Print Inspection: 8YCE

The findings of the kitchen inspection, conducted 09/07/23, 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 first revisit to the kitchen inspection of 09/07/23, conducted 10/30/23, 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 kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to:

On 09/07/23 at 11:10 am, the facility kitchen was observed and the following was noted:

* The refrigerator interior walls had food splatter/spills;

* Food items were uncovered in refrigerator (sliced oranges) and in the freezer (individual desserts);

* An open bag of dinner rolls in the freezer;

* Scoops were in food product sacks (stored in bins), items included, granulated sugar, powdered sugar and oatmeal;

* One garbage can was uncovered when not in use;

* The hood vents above stove/grill were greasy/dusty, per Staff 1 (Cook/PIC) the hood was commercially cleaned with last cleaning on 04/17/23, next scheduled service in 26 weeks;

* One staff was not using any type of hair restraint; and

* Several non-kitchen staff entered the kitchen throughout the inspection.

The areas of concern were observed and discussed with Staff 1 on 09/07/23. The findings were acknowledged.

C240 Resident Services Meals. Food Sanitation Rule

1a) Daily inspection of the kitchen, dining room, flooring and refrigerator will be conducted by the Administrator and Chef to make sure Kitchen is clean daily.

b) Daily inspection of Kitchen Freezer, Kitchen Refrigerator by Administrator and Chef to make sure the proper storing of food items, and making sure all open food items are stored in food containers, bins and are date and labeled. Completed on 9/12/2023.

c) Daily inspection of the Dry Storage area by Administrator and Chef to make sure that no scoops are inside food product sacks (stored in bins) Removed and educate Chef on 9/12/2023.

d) Weekly inspection of the Hood Vents by Administrator and Chef to make sure the Hood Vents looks clean.  Will notify Hot Shot Hood Cleaning is observe Hood vents needs cleaning. Schedule Hood Cleaning is set for 9/29/2023.

e) Administrator prepares the menus 30 days in advance, menus are available to the family members, visitors and staff and posted on the bulleting board in the dining room. Administrator go over the menu in advance with Chefs and educate Chef's if product is not available according to the menu posted for the week, Chefs are to notify Administrator, Staff and resident of the menu change.

f) Three meals per day is available daily 7 days per week.  Snacks are available three times daily 7 days per week.  Alternatives are available daily 7 days per week if a resident refuses food being served. Weekly delivery of fresh fruit and vegetables every Thursday with US food order.

g) Modify special diets are accommodate daily 7 days per week in accordance with diet orders from PCP.  Administrator follow up daily with Chefs to make sure proper nutrition is being offered daily.

h) Administrator and Chef is to make sure food is prepared and serve three times daily, 7 days per week.

i) Administrator and Chef is to make sure that the Garbage Can is closed at all times--Copleted on 9/12/2023.

j) Administrator ordered a box of hairnets for the dining services team.  Order was placed on 9/12/2023.  Educate the dining services team to wear hairnets while in the kitchen.

k) Administrator educate the whole team on 9/12/2023 that Kitchen staff are to be in the kithcen, non kitchen staff are to ask the Kitchen staff for items needed from the ktichen.  A all staff meeting in schedule for 9/25/2023 to go rules and expectations.

Daily communication with the Chefs to assure things are working and functioning well.

Administrator

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.

Z142

1) Administrator will conduct daily walkthough of the Kitchen area to make sure the whole kitchen is clean, organized, food labeled, no open food observe. Daily communication with the Chefs to make sure policy and procedures are followed daily.

2) Administrator will communicate daily to the Chefs and staff to report any damages or things out of place so that Administrator can follow up, document and communicate to the owner.

3) Administrator will conduct daily walk through. Report the fininds to owner on a weekly basis.

4). Administrator.