The findings of the kitchen inspection, conducted 06/12/24, 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 and OARs 411 Division 57 for Memory Care Communities.

Tag numbers beginning with the letter C refer to the Residential Care and Assisted Living rules. Tag numbers beginning with the letter Z refer to the Memory Care Community rules.

The findings of the first re-visit to the re-licensure survey of 06/12/24, conducted 07/25/24, 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, Oregon Health Service Food Sanitation Rules OARs 333-150-0000 and OARs 411 Division 57 for Memory Care Communities.

Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to:

On 06/12/24 at 10:30 am, the facility kitchen was observed to need cleaning in the following areas:

* Ceiling in dishwashing area above clean dishes - buildup of dust;

* Wall behind spray hose and below dishrack shelf in dishwashing area - black matter buildup;

* Wall behind stove/grill - grease drips;

* Side and front of stove/grill and ledges on front of stove/grill - food drips and grease;

* Frame of door to dining room - buildup of dust;

* Ceiling vent/light cover/sprinkler head above steam table - dust build up; and

* Wall near ceiling above fire alarm - dust build up.

Improper food storage:

* Bins containing dry food under prep counter and in dry storage did not have lids securely closed, creating a potential for cross contamination.

The areas of concern were discussed with Staff 1 (Executive Chef) and Staff 2 (Executive Director) on 06/12/24. The findings were acknowledged.

*Area cleaned with disinfectant and added duty to diet aide weekly cleaning schedule kitchen manager to ensure completion weekly

*Daily cleaning added to night diet aide duties monthly maintenance inspection. Area painte and cleaning added to tells system to complete quarterly provied by maintanence director

*PM cook degreased on 6/12/24 weekly cleaning schedule monitored by kitchen manager weekly

*New stove ordred waiting on scheduled delivery for 7/24/2024

*Kitchen meeting held on 6/25/2024 fans on during cooking hours to reduce buildup of dust. Area cleaned same day added to monthly tells system for monthly cleaning kitchen manager to monitor

* Painted and cleaned provided by maintanence director PM closing duty weekly using damp cloth and disinfectant

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 C240.

*New food grade dry storage bins purchaced that securley close. Labeled to remind staff to keep closed at all times