The findings of the kitchen inspection, conducted 12/19/23, 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 12/19/23, 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 12/19/23, the facility's kitchen was observed to need cleaning and/or repair in the following areas:

* Spills and splatters were noted on walls and the ceiling throughout the kitchen;

* Wall corners were gouged or missing pieces of plaster;

* Multiple cupboards and drawers inside the kitchen had spills, debris or peeling surfaces;

* Shelving throughout the kitchen had food spills, dust, rust and/or debris;

* A white shelf was over the three compartment sink with two large plastic containers on top. The shelf had multiple areas of peeling paint/laminate surface with exposed particle board;

* The side of the dishwasher had a black substance draining down the side of the small lower panel and pooling on the floor;

* Shelves in the side-by-side refrigerator had spills, debris and a white/brown substance on the upper shelves;

* Three large baking sheets had a thick build up of black debris along the underside and edges of the pan;

* Two pots and a deep-frying pan had scraped and/or discolored cooking surfaces and a brown build up on the outer surfaces of the pans;

* A large top load freezer, stored outside of the main kitchen, had multiple broken pieces along the top edge of the unit and damaged seal around the edges;

* The blender base had brown discoloration along the back side of the base, a broken button on the control panel and the lid to the mixer was missing the center piece to prevent contents from entering or exiting the blender when in use;

* Both ovens had black accumulation and debris on the bottom of the oven;

* Black accumulation was noted along the floor edges under the cabinets and along the front walls of the kitchen;

* Debris was noted on the floor and under dry storage shelves, and at the side of the freezer unit;

* Cupboards under the drink center in the dining room had large stains, spills, debris and chipped/peeling shelves with exposed particle board; and

* Two large gouges with bits of protruding drywall were noted on the wall in the dry storage room.

The need to ensure the kitchen was kept clean and in good repair was shown to and discussed with Staff 2 (Cook) on 12/19/23. Staff 1 (Administrator) was notified via email on 12/19/23 of the areas in need of cleaning and/or repair as she was out of the building at the time of survey. The staff acknowledged the findings.

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

Spills and splatters will be cleaned off walls and ceilings.

Shelving throughout the kitchen, dishwashing area and dry storage will be cleaned or replaced. Debris and spills in the storage cupboards will be cleaned.  

Shelving in the kitchen has been cleaned.

The wire shelving that was peeling, chipped or gouged with eposed particle board will be replaced.

The dishwasher that had black substance draining has been fixed and cleaned.

The two large gouges in the pantry with bits of drywall will be patched, textured and painted. Wall corners that are gouged or missing pieces of plaster will be repaired.

Shelves in the side by side refrigerator that had spills, debris and a white brown substance has been cleaned.

The three large baking sheets that had the thick build up have been replaced with new ones and the old ones disposed of.  The deep frying pan have been replaced with two new ones. The two pots are in the process of being replaced. The blender has been replaced.

Ovens will will be cleaned along with the floor edges under the cabinets and along the front walls of the kitchen.

Debris on the floor and under the dry storage shelves and at the side of freezer unit has been cleaned.

Cupboards under the drink center in the dining room will be cleaned and the shelves replaced. Refrigerator and freezer units in the dining room will be cleaned and debris removed.  All 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. They will then report weekly to the Senior Executive Director.

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 reviewed with Administrator and Senior Executive Director 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.