Print Inspection: BAD4

The findings of the kitchen inspection, conducted 11/21/22, 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 11/21/22, conducted 01/25/23, 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, record review, and interview, it was determined the facility failed to ensure food was prepared, and the kitchen was maintained, in accordance with the 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 11/21/22 revealed splatters, spills, drips, and debris noted on:

- Can opener blade and casing;

- Stand mixer;

- Food Processor;

- Reach in refrigerator;

- Interior and exterior of the microwave;

- Walls throughout the kitchen;

- Flooring throughout the kitchen;

- Floor drains;

- Ceiling throughout the kitchen;

- Doors, flooring, fans, and shelving of walk-in refrigerator and freezer;

- Dry storage area flooring, shelving, and food containers;

- Hand washing sinks, including bowl, walls, and dispensers;

- Dishes and cookware stored on open shelving and racks;

- Open shelving and metal rack shelving;

- Bakery racks;

- Carts;

- Underneath shelving and equipment throughout kitchen;

- Triple pot sink area; and

- Dishwashing area including flooring, walls, and equipment.

* Full garbage cans throughout the kitchen were uncovered.

* The reach in refrigerator did not have a thermometer to monitor the temperature of protein based foods.

* There were undated and unlabeled foods in all refrigerators.

* Raw eggs were stored above ready to eat foods.

* A condiment labeled "Refrigerate after opening" was stored in the dry storage area.

* A dented can and open packages were noted in the dry food storage areas.

* A box of empty soda cans was stored in the dry storage, creating a possible pest issue.

* Brooms and dust pans were stored directly next to food in the dry storage.

* Open shelving under the tray line was damaged, creating un-cleanable surfaces.

* Dish washing racks were stored on the floor. Visible debris was noted on the clean side of the dish machine.

* Staff were using a Quaternary solution for sanitizing. There was no evidence of testing the solution to ensure it was between 150 and 200 parts per million. When tested, it was above 400 parts per million.

* Staff were observed to not change gloves between tasks while handling ready to eat foods.

* Staff did not wash hand upon entry to the kitchen.

* The facility did not have a small diameter probe thermometer to measure thin foods.

Observations of the kitchenettes on 11/21/22 revealed:

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

- Interior and exterior of cupboards, shelving, and drawers;

- Coffee machine;

- Silverware storage container;

- Outer surfaces of garbage cans;

- Interior of the refrigerator/freezer;

- Interiors of mini-refrigerators;

- Interior and exterior of microwaves;and

- Flooring and cove base.

* The dish machine was not reaching the required wash temperature.

* Interior of cupboards were damaged creating an un-cleanable surface.

* The garbage can in the kitchenette on the east unit was uncovered.

* The microwave on the west unit was damaged.

* Undated and unlabeled foods noted in the mini-fridges on both units.

Staff 1 (Executive Director) and the Surveyor toured the kitchen and kitchenettes. The areas in need of cleaning and repair were reviewed with Staff 1. He acknowledged the findings.

- Can opener blade and casing. Can opener will be cleaned and casing will be repaird. Can opener cleaning will be added to weekly cleaning tasks

;

- Stand mixer. Will be cleaned immediately and added to weekly, deep cleaning tasks

;

- Food Processor. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Reach in refrigerator. Will be cleaned imeediately and added to weekly deep cleaning tasks

;

- Interior and exterior of the microwave. Will be cleaned immediately and added to daily cleaning tasks

;

- Walls throughout the kitchen. Will be cleaned and added to weekly deep cleaning tasks

;

- Flooring throughout the kitchen. Will be cleaned and added to weekly deep cleaning tasks

;

- Floor drains. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Ceiling throughout the kitchen. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Doors, flooring, fans, and shelving of

walk

-in refrigerator and freezer. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Dry storage area flooring, shelving,

and food containers. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Hand washing sinks, including bowl,

walls

, and dispensers. Will be cleaned immediately and added to daily deep cleaning tasks

;

- Dishes and cookware stored on open

shelving and racks. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Open shelving and metal rack

shelving. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Bakery racks. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Carts

- Underneath shelving and equipment

throughout kitchen. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Triple pot sink area. Will be cleaned immediately and added to weekly deep cleaning tasks

;

and

- Dishwashing area including flooring,

walls

, and equipment. Will be cleaned immediately and added to weekly deep cleaning tasks.

* Full garbage cans throughout the

kitchen were uncovered. Lids will be purchased and used..

* The reach in refrigerator did not have a

thermometer to monitor the temperature

of protein based foods. Thermometer will be replaced and temp log established.

* There were undated and unlabeled

foods in all refrigerators. This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* Raw eggs were stored above ready to

eat foods.This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* A condiment labeled "Refrigerate after

opening" was stored in the dry storage

area.This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* A dented can and open packages were

noted in the dry food storage areas. This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* A box of empty soda cans was stored

in the dry storage, creating a possible

pest issue.This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* Brooms and dust pans were stored

directly next to food in the dry storage.This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* Open shelving under the tray line was

damaged, creating un-cleanable

surfaces. Repair scheduled for 12/15/22

* Dish washing racks were stored on the

floor. Visible debris was noted on the

clean side of the dish machine. This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* Staff were using a Quaternary solution

for sanitizing. There was no evidence of

testing the solution to ensure it was

between 150 and 200 parts per million.

When tested, it was above 400 parts per

million. Testing solution acquired and implemented with log twice daily

* Staff were observed to not change

gloves between tasks while handling

ready to eat foods.

Staff did not wash hand upon entry to

the kitchen. This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

* The facility did not have a small

diameter probe thermometer to measure

thin foods. New probe thermometers purchased and implemneted.

Observations of the kitchenettes on

11/21/22 revealed:

* Splatters, spills, drips,

and debris noted

on:

- Interior and exterior of cupboards,

shelving, and drawers

;

- Coffee machine. Will be cleaned immediately and added to weekly daily cleaning tasks

;

- Silverware storage container. Will be cleaned immediately and added to daily deep cleaning tasks

;

- Outer surfaces of garbage cans. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Interior of the refrigerator/freezer. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Interiors of mini-refrigerators. Will be cleaned immediately and added to weekly deep cleaning tasks

;

- Interior and exterior of microwaves. Will be cleaned immediately and added to daily deep cleaning tasks

;

and

- Flooring and cove base. Will be cleaned immediately and added to weekly deep cleaning tasks

*

The dish machine was not reaching the

required wash temperature. Ecolab contacted. will repair immediately.

* Interior of cupboards were damaged

creating an un-cleanable surface.  Maintenance will repair.

* The garbage can in the kitchenette on

the east unit was uncovered. Lid will be purchased their use will be monitored daily by kicthen manager, Execuitve Director, and associate Executive Director.

* The microwave on the west unit was

damaged. Will be replaced.

* Undated and unlabeled foods noted in

the mini-fridges on both units. This has been addressed in kitchen meeting and will be montiored daily by Kitchen manager, Executive Director, and Associate Executive Director.

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 C240 POC.