The findings of the kitchen inspection, conducted on 10/03/23, 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 10/03/23, conducted 12/21/23, 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 and interview, it was determined the facility failed to ensure the kitchen was clean, in good repair, and food was stored appropriately in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

The facility's kitchen was toured on 10/03/23 at 11:07 am.

a. An accumulation of food spills, splatters, loose food debris, dirt, dust and garbage was observed on, in and/or underneath the following:

* Refrigerator fan;

* Walls and flooring in the dry storage area;

* Industrial can opener sleeve;

* Wall behind cold prep area;

* Drawer in cold prep area;

* Microwave;

* Stand mixer;

* Walls, pipes and flooring behind griddle;

* Flooring under steam table;

* Interior cabinets under juice machine;

* Juice machine;

* Coffee maker;

* Ice machine;

* Walls behind juice machine;

* Doors to dining room;

* Metal shelving units;

* Walls behind metal shelving units;

* Warewasher dish racks;

* Warewasher, including pipes; and

* Wall and flooring surrounding warewasher.

b. Observation of the facility's walk-in refrigerator and pantry revealed the following foods were not covered, dated, and/or labeled appropriately:

* Chocolate cake;

* Sliced deli meats;

* Fruit desserts;

* Milk;

* Scrambled egg mix;

* Parmesan cheese;

* Monterey jack cheese;

* Cream pie slices;

* Mexican crema;

* Coleslaw;

* Whipped topping;

* Yogurt;

* Salt;

* Pudding mix;

* Dry pasta;

* Dry cereal;

* Pancake and cake mix; and

* Cocoa.

c. The following items required repair:

* Ceiling light covers;

* Cabinets under juice machine;

* Beige serving carts;

* Heat lamps on the steam table;

* Countertop steamer;

* Metal colander;

* Warewasher thermometer; and

* Tiles under the warewasher.

Staff 1 (ED) was not available during the kitchen inspection; therefore, the kitchen was toured with Staff 2 (Health Services Director/RN) and Staff 3 (Executive Chef) on 10/03/23. The items that required cleaning, dates, labels, covers and repairs were observed and discussed. They acknowledged the findings.

C240

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule

1. Actions taken to correct the violation are:

Deep cleaning the following: Refrigerator fan;Walls and flooring in the dry storage area;Industrial can opener sleeve; Wall behind cold prep area;Drawer in cold prep area; Microwave;Stand mixer; Walls, pipes and flooring behind griddle;Flooring under steam table;Interior cabinets under juice machine;Juice machine; Coffee maker; Ice machine; Walls behind juice machine; Doors to dining room; Metal shelving units, walls behind shelving unit.Warewasher dish racks, pipes and floors and walls.

2. The system will be corrected by completion of deep cleaning items. An audit completed by Director of Dining Services and Enviromental Services Director to ensure all areas and all kitchen equipment is addressed on cleaning schedule.

3.Education provided by Director of Dining Service to Dietary Staff related to sanitation and specific cleaning tasks to ensure understanding of adequate cleaning including to be completed by 11/01/2023. Kitchen Sanitation Monitoring Tool implemented and to be completed by Dining Services manager 3 times weekly for 12 weeks.

4. Dining Services Manager and Executive Director

C240 Continued: Foods not covered, dated, and/or labeled appropriately:

1.The facility corrected the specific deficiency cited for failure to label food, including the use-by-date by immediatelydiscard expired food by immediately discarding all unlabeled or expired food in all facility refrigerators by 10/13/2023.

2. The correction for the specific deficiency cited will begin with in-service education with all dietary staff regarding the proper procedure for labeling of refrigerated foods, which includes the use-by-date and discard/expiration date. In-service will be completed by 10/30/2023 by the Director of Dining Service.

3.The monitoring procedure to ensure that the specific deficiency is corrected will be accomplished by dietary staff members auditing facility refrigerator for use-by-dates and/or discard/expiration dates at a minimum of three times per week and document on monitoring tool.

4. Dining Services Director and Executive Director

C240 Continued: Repairs

1. The following will be repaired no later than 11/15/23: Ceiling light covers; Cabinets under juice machine; Beige serving carts have been    ordered on 10/23/2023. Heat lamps on the steam table has been ordered on 10/23/23. Countertop steamer; Metal colander ordered on 10/23/23; Warewasher thermometer; and Tiles under the warewasher will be repaired.

2. Education/Training completed with dietary staff by Maintenance Director specifically related to the importance and the process of communicating needed/identified repairs to maintain a sanitary, orderly, and comfortable interior. Education provided on process of communicating on TELS to ensure timeliness of repairs needed.

3. Weekly walk through with Enviromental Services Director and Dining Services Director to ensure all items in repair orders on TELS and report to Executive Director any items that require approval by ED are discussed weekly to ensure timeliness of repairs and purcashing needs.  

4. Dining Service Director, Environmental Services Director and Executive Director.