The findings of the kitchen inspection, conducted 02/09/23, 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 02/08/23, conducted 04/26/23, are documented in this report.  It was determined the facility was in substantial compliance with the 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 clean and food items were stored safely, in accordance with the Food Sanitation Rules OARs 333-150-0000.

Finding include, but are not limited to:

On 02/08/23 at 11:00 am, the facility kitchen was observed to need cleaning in the following areas:

* Walk in freezer floor had spills and food debris;

* Walk in refrigerator floor was unfinished, rusty  and stained;

* Upright refrigerator/freezer had drips/spills on the lowest shelf;

* Dry storage room had food debris on the floor and under the storage shelves, the floor mat in front of the ice machine had debris and crumbs, shelves had buildup of dust, and wooden shelves had gouges in the paint finish;

* Lower shelves throughout kitchen had buildup of dust/food debris/grease;

* Stove and grill: back, sides and top surfaces were blackened with grease, debris, splatters, oven doors had drips, shelf above stove and grill had dust/grease/debris;

* Deep fat fryer side next to convection oven had drips/spills/splatters;

* Electrical box near stove had layer of debris/crumbs/drips;

* Heat lamps above steam table had spills/drips/splatters;

* Convection oven next to deep fryer had drips/splatters on doors and sides;

* Dish room: floor had hard water stains, brown debris stains around the floor drain, rolling cart holding dish racks had heavy buildup of debris, wire shelving holding dish racks were rusty with buildup of debris;

* Slicer shelf had crumbs/debris;

* Microwave oven interior had splatters/spills, debris on top and underneath; and

* Steamer had debris on top and underneath on counter.

The following items were observed on 02/08/23 at 11:00 am during the kitchen inspection not stored properly:

* Cardboard boxes of food product including chicken, hot dog buns, ground beef and green peas were stored on the walk in freezer floor;

* Rolling shelf cart in walk in refrigerator had seven trays of uncovered/undated food items (salad, pizza, desserts) and had boxes of food on the floor;

* Food items in the upright freezer were not closed or dated;

* Panko crumbs, jasmine rice and brown rice bags were sitting directly on the floor,  not sealed or closed (open to air) in the dry storage room;  

* Shelving outside of walk in freezer and dry storage area, had mixing bowls and crock containers sitting upright in a high traffic area, creating the potential for cross contamination and an open bag of wild rice; and

* Clean serving utensils including tongs and whisks were stored on lower shelf near steam table uncovered in a high traffic area, risking contamination.

Ceiling lights observed on 02/08/23 throughout the kitchen were in need of repairs and several needed covers:

* Two lights without covers in the dry storage area;

* Dish room ceiling lights without covers, one cover cracked with missing corner; and

* Cracked ceiling light cover near reach in portion of walk in refrigerator  

Dish washing staff were observed on 02/08/23 changing gloves from dirty to clean without washing hands.

An uncovered stand mixer stored between the only hand washing sink and an uncovered garbage can created a potential risk for contamination.

Four garbage cans throughout the kitchen were not covered (self closing lids were open) when not in use.

The areas of concern were discussed with Staff 1 (Executive Director) on 02/08/23. The findings were acknowledged.

1) All areas of the kitchen will be observed regularly for compliance to OAR 333-150-0000 Food Sanitation Rules. All kitchen applicances, surfaces, equipment, and overall kitchen area as outlined within SOD will be cleaned to meet Food Sanitation Rules. Kitchen will be inspected to address improperly stored items including items in the walk in freezer on the floor and the walk in refrigerator on the floor. Food that is not properly covered or dated will be correctly covered and dated. Food Storage containers have been ordered for panko crumbs, jasmine rice, and brown rice that will be sealed, labeled and dated as well as stored properly in the dry storage room. All cooking utencils and bowls will be stored properly to reduce potential of cross contamination. Ceiling lights will all be assessed to ensure that they work properly, are not damaged, and are properly covered. Associates will be in-serviced on proper hand washing techniques as well as proper use of gloves and hand washing between changing of gloves. Stand mixer will be relocated, cleaned, and covered when not in use. Garbage cans will be covered when not in use. All areas outlined within the SOD will be observed daily during kitchen round checks as well as reviewed during weekly and monthly Century Park Dining QMPI audits.

2) All areas of the kitchen will be observed regularly for compliance to OAR 333-150-0000 Food Sanitation Rules through daily kitchen round checks as well as through the use of weekly and monthly Century Park QMPI audits. Any areas that are identified during round checks, weekly, or monthly audits will be addressed at that time to ensure on-going compliance.

3) The kitchen will be observed daily during kitchen round inspectations as well as weekly and monthly utilizing Century Park QMPI audits.

4) Executive Director, Dining Service Director or Designee will be responsible for observing daily kitchen rounds as well as completing weekly and monthly Century Park QMPI audits.

Based on observation and interview, it was determined the facility failed to ensure kitchen staff were taking necessary precautions to protect residents health and safety. Findings include, but are not limited to:

On 02/08/23 observations of multiple staff working in the kitchen and serving residents were not wearing face masks.

In an interview on 02/08/23, Staff 1 (Executive Director) acknowledged the findings.

1)All associates that work directly or indirectly with the Assisted Living Residents at Cascade Park Retirement will be retrained on Infection Prevention and Control Standards for a healthcare setting requiring associates to wear face masks. All associates will be required to wear a mask that work directly or indirectly with the Assisted Living Residents at Cascade Park.

2) All associates that work directly or indirectly with Assisted Living Residents at Cascade Park Retirement will be trained upon hire and regularly in-serviced to ensure on-going compliance to the most up to date Oregon Department of Human Services Infection Prevention and Control Standards of mask wearing. Any associate found to not be in compliance with mask wearing standards will be immediately inserviced and provided a mask to adhere to Oregon Department of Human Services Infection Prevention and Control Standards of mask wearing.

3) All associates will be trained upon hire and regularly in-serviced to the most up to date Oregon Department of Human Services Infection Prevention and Control Standards of mask wearing.

4) Executive Director, Resident Care Director, or designee will regularly monitor for on-going compliance to Oregon Department of Human Services Infection Prevention and Control Standards of mask wearing.