The findings of the kitchen inspection, conducted 01/17/23, 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, Oregon Health Service Food Sanitation Rules OARs 333-150-0000 and OARs 411 Division 57 for Memory Care Communities.

The findings of the kitchen inspection, conducted 03/27/23 to 03/29/23, 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 and in good repair, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

On 01/17/23 the main kitchen and second floor kitchen were observed to need cleaning and repair in the following areas:

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

* Entryway door frame and entryway, and elevator doors;

* Tile behind elevator control panel;

* Floor throughout the kitchen including the walk-in refrigerator and the dry storage areas;

* Black serving carts;

* Cooler between convection oven and gas range;

* Cooler next to cold food prep area;

* Spice and cooking oil containers;

* White and clear dry storage bins in bread prep areas;

* Tile walls behind food prep areas and three-compartment sink;

* Metal bakers rack next to ice machine;

* Ice machine;

* Convection oven, gas grill, and gas range;

* Stainless steel backsplash behind convection oven, gas grill and gas range; and

* Stainless steel prep tables and stainless steel upper and lower shelves throughout the kitchen.

b. Second floor kitchen: Black or brown substance was found on the following surfaces:

* Ceramic floor drain covers throughout the kitchen; and

* Elevator door.

c. The following areas in main and second floor kitchens were in need of repair:

* Elevator doors had chipped paint, nicks and gouges and were un-cleanable in some areas.

The need to ensure the kitchens were clean and in good repair in accordance with the Food Sanitation Rules OAR 333-150-000 was discussed with Staff 1 (ED) on 01/17/23. He acknowledged the findings.

The staff have been educated to follow the existing facility cleaning procedures.

A daily cleaning schedule will be implemented and completed with daily signature. In addition a by-monthly cleaning schedule for the hood system will be done by an outside agency. The cleaning schedule will address the floor throughout the kitchen, including the walk-in refrigerator and dry storage areas,

black serving carts, cooler between convection oven and gas range and other areas listed.

The entryway door frame and entryway and elevator doors will be painted immidately.

Weekly checks to make sure the system is working and monthly check as apart of our quality assusrance.

Director of Dining and Executive Director to monitor

Based on observation and interview, it was determined the facility failed to ensure it  complied with masking requirements as prescribed in OAR 333-019-1011. Findings include, but are not limited to:

Per Oregon Administrative Rule 333-019-1011(6), (8) and (10), persons employed in an assisted living or residential care facility are required to wear a medical grade face masks while in the facility except when the employee is alone in a closed room.

Observations made in the kitchen during the survey revealed multiple dietary staff failed to wear a medical grade face mask.

The observations and the need to ensure staff wore medical grade face masks while in the facility was reviewed with Staff 1 (ED) on 01/17/23. He acknowledged the findings.

Staff has beed educated an the importance of wearing a medical grade face mask and not cloths. Moving forward all staff will wear a medical grade mask.

The community will provide medical grade mask to all it employee if needed.

Weekly checks will be conducted for 3 months and monthly thereafter.

Executive Director to monitor

Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to:

Refer to C 240.

See actions for the folowing Tags:

C240,C295

Based on observation and interview, it was determined the facility failed to provide health care services in accordance with the licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to:

Refer to C 295.

See section 240 and 295