Print Inspection: 1OO7

The findings of the kitchen inspection, conducted 11/15/22, 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 revisit to the kitchen inspection of 11/15/22, conducted 01/13/23, 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 11/15/22, conducted 2/27/23, 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.

Based on observation, record review and interview, 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 main facility kitchen, food storage areas, food preparation, and food service on 11/15/22 revealed splatters, spills, drips, and debris noted on:

- Can opener blade and casing;

- Stand mixer;

- Meat slicer;

- Interiors of drawers;

- Open stainless steel shelving throughout kitchen;

- Shelving above the tray line and the range;

- Interior, exterior, and beneath ice machine;

- Sides of steam table;

- Exterior of the range; and

- Underneath shelving and equipment.

* A box of cans for recycling noted with spilled soda covering the bottom of the box.

* A pool of water noted beneath the ice machine.

* A reach in refrigerator in the private dining room, storing protein based foods and nutritional supplements for residents, had no thermometer to monitor the internal temperature.

* Dish washing racks were stored on the floor. Visible debris was noted on the clean side of the dish machine.

* Staff were observed to not change gloves between tasks and handling ready to eat foods.

Staff 2 (Dietary Manager) and the Surveyor toured the kitchen. Staff 2 acknowledged the above findings.

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

All areas that were identified as requiring cleaning have been cleaned.  All equipment has plastic coverings; dish washing racks were rehomed; ice machine leak has been repaired; private dining room refrigerator has a thermometer; dining team retrained on proper glove useage.

The Dining Service Director reviews team member task lists that include cleaning requirements daily; the Dining Service Director submits a weekly Quality Assurance checklist to Administration.  

Spot checks by Administrator weekly and as needed.

Administrator and Dining Service Director are responsible for ongoing adherence to safety and cleanliness standards.

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. This is a repeat citation. Findings include, but are not limited to:

Observations of the main facility kitchen, food storage areas, food preparation, and food service on 01/13/23 revealed splatters, spills, drips, dust and debris noted on:

- Meat slicer;

- Open stainless steel shelving throughout kitchen;

- Walls throughout kitchen area;

- Interior and exterior of microwave;

- Exterior and interior of range/oven;

- Stainless steel area directly behind range/grill;

- Hood above range/grill;

- Underneath shelving and equipment throughout kitchen;

- Floors in corners, edges, beside and under equipment;

- Ceiling and vents;

- Step stool in dry good storage;

- Walk in cooler and freezer floors under shelving, corners and thresholds;

- Shelving in walk in cooler;

- Shelf under coffee station;

- Walls and floors behind, under and around dish machine and dish pit;

- Shelving where clean cutting boards were stored;

- Utility carts;

- Portable two burner appliance;

- Juice machine;

- Water filters by ice machine and juice machine; and

- Floor under steam table.

* Multiple kitchen staff were observed using latex gloves for food service tasks. Staff 2 (Dietary Manager) was interviewed and acknowledged use of latex gloves. S/he was unaware that latex gloves were prohibited in food service use. When asked if any residents had latex allergy, kitchen staff indicated they had not been notified of any residents with latex allergies. Staff 1 was asked if any residents had latex allergy and s/he reported that two residents had a latex allergy. Staff 1 confirmed that care staff were not using any latex gloves. Staff 1 ensured surveyor that latex gloves would be removed from kitchen and appropriate food service gloves would be used.

* A black utility cart was damaged with a cracked handle and visible food debris build up in cracks. Multiple cutting boards had heavy scoring and/or staining.

* A dirty rag was observed stored on a wire rack next to clean equipment/dishes.

Kitchen sanitation audits were reviewed and multiple audits identified needing kitchen cleaning of walls/floors and shelves.

Staff 1 (Administrator) and the surveyor reviewed areas of concern. Staff 1 acknowledged the above findings.

Following is a list of what actions have been taken to address and eliminate violations:  1) splatters, spills, drips, dust and debris has been cleaned from the meat slicer, stainless steel shelving, interior and exterior of microwave, interior and exterior of range/oven, hood above range/grill, vents, walk in cooler and freezer floors, shelving in walk in cooler, shelf under coffee station, shelving where clean cutting boards are stored, utility carts, juice machine.  2) the two-burner appliance was removed from kitchen

3) latex gloves were destroyed and only nitrile gloves     and vinyl gloves in use

4) black damanged utility cart was donated and replaced.  Cutting boards were all replaced

5) professional cleaning company hired to clean walls, ceiling and floors

DSD submits audit weekly and deficiencies will be reviewed by DSD and Administrator and corrected immediately.  New task lists were created, team retrained and completion evaluated daily by DSD.