The findings of the kitchen inspection, conducted 9/11/23, 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 re-visit to the kitchen inspection of 09/11/23, conducted 11/16/23, 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, interview and record review, it was determined the facility failed to maintain the kitchen in good repair and in a sanitary manner, and to ensure meals were served at appropriate temperatures and were palatable, in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

Observation of the kitchen on 9/12/23 at 10:45 am through 2:00 pm revealed the following:

a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, black matter and grease was visible on or underneath the following:

* Interior of ice machine;

* Flooring in door thresholds, corners, edges, between, under and behind equipment;

* Floor mat by dish machine area;

* Ceiling vents;

* Hood vents above grill/range;

* Fan cage, ceiling in walk in cooler;

* Interior of reach in refrigerator/cooler;

* Industrial can opener and housing;

* Exterior and interior of range/ovens and grill;

* Interior/exterior of convection oven;

* Interior of microwave;

* Industrial mixer;

* Utility carts;

* Radio in prep area;

* Small appliances (blender/processor);

* Interior of drawers by prep areas;

* Wall behind and under warewasher; and

* Multiple areas on walls throughout kitchen.

b. The following areas were found in need of repair:

* Caulking behind hand washing sink cracking with sections missing and or with black substance;

* Caulking in ware washing area had large accumulation of black mold like substance;

*Caulking behind all metal shelving/sink areas in need of replacement;

* Ice machine water filter in need of replacement with visible over accumulation of contaminants;

*Ice accumulation on door threshold and ceiling in walk in freezer;

* Area in chemical/janitorial closet with pealing/chipped paint and small circular hole; and

* Light fixture/bulbs in dry storage broken/out.

c. Multiple cutting boards, one utility cart, and utensil handles were found damaged and in poor repair.

d. Industrial, countertop mixer, and slicer found not covered when not in use.

e. Facility not using pasteurized eggs for undercooked egg foods like poached, soft fried eggs.

f. Multiple Staff member preparing and/or serving food did not have hair/facial hair effectively restrained as required.

g. Scoops were found stored in bulk food item bins/containers.

h. Towels used for wiping/sanitizing found dirty and not stored appropriately in sanitizing solutions but random places around the kitchen.

i. Multiple ready to eat food items stored in kitchen area and in walk in cooler uncovered and exposed to potential contamination.

j. Evidence of staff eating food in kitchen food prep area was found.

k. During meal service, facility staff observed touching Ready to Eat (RTE) foods with potential contaminated gloves and placing RTE food products on visually soiled/dirty surface on tray line.

Surveyor reviewed above areas with Staff 2 (Dining Services Manager) and s/he acknowledged the identified areas.  At approximately 1:30 pm the surveyors reviewed the areas in need of cleaning, repair and practices with Staff 1 (Administrator). S/he acknowledged the areas.

We will post weekly and monthly cleaning charts that will be inspected and monitored by the dining service director. Appliances will be covered when not in use.

A new can opener was ordered on 9/14/23. New cutting boards ordered on 9/15/23.  New dishes for room trays and new utensils ordered the week of 9/25.

Deep cleaning of the kitchen has begun and will be monitored ongoing for compliance. The cleaning charts will assist in compliance.

Facial hair nets and hair nets will be worn. We have those in stock.

Repair items have been sent to the maintencance department and will be completed by compliance date. Going forward will be inspected by Maintenance as well as Dining services to ensure continued compliance.

Pasteurized eggs are now being used and will continue to be used.

All food storage containers are free from utensils and will continue to be free of those. Monitoring done daily by Dining service director

All staff have been inserviced on proper use of gloves and cleanliness in their area when both cooking and serving.Corrective action will take place for non compliance.  

Based on record review and interview, it was determined the facility failed to ensure 5 of 9 (#s 3, 4, 5, 6, and 7) sampled staff reviewed who prepared and served food had active food handlers certificates. Findings include but are not limited to:

On 9/12/23 at approximately 1:15 pm, surveyor reviewed employee records for active food handlers cards. Staff 7 did not have a food handlers card on file and Staff #s 3, 4, 5, and 6 were found to be expired. At 1:30 pm, Staff 2 (Dining Services Director) verified there were multiple staff that did not have active food handlers certification. Staff 2 verified that those staff duties did include preparing food for residents.

All food handler cards will be inspected prior to training on the floor. Food handler cards will be checked monthly to ensure compliance.

Copies of food handler cards will be kept in the dining service directors office as well as a report turned in to the administrator to monitor for compliance.