The findings of the kitchen inspection, conducted 08/17/23, 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 08/17/23, conducted 11/01/23, 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 ensure the kitchen was kept clean and in good repair in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the main kitchen in the Assisted Living on 08/17/23 revealed the following:

* Walls and floors had an accumulation of black matter and/or dust throughout the kitchen;

* Walk-in refrigerator and freezer units had food debris on the floors;

* Doors and door jambs had paint chips and gouges;

* Black debris and grease build-up was found inside the oven;

* Multiple food items inside the walk-in cooler was not covered, labeled, or dated;

* Ice machine lid was left unattended while the lid was left open;

* There was a dented can in the dry storage;

* A cutting board was observed with gray deep scores, creating an uncleanable surface; and

*Several boxes of food were stored on the floor of the dry storage and freezer.

Additionally, 2 out of 3 kitchen staff were sampled for evidence of current food handler cards. Staff 2 (Culinary Services Director) and Staff 3 (Cook), failed to have documented evidence of a food handler card. Staff 1 (Interim ED) reported Staff 2 and Staff 3 were pulled from the kitchen until they could complete the Oregon food handler course.

On 08/17/23, the areas needing cleaning, repair and correction were reviewed with Staff 1. He acknowledged the findings.

1) Walls, floor, walk-in refrigerator and freezer units will undergo a professional deep clean to resolve cleanliness and food debris issues. Cleaning schedule and adjusting of staff will keep up with daily responsibilities. Culinary Director (CD) responsible for ongoing monitoring

2) Black debris and grease build-up of stove. Has been cleaned by kitchen crew. Cleaning schedules will be adhered to by cooks and CD responsible for ongoing monitoring.

3) Doors and door jambs paint chips and gouges being repaired by Maintenance Director and will be monitored by Culinary Director to ensure thet are maintained.

4) Some food item were not covered, labeled and/or dated. They will be inspected daily as staff have been retrained as to their responsibilities in performing these functions. Culinary Director responsible for ongoing monitoring.

5) Ice Machine left unattended with lid open. All staff who retrieves ice is being in-serviced on adhering to closing lid. Signage of instructions to be posted. This will be monitored by Culinary Director and cooks.

6) Dented can in dry storage. Damaged can and any future damaged cans are to be put out service immediately. Anyone unpacking food deliveries and CD responsible for monitoring.

7. Cutting board had deep gray scores creating uncleanable surface. Cutting board has already been replaced. CD will monitor for future wear and tear.

8. Several boxes of food were stored on the the floor in dry and freezer. Kitchen team has been retrained to keep them off the floor. CD and lead staff will review daily for compliance.

9.Evidence of Food Handling cards lacking for 2 out of 3 staff sampled. Staff was were pulled from kitchen. That was resolved for those 2 employees. System has been put in place so immediate access to proof of all staff who handle food is available for review. Business Office Director will maintain proof of completion.