The findings of the kitchen inspection, conducted 12/18/23, 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 12/18/23, conducted 06/11/24, are documented in this report. The facility was found to be 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 kept clean and in good repair in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

On 12/18/23, the facility's kitchen was observed to need cleaning and/or repair in the following areas:

* Shelving throughout the kitchen, dishwashing area and dry storage had food spills, white/gray accumulation, dust, and/or debris. Untreated wood shelving was noted throughout the dry storage area and kitchen;

* Debris and spills were noted in storage cupboards which held clean dishes, pots, and pans. Shelves were peeling, chipped or gouged with exposed particle board/wood;

* Drawers and cupboards throughout the kitchen had peeling surfaces, exposed particle board, spills and/or debris;

* Patched area on the floor, near the corner cupboard, was separating and had black accumulation at the edges;

* A black speckled substance was noted along the wall/ceiling joint above the spice rack;

* Wall to the left of the stove was peeling with large pieces loose near the floor;

* Refrigerator and freezer units in the dining room had dust, debris and dead insects on the tops of the units, spills or debris in the interior, and one refrigerator had a torn seal on the left side of the unit;

* Sprinkler heads in the main kitchen area had a thick layer of dust and cobwebs;

* Light covers throughout the kitchen had dust, debris, webs and/or cracked or missing covers;

* A top corner of the island was cracked with a missing piece of plastic;

* Corner cupboard doors on the lower cupboard near the ice machine were broken;

* Freezer #2 had cracked and broken plastic with missing pieces on the lower shelf; and

* Freezer #3 had debris on the bottom shelf as well as broken plastic near the front lowest panel, and the back panel was pushed in and bowed.

The need to ensure the kitchen was kept clean and in good repair was shown to and discussed with Staff 1 (Administrator) and Staff 2 (Director of Culinary Services) on 12/18/23. The staff acknowledged the findings.

1). What action will be taken to correct the rule violation?

Shelving throughout the kitchen, dishwashing area and dry storage will be cleaned or replaced. Untreated wood shelving in the dry storage area and kitchen will be replaced or covered. Debris and spills in the storage cupboards will be cleaned.  The shelving that was peeling, chipped or gouged with eposed particle board will be replaced. Drawers and cupboards throughout the kitchen will be replaced or covered. Patched area on the floor will be replaced.  Wall and ceiling joint above the spice rack will be cleaned and painted.  The wall left to the stove will be repaired.  Refrigerator and freezer units in the dining room will be cleaned and debris removed.  The refrigerator in the dining room will have the seal replaced or the refrigerator will be replaced.  Light covers throughout the kitchen were cleaned and replaced. The corner of the island will be repaird along with the corner cupboard doors.  Freezer #2 and Freezer #3 were cleaned and the shelves will be repaired or replace. All the items listed will be cleaned and kept up according to the standards as required in Sanitation Rule OAR 333-150-000.

2). How will the system be corrected so this violation will not happen?

Using new daily tasks sheets (already in place), the community will ensure the kitchen is clean & in good repair, accordance with Food Sanitation Rules OAR 333-150-00.

3). How often will the area needing correction be evaluated?

The Lead Cook along with Administrator will check all tasks sheets are completed and task lists are signed, at the end of each shift.

Additionally, the Lead Cook & Administer will inspect the kitchen and review the task sheets at least weekly. The results of the weekly inspection will be review with Administrator during the weekly one-on-one meeting to ensure complance.  

4). Who will be responsible to see that the correction area completed / monitored?

The Lead Cook will ensure compliance at least once a week. The Administartor will ensure that the corrections are monitored on a weekly basis through the weekly one-on-one meeting with the Lead Cook.