Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: 8HWK

Provider Information


Holi Senior Living

188 NE 77TH AVE
Hillsboro, OR 97124

Provider ID
50R490
Administrator
Melissa Spacy
Phone
(503) 743-7210
Email
mspacy@holiseniorliving.com

Inspection Details


Date
11/14/2023
Event ID
8HWK
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details


C0000: Comment


Visit Number
1
Visit Date
11/14/2023
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted on 11/14/23, 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.




Visit Number
2
Visit Date
1/26/2024
Corrected Date
N/A
Details







The findings of the revisit to the kitchen inspection of 11/14/23, conducted on 01/26/24, are documented in this report. The facility was found 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.


C0240: Resident Services Meals, Food Sanitation Rule


Visit Number
1
Visit Date
11/14/2023
Corrected Date
N/A
Details

Based on observation and interview, it was determined the facility failed to ensure the kitchen was maintained in accordance with Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:


Observations of the facility kitchen, food storage areas, food preparation and food service on 11/14/23 revealed the following:


* The outside of the juice machine had splatters present and was sticky to the touch;

* The stand up fan was dusty;

* The outside of the reach in freezer had drips visible, the handles were sticky to the touch, and the inside of the far right unit had food debris present;

* A large canned food holder to the left of the stove had built up food debris on the racks;

* The wall behind the large canned food holder had gouges and chipped paint present;

* The industrial can opener had black matter present;

* The double doors to the left of the dry storage had drips, scuffs, and brown matter present;

* There were two 6.56 pound cans of pears that were very dented;

* The area surrounding the dry food storage and walk in cooler had paint chipping present;

* The flooring underneath the kitchen equipment had built-up black matter present;

* The stand up mixer behind the kitchen door had dried, built up food matter throughout the machine;

* The bread rack had food debris present;

* Caulking around the hand washing sink was cracked and pulling away from the wall;

* There was brown matter and drips observed on the wall where the hand washing sink was located from the automatic towel dispenser down to the floor;

* The pipes under the hand washing sink had a layer of dust present;

* There were two white unconnected pipes on the floor located to the left of the hand washing sink;

* The lower section of the convection oven had built-up brown matter inside the lower portion of the equipment;

* Inside of the right oven was in need of cleaning;

* The back area of the stove, above the grill, had built up food debris present;

* The fire safety inserts located in the hood above the stove had built up debris observed;

* The lower shelving under the two compartment sink across from the stove had food debris present;

* Cutting boards located in the kitchen and in the upstairs kitchenette had deep score marks observed;

* The microwaves located in the kitchen and upstairs kitchenette had food build-up present on the inside and outside;

* The upstairs kitchenette cupboards under the cereal buffet had food debris and splatters inside of them;

* The food warmers located in the kitchenette had brown, built-up debris present; and

* The drawers located in the upstairs kitchenette had food debris inside of them.


The areas in need of cleaning and repair were reviewed with Staff 2 (Dining Services Manager) on 11/14/23. He acknowledged the findings.  

Plan of Correction

1. The following actions will be taken to correct the rule violation for each example given:

*The outside of the juice machine had splatters present and was sticky to the touch. - This has been cleaned and will be added to a daily cleaning list for future prevention.

*The stand up fan was dusty.- Fan to be dusted and placed on to a weekly cleaning list.

*The outside of the reach in freezer had drips visible, the handles were sticky to the touch, and the inside of the far right unit had food debris present- Freezer to be cleaned on the inside and outside and placed on to a daily and weekly cleaning list. Daily for outside of freezer and weekly for the inside.

*A large canned food holder to the left of the stove had built up food debris on the racks- Food holder to be cleaned and placed on to a weekly cleaning list.

*The wall behind the large canned food holder had gouges and chipped paint present- Wall to be repaired and painted. Wall to be placed on to a monthly inspection list.

*The industrial can opener had black matter present- Black matter to be cleaned and can opener to be on a daily cleaning list.

*The double doors to the left of the dry storage had drips, scuffs, and brown matter present.- Double doors to the left of the dry storage to be cleaned and placed on to a weekly cleaning list.

*There were two 6.56 pound cans of pears that were very dented- These cans of pears were replaced and training to be provided to all cook staff not to accept dented cans from Sysco.

*The area surrounding the dry food storage and walk in cooler had paint chipping present- Surrounding area to be repainted and placed on to a monthly inspection list.

*The flooring underneath the kitchen equipment had built-up black matter present- Flooring underneath kitchen equipment to be pressure washed and placed on to a quarterly cleaning list.  

*The stand up mixer behind the kitchen door had dried, built up food matter throughout the machine- Stand up mixer to be cleaned of any dried, built up food matter, education provided on cleaning equipment after each use to be provided, and mixer to be on a weekly list to ensure no dried up food matter.

*The bread rack had food debris present- Bread rack to be cleaned of any food debris and bread rack to be placed on to a weekly cleaning list.

*Caulking around the hand washing sink was cracked and pulling away from the wall- Caulking to be redone around the handwashing sink, sink caulking to be placed on to a monthly inspection list.

*There was brown matter and drips observed on the wall where the hand washing sink was located from the automatic towel dispenser down to the floor- The brown matter and drips on the wall where the hand washing sink was located to be cleaned and placed on to a weekly cleaning list.

*The pipes under the hand washing sink had a layer of dust present- The pipes under the hand washing sink to be dusted and placed on to a weekly cleaning list.

*There were two white unconnected pipes on the floor located to the left of the hand washing sink- The two unconnected pipes on the floor were removed and education to be provided for no unknown items to be left laying around.

*The lower section of the convection oven had built-up brown matter inside the lower portion of the equipment- The lower section of the convection oven to be cleaned up of any brown matter and/or food particles. The lower section of the convection oven to be placed on to a monthly cleaning list.

*Inside of the right oven was in need of cleaning- Inside of the right oven to be cleaned and placed on to a weekly cleaning list.

*The back area of the stove, above the grill, had built up food debris present- Back area of the stove, above the grill to be cleansed of any food debris, this area to be added to a daily cleaning list.

* The firse safety inserts located in the hood above the stove had built up debris observed- The fire safety inserts to be cleansed of any debris, and these inserts to be placed on to a monthly cleaning list.

*The lower shelving under the two compartment sink across from the stove had food debris present- The lower shelving has been cleansed of any food debris and this area has been placed on to a weekly cleaning list.

*Cutting boards located in the kitchen and in the upstairs kitchenette had deep score marks observed- Cutting boards will be replaced and the cutting boards to be placed on a quarterly inspection list to ensure that they are replaced if too deep of scores.

* The microwaves located in the kitchen and upstairs kitchenette had food build-up present on the inside and outside.- Microwaves to be cleansed of any food build-up and placed on to a weekly cleaning list.

*The food warmers located in the kitchenette had brown, built-up debris present- The food warmers are to be cleansed of any brown built-up debris and placed on to a weekly cleaning list.

* The drawers located in the upstairs kitchenette had food debris inside of them- The drawers to have any debris taken out and cleaned. The drawers to be placed on to a weekly cleaning list.


2. The system will be corrected so that this violation does not happen again by implementing a daily/weekly/monthly/quarterly inspection and cleaning list for kitchen staff to sign off on and turn in to the Dining Services Director. The Executive Director and Dining Services Director to conduct weekly walk throughs of all kitchen areas for cleanliness and upholding sanitation standards. Executive Director and/or designee to conduct a monthly kitchen audit to ensure compliance for the first 4 months and then quarterly thereafter if good compliance with expectations.


3. The Executive Director and Dining Services Director will conduct weekly walk throughs of all kitchen areas for cleanliness and upholding sanitation standards. Executive Director and Dining Services Director to also review all daily/weekly/monthly/quartely checklists for completion and thoroughness on a weekly basis. Executive Director and/or designee to conduct a monthly kitchen audit to ensure compliance for the first 4 months and then quarterly thereafter if good compliance with expectations.


4. The Executive Director and Dining Services Director to work cohesively to ensure that all corrections are completed and monitored as previously outlined.



Visit Number
2
Visit Date
1/26/2024
Corrected Date
1/13/2024
Details

There are no detail notes for this visit.

Z0142: Administration Compliance


Visit Number
1
Visit Date
11/14/2023
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. Findings include, but are not limited to:


Refer to C 240.



Plan of Correction

See c 240


Visit Number
2
Visit Date
1/26/2024
Corrected Date
1/13/2024
Details

There are no detail notes for this visit.