The findings of the kitchen inspection, conducted 10/24/22, 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 revisit to the kitchen inspection of 10/24/22, conducted on 01/25/23 through 01/26/23, are documented in this report. The facility was found to be 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 and in good repair, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

On 10/24/22 at 10:00 am, the facility kitchen was observed to need cleaning and repair in the following areas:

a. Food spills, splatters, debris, dirt and black matter was observed on or underneath the following:

* Caulking behind the hand wash sink;

* Wall surrounding hand wash sink;

* Cabinet shelves and floor drain near hand wash sink;

* Ceiling vents and areas surrounding them;

* Oven interior, knobs, doors and handles;

* Bottom shelf of metal island;

* Shelf to left of stove;

* Exterior and interior of several cabinet doors and drawers;

* Floor drains;

* Top surface of dish machine;

* Shelves, wheels and castors of black rolling cart next to stove; and  

* Flooring perimeter throughout.

b. The following areas needed repair:

* Laminate was missing from edges of several cabinet shelves rendering the surfaces uncleanable;

* Peeling caulking from around hand wash sink;

* A ceiling light fixture was missing a covering;

* Dry storage room shelves had peeling contact paper which exposed uncleanable wood surfaces;

* The dry storage room floor had an approximate 2 X 4 foot area missing vinyl;  

* A cabinet door had come off the hinges and was placed inside the cabinet; and

* The kitchen entrance door jambs had scraped paint in several areas.

The areas that required cleaning and repair were observed and discussed with Staff 1 (Administrator) and Staff 2 (Director of Culinary Services) on 10/24/22 at 11:15 am. The findings were acknowledged.

Refer to POC for C240

1). What action will be taken to correct the rule violation?

The caulking behind the hand wash sink will be redone, laminate on wall cabinet shelves will be replaced, ceiling light fixture replaced, shelves in dry storage replaced, all cabinet doors will be attached and in working order and other jambs with scraped paint will be repainted with fresh paint. If the wall behind the wash sink is not able to be painted the area will be covered up with boarding that doesn't peel and can be keeped cleaned with out chipping. The flooring in the kitchen will be replaced in the pantry where it is missing. All areas floor drains, top surface of dish machine, exterior/interior cabinet doors and drawers, bottom shelf of metal island, oven interior, knobs, doors and handles, wall behind hand wash sink, cabinet shevles and floor drain near hand wash sink, all carts will be scrubbed and free of debris along with food spills/splatters will be cleaned and kept up according to the standards as required in Sanitation Rule OAR 333-150-000.

2). How will the system be corrected so this violation will not happen?

Using new daily tasks sheets (already in place), the community will ensure the kitchen is clean & in good repair, accordance with Food Sanitation Rules OAR 333-150-00.

3). How often will the area needing correction be evaluated?

The Lead Cook along with Administrator will check all tasks sheets are completed and task lists are signed, at the end of each shift.

Additionally, the Lead Cook & Administer will inspect the kitchen and review the task sheets at least weekly. The results of the weekly inspection will be review with Administrator during the weekly one-on-one meeting to ensure complance.  

4). Who will be responsible to see that the correction area completed / monitored?

The Lead Cook will ensure compliance at least once a week. The Administartor will ensure that the corrections are monitored on a weekly basis through the weekly one-on-one meeting with the Lead Cook.