both sides of the area where the face of the doors and drawers was peeling off;

* A handle on the third cupboard which faced the beverage station was loose;

* Debris was observed throughout the insides of the drawers and cupboards;

* There were two cutting boards with stains and deep score marks which deemed them to be uncleanable;

* The door frame leading into the food storage area had gouges in the wood;

* The door in which staff used to enter and exit the kitchen had dark matter present on the tiles to the bottom left;

* The face of the cupboard doors and drawers located above and below the food prep sink was peeling off;

* There were small holes in the bottom of the drawer located to the far right of the food prep sink area, which deemed the surface uncleanable;

* The cupboard door directly under the sink was in need of repair and there were black streaks observed inside where pots and pans were stored;

* The cabinets located under the beverage station were in need of repair as all faces of the cupboard doors and drawers were peeling off; and

* A drawer was missing to the far left of the cabinet under the beverage station.

c. Warewashing Area

* The wall behind the warewasher had dark brown matter present;

* The wall under the warewashing machine, to the left, was peeling and exposed drywall was observed;

* One tile under the sink to the left of the warewasher was in disrepair deeming it an uncleanable surface; and

* The wall to the left of the main use kitchen door, inside of the warewashing area, had a door stop that was in disrepair.

d. Janitorial Closet

* There were patched holes observed throughout the closet, leaving the walls exposed and uncleanable;

* There was paint peeling off of the lower, left wall located by the water faucet and basin; and

* There were brown, gray and black marks observed on the back splash where the water faucet and basin were located.  

The kitchen was toured with Staff 2 (Kitchen Manager) on 09/21/22 at approximately 11:30 am. The areas in need of cleaning were discussed with Staff 1 (ED) on 09/21/22 at approximately 11:45 am. Both Staff 1 and Staff 2 acknowledged the findings.

a.  Walls in the food prep areas, food storage area, warewashing area and janitorial closet are being repaired and prepared for painting.  Painting will be completed by a commercial painter. A date for the painting has not yet been confirmed.

     Kitchen staff and housekeeping staff have been retrained on completion of work orders for needed repairs in the dietary areas.  

     The Lead Cook will provide weekly physical plant audits of the dietary areas to ensure areas of concern have been corrected or reported.  

b.  Drawers, doors, cabinets, hardware, shelving and door frames will be repaired, cleaned, sealed and repainted with durable paint.

    Kitchen staff and housekeeping staff have been retrained on completion of work orders for needed repairs in the dietary areas.  Cleaning check sheets have been modified for daily and weekly deep cleaning of the food prep area.  

    The Lead Cook will provide weekly physical plant audits of the dietary area to ensure areas of concern have been corrected or reported.  

   The cutting boards have been replaced with new color-coded boards.  

   All cooks have been retrained on monitoring the boards and advising when replacement is necessary.

   The Lead Cook is responsible for physically inspecting the boards weekly and replacing when scored or stained.  

c.  The tile, backsplash and drywall in the warewashing area will be thoroughly cleaned, repaired or replaced, and painted if a paintable surface.  The broken door stop will be removed and replaced.  

    Kitchen staff and housekeeping have been retrained on completion of work orders for needed repairs in the warewashing area.

    The Lead Cook is responsible for physically inspecting the warewash area weekly to ensure areas of concern have been corrected or reported.  

d, The janitorial closet will be thoroughly cleaned, walls repaired and painted.

    Cleaning check sheets have been modified for daily cleaning of the janitorial closet.

    The Lead Cook is responsible for physically inspecting the janitorial closet weekly to ensure proper cleaning and repair has been completed.  

Maintenance will complete quarterly physical inspections of the entire dietary department to ensure all needed repairs have been reported and completed or in the process of completion.  

Bids will be obtained for furture cabinet and drawer replacement, preferably with stainless steel.