Inspection Details: WG7Z


Date
2/14/2023
Event ID
WG7Z
Inspection type(s)
State Licensure
Deficiencies cited
2

Citation Details

C0000
Severity Level: 0
Visits: 2
Scope
Visit Number
1
Visit Date
2/14/2023
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 02/14/23, 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.



Plan of Correction


Visit Number
2
Visit Date
6/6/2023
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 06/06/23, 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.


C0240
Severity Level: 2
Visits: 2
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
2/14/2023
Corrected Date
N/A
Details

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 02/14/23 at 1:20 pm, 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:


* Faucet of handwash sink;

* Multiple rolling serving carts;

* Garbage disposal underneath dish machine;

* Walls under dish machine and three-compartment sink;

* Back and side of oven;

* Knobs and door handle of oven;

* Interior and exterior of microwave;

* Shelving of a bookcase adjacent to the walk-in refrigerator;

* Door jambs;

* Flooring in grout lines between tiles, underneath appliances, shelving, and along the perimeter; and

* Several walls throughout.


b. The following areas needed repair:


* Wall edges near the dish machine area had scraped, peeling paint;

* The door frame leading into the dry storage room had scraped paint; and

* A bookcase near the walk-in refrigerator had scraped paint on multiple edges.


The areas that required cleaning and repair were observed and discussed with Staff 2 (Dietary Manager) on 02/14/23. She acknowledged the areas observed needed to be cleaned and repaired.


The need to ensure the kitchen was kept clean and in good repair in accordance with the Food Sanitation Rules was discussed with Staff 1 (Interim Administrator/Business Office Manager) during the exit interview on 02/14/23. No further information was provided.

Plan of Correction

C-240, Resident Services Meals, Food Sanitation, Rulle.

1.OAR-333-150-000.Sanitation: dietary manager has created a daily cleaning schedule.  Dietary manager will direct staff to clean the area's needed daily, to meet the OAR Sanitation guidelines. Administrator will require visual visits to kitchen to insepct the cleaning and cleanileness to in the kitchen, per POC and plan.

2.OAR-333-150-000: Dietary Manager along with ED, will complete a QI plan weeekly to make sure the items are cleaned on certain days and follow-up is done daily regarding those items: Carts, Walls, Oven Areas' microwave, shelving, Doors( all kitchen doors), both sides. Under sinks, Dietary Manager will have ED inspect weekly to ensure the kitchen is within the compliance of the plan and scheduling cleaning.

3. OAR-333-250-000. Maintenance has contacted a floor cleaning service,  floors will be cleaned on Friday March 10th at 6:30 pm after dinner to not disrupt the meal service.Dietary and Executive Director will meet weekly for oversight of the cleaning and compliance.

4.OAR-333-150-000: Maintenance in process to repair all doors,and painting.

ED is responsible for the day to day operations within the community under OAR:411-054-0025.

Visit Number
2
Visit Date
6/6/2023
Corrected Date
3/15/2023
Details

There are no detail notes for this visit.