Print Inspection: 7FSV

The findings of the kitchen inspection, conducted 08/16/22, 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 8/16/22, conducted 2/28/23, 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, interview, and record review, it was determined the facility failed to ensure the kitchen was clean and food was prepared in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the facilities kitchen, food storage areas, food preparation, and food service on 08/16/22 revealed:

* Splatters, spills, debris, and drips noted on:

- Can opener blade and casing;

- Shelving;

- Food storage and delivery carts; and

- Interior of the ovens.

* Food was stored on the floor of the freezer.

* Scoops were left in bins of food.

* Undated and unlabeled food items were noted in the reach in and walk in refrigerators.

* Residential dishwasher were being used in the Memory Care units. Commercial dishwashers are required with a capacity over 16 residents.

* The wiping cloth sanitizer bucket was not monitored to ensure the sanitizer was dispensing at the correct parts per million, staff were not aware of where to locate the test strips.

* Staff were observed to not change gloves between tasks during the plating of food for breakfast.

* Caregiving staff plating and serving food were not using aprons.

* The doors to the food preparations area and the warewashing area were open allowing for the entry of multiple flies.

The kitchen was reviewed with Staff 1 (Administrator) and Staff 2 (Dietary Services Manager). They acknowledged the findings.

1) The following actions will be taken to correct the violations:

a. Can Opener blade casing, shelving, interior of oven and food storage and delivery carts have been cleaned.

Food boxes were removed from the floor, scoops were removed from bins

Undated/unlabeled food was thrown out in walk in refrigerators

Residential dishwashers will no longer be used

All sanitizer buckets were emptied and refilled

Proper glove wearing was discussed

Proper Apron use was discussed

Screens for trailer doors have been ordered

2) System will be corrected by the following:

a. Items above needing cleaned were added on the daily/weekly/monthly cleaning checklist

b. All deliveries will be monitored to keep food boxes from being stored on the floor.  Director of Dining Services will monitor this daily and delegate this task when not in the community.  This topic will also be addressed in an inservice with all dining associates

c. Scoops in bins-Director of Dining Services will monitor this daily and delegate this task when not in the community.  This topic will also be addressed in an inservice with all dining associates

d. Dining Associate inservice on dating and labeling of all food will be completed

e. Residential dishwashers will not be used.  Signs have been hung on them directing associates not to use them

d. An Inservice will be conducted with kitchen associates on proper gloves wearing proper apron wearing, and checking PPM with strips and where strips are stored

c. Screens for the trailer doors have been ordered and are being installed to keep flies out.  Orkin Pest control also came and sprayed around trailers to prevent flies

3) The Systems to ensure that food is prepared and served in accordance with the Oregon Food Sanitation Rules, including cleaning, repairs, proper safe food handling practices, and infection control procedures, will be evaluated by the Dining Services Director and the Executive Director weekly.  

4) The Dining Services Director and/or the Executive Director will be responsible for overseeing that the above systems are in place and monitored daily

Based on observation, 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.

Refer to C 240