Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: 3U95
Provider Information
16872 SW EDY ROAD
Sherwood, OR 97140
- Provider ID
- 50R474
- Administrator
- Azadeh Mohammadian
- Phone
- (503) 217-2345
- azadehmoh@merrillgardens.com
Inspection Details
- Date
- 10/27/2022
- Event ID
- 3U95
- Inspection type(s)
- State Licensure
- Deficiencies cited
- 4
Citation Details
C0000: Comment
- Visit Number
- 1
- Visit Date
- 10/27/2022
- Corrected Date
- N/A
- Details
-
The findings of the kitchen inspection, conducted on 10/27/22, 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.
- Visit Number
- 2
- Visit Date
- 1/20/2023
- Corrected Date
- N/A
- Details
-
The findings of the revisit to the kitchen inspection of 10/27/22, completed on 01/20/23, 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
-
Each cited item has been cleaned/corrected to correct the rule violation affecting all residents.
Operations Leader reviewed the community's Food Handling Policy with all Food & Beverage team members including new Chef.
A Sanitation Inspection Form has been established for the community and will be completed by a different team member on a monthly basis. The monthly Sanitation Inspection form will be reviewed by the Chef, who will review the findings and any plans with the General Manager/designee at the weekly 1:1 GM/Chef meeting and documented using the established meeting agenda template.
Gasket seal has been ordered and will be replaced.
The General Manager is responsible to see that the corrections are completed and monitored.
- Visit Number
- 3
- Visit Date
- 5/8/2023
- Corrected Date
- N/A
- Details
-
The findings of the second revisit to the kitchen inspection of 10/27/22, conducted 05/08/23, 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 and OARs 411 Division 57 for Memory Care Communities for Resident Services - Meals and Oregon Health Service Food Sanitation Rules 333-150-0000.
C0240: Resident Services Meals, Food Sanitation Rule
- Visit Number
- 1
- Visit Date
- 10/27/2022
- Corrected Date
- N/A
- Details
-
Based on observation and interview, it was determined the facility failed to ensure the kitchen was clean and food sanitation protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000.
Findings include, but are not limited to:
On 10/27/22 at 11:10 am, the facility kitchen was observed to need cleaning in the following areas:
*The deep fat fryer, stove, grill and steamer had spills, drips and grease buildup on the front and sides of the equipment and on the wall behind them;
*Shelves throughout the kitchen below the steam table, slicer and prep areas had dried food debris, spills and splatter;
*Floors beneath equipment (deep fat fryer, stove, grill), steam table and prep areas had dried food debris, grease buildup and dust; and
*Food bins with panko crumbs, flour and sugar had scoops in them. The bin lids were soiled with food debris.
Three garbage cans were observed without lids while not in use.
To-go boxes were stored on lower shelf beneath the steam table in upright position creating the possibility of contamination from the floor and/or foot traffic of staff.
A dishwasher was observed not washing hands between handling dirty dishes and clean dishes and also, drying dishes with a towel rather than allowing them to air dry.
The areas and concerns above were observed and discussed with Staff 1 (General Manager) and Staff 2 (Chef ) on 10/27/22. The findings were acknowledged.
- Plan of Correction
-
1.Each cited item has been cleaned/corrected to correct the rule violation affecting all residents.
2.Operations Leader reviewed the community's Food Handling Policy with all Food & Beverage team members.
3.A Sanitation Inspection Form has been established for the community and will be completed by a different team member on a monthly basis. The monthly Sanitation Inspection Form will be reviewed by the Chef, who will review the findings and any plans with the General Manager/designee at the weekly 1:1 GM/Chef meeting and documented using the established meeting agenda template.
4.The General Manager is responsible to see that the corrections are completed and monitored.
- Visit Number
- 2
- Visit Date
- 1/20/2023
- Corrected Date
- N/A
- Details
-
Based on observation and interview, it was determined the facility failed to ensure the kitchen was clean and food sanitation protocols were in accordance
with the Food Sanitation Rules OARs 333-150-0000. This is a repeat citation. Findings include, but are not limited to:
On 01/20/23 at 10:15 am, the facility kitchen was observed to need cleaning in the following areas:
*The deep fat fryer, stove, grill and steamer had spills, drips and grease buildup on the front and sides of the equipment and on the wall behind them;
*Shelves throughout the kitchen, below the steam table, slicer and prep areas had dried food debris, spills and splatter;
*Floors beneath equipment (deep fat fryer, stove, grill), steam table and prep areas had dried food debris, grease buildup and dust; and
*Gasket was damaged on cooler next to deep fat fryer.
The areas above were observed and discussed with Staff 3 (General Manager) on 01/20/2023. The findings were acknowledged.
- Plan of Correction
-
Each cited item has been cleaned/corrected to correct the rule violation affecting all residents.
Operations Leader reviewed the community's Food Handling Policy with all Food & Beverage team members including new Chef.
A Sanitation Inspection Form has been established for the community and will be completed by a different team member on a monthly basis. The monthly Sanitation Inspection form will be reviewed by the Chef, who will review the findings and any plans with the General Manager/designee at the weekly 1:1 GM/Chef meeting and documented using the established meeting agenda template.
Gasket seal has been ordered and will be replaced.
The General Manager is responsible to see that the corrections are completed and monitored.
- Visit Number
- 3
- Visit Date
- 5/8/2023
- Corrected Date
- 3/6/2023
- Details
-
There are no detail notes for this visit.
C0455: Inspections and Investigation: Insp Interval
- Visit Number
- 2
- Visit Date
- 1/20/2023
- Corrected Date
- N/A
- Details
-
Based on observation, interview and record review, it was determined the facility failed to ensure their re-licensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:
Refer to C240.
- Plan of Correction
-
Community will submit, within ten days of receipt of the inspection report, this plan of correction that satisfies the Department.
- Visit Number
- 3
- Visit Date
- 5/8/2023
- Corrected Date
- 3/6/2023
- Details
-
There are no detail notes for this visit.
Z0142: Administration Compliance
- Visit Number
- 1
- Visit Date
- 10/27/2022
- Corrected Date
- N/A
- Details
-
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.
- Plan of Correction
-
Refer to tag C240 POC
- Visit Number
- 2
- Visit Date
- 1/20/2023
- Corrected Date
- N/A
- Details
-
Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:
Refer to C240.
- Plan of Correction
-
Reference POC for tag C240
- Visit Number
- 3
- Visit Date
- 5/8/2023
- Corrected Date
- 3/6/2023
- Details
-
There are no detail notes for this visit.