Print Inspection: 3VHH

The findings of the kitchen inspection, conducted 08/17/23, 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 08/17/23, conducted 11/01/23, 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 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:

1. Observations of the main kitchen in the assisted living on 08/17/23 revealed the following:

* Walls and floors had and accumulation black matter and/or dust throughout the kitchen;

* Inside the walk-in refrigerator and freezer units had food debris on the floors;

* Doors and door jambs had paint chips and gouges;

* Black debris and grease build-up was found inside the oven;

* Multiple food items inside the walk-in cooler were not covered, labeled, or dated;

* Ice machine lid was left unattended while the lid was left open;

* There was a dented can in the dry storage;

* A cutting board was observed with gray deep scores, creating an uncleanable surface; and

*Several boxes of food were stored on the floor of the dry storage and freezer.

Additionally, 2 out of 3 kitchen staff were sampled for evidence of current food handler cards. Staff 2 (Culinary Services Director) and Staff 3 (Cook), failed to have documented evidence of a food handler card. Staff 1 (Interim ED) reported Staff 2 and Staff 3 were pulled from the kitchen until they could complete the Oregon food handler course.

2. Observations of the memory care kitchenette on 08/17/23 revealed the following:

* The oven and stove was not in working order;

* Food debris was found inside the oven;

* A dog treat was found in the freezer door; and

* Cleaning chemicals were in a cabinet under the kitchenette sink. This cabinet was observed unlocked and the gate across the kitchenette was observed unsecured.

On 08/17/23, the above areas needing cleaning, repair and correction were reviewed with Staff 1. He acknowledged the findings.

1) Walls, floor, walk-in refrigerator and freezer unit will undergo and professional deep clean to resolve cleaniliness and food debris issues. Cleaning schedule and adjusting of staff schedule will keep up with daily responsibilities. Culinary Director (CD) responsible for ongoing monitoring.

2) Black debris and grease build-up of stove. Has been cleaned by kitchen crew. Cleaning will be adhered to by cooks and CD is responsible for ongoing monitoring.

3) Doors and door jambs had paint chips and gouges. Will be repaired by Maintenance Director. CD will monitor for future wear and tear.

4) Some food items in walk-in cooler not covered labeled and/or dated. Staff re-trained on as to responsibilities in performing these functions. CD responsible for monitoring.

5) Ice machine left unattended while lid open. Any staff who retrieves ice is being in-serviced on adhering to closing lid. Signage of instructions posted. CD and cooks will monitor.

6) Dented can in dry storage. Any dented can was discovered in future, as was this one, will immediately be put out of service. Anyone unpacking food orders upon deliver and CD are responsible for monitoring

7) Cutting board deep gray scores creating uncleanable surface. Board has been replaced. CD will monitor for future wear and tear.

8) Food Storage on floor of dry storage and freezer. Team retrained to keep them off floor. CD will review daily.

9) Evidence of Food Handler Cards lacking for 2 of 3 staff sampled and staff pulled from kitchen. That was resolved for those staff members. System has been put in place so proof of all staff who handle for will be maintained and monitored by Business Office Director.

Memorary Care Kitchenette

10) The oven and stove not in working order and food debris found in oven. The oven and stove is being replaced. Will continue to be operable via shut on/off switch. The staff will adhere to cleaning schedule. Area will be monitored by unit director.

11) Dog dog treat was found in freezer. Staff in-services on proper use of appliances including proper and appropriate storage. Area will be monitored by director

12) Cleaning chemicals were in cabinet under the kitchen sink (observed unlocked). gate across kitchenette was observed unsecured.  Cleaning supplies moved to secured (locked) area. Locks are to be put in good repair for all kitchennete drawers. Staff was re-inserviced on securing gate leading into kitchenette. Area will be monitored by director.

Based on interview and record review, 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 C 240.

see C 240