The findings of the kitchen inspection, conducted 9/14/22, are documented in this report. The survey was conducted to determine compliance with OARs 411-54-0030 for Residential Care and Assisted Living Facilities for Resident Service- Meals, and Oregon Health Service Food Sanction Rules 333-150-0000

The findings of the first revisit to the kitchen inspection of 09/14/22, conducted 11/30/22, 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 second revisit to the kitchen inspection of 09/14/2022, conducted 02/13/2023, 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 maintained in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the facilities kitchen, food storage areas, food preparation and food service on 09/14/22 revealed:

* Splatters, spills, drips, and debris noted on:

- Surfaces and underneath storage shelves, cabinets, and drawers throughout the kitchen;

- Storage shelves throughout the kitchen;

- Interiors of reach in refrigerators and freezers;

- Interiors of cupboards and drawers throughout the kitchen;

- Walls throughout the kitchen;

- The dishwashing area walls, floors, and equipment;

- Both sides and the interior of the range, grill, and oven;

- Shelving and cookware above the range;

- Behind and underneath appliances;

- The surface and underneath the tray line steam table;

- Interior of the microwave; and

- Food delivery carts.

* The laminate was damaged on the drawers, cupboard shelves and doors, creating an un-cleanable surface;

* Undated food items were noted in the refrigerators;

* No documented evidence the wiping cloth sanitizer bucket was monitored to ensure the sanitizer was at the correct parts per million; and

* No monitoring of the temperatures of:

- Food; and

- Refrigerators.

The areas in need of cleaning and repair were reviewed with Staff 1 (RN). She acknowledged the findings.

Kitchen will be deep-cleaned, including all surfaces--underneath storage, shelves, cabinets, drawers, interior of fridge/freezers, interiors of all cabinets, drawers, walls, floors, equipment, oven/range/grill inside and out, all surfaces and areas around/behind/under steam table, microwave, food delivery carts and appliances.

Laminate damaged areas will be repaired to make them cleanable surfaces

Dietary staff will utilize daily temp logs including temps for food and refrigerators. Logs to include multi-quat sanitizer monitoring for correct ppm.

Dietary staff will maintain dates on food items in fridge.

Cleaning schedule will be implemented.

Dietary Manager, Executive Director or Designee will conduct spot-checks and/or weekly checks to ensure all items are being completed and logs being properly documented.

Based on observation, interview and record review, it was determined the facility failed to ensure the kitchen was maintained in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the facilities kitchen, food storage areas, food preparation and food service on 11/30/22 revealed:

* Splatters, spills, drips, and debris noted on:

- Surfaces and underneath storage shelves, cabinets, and drawers throughout the kitchen;

- Storage shelves throughout the kitchen;

- Interiors of all refrigerators and freezers;

- Interiors of cupboards and drawers throughout the kitchen;

- The dishwashing area walls, floors, and equipment;

- Both sides and the interior of the range, grill, and oven;

- Behind, underneath, and surfaces of appliances; and

- Flooring and under shelving in dry storage area.

* The laminate was damaged on the drawers, cupboard shelves and doors in the kitchen and dry storage area, creating un-cleanable surfaces.

* Undated, unlabeled, and uncovered food items were noted in the refrigerators.

The areas in need of cleaning and repair were observed and reviewed with Staff 3 (Dietary Services Manager). She acknowledged the findings.

Areas noted as needing cleaning will be thoroughly cleaned with direct oversight of management (note--range/oven: currently in process of submitting for new unit)

Damaged laminate will be repaired/replaced where possible. Dry storage area shelving will be covered to provide cleanable surfaces where indicated.

Executive Director or designee will document at least 3 times weekly walk-through of kitchen and dry storage to ensure compliance with cleaning schedule, food storage/dating in cooler.

Based on observation and interview, it was determined the facility failed to ensure their relicensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:

Refer to C 240.

Documented walk-through of kitchen and dry storage area completed by Executive Director or designee to ensure compliance with scheduled cleaning and food storage/dating requirements to be conducted at least 3 times weekly.

Refer to C 240