Print Inspection: E2IZ

The findings of the kitchen inspection, conducted 3/16/23, 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 3/16/23, conducted 5/18/23, 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 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 3/16/23 revealed splatters, spills, drips, dust and debris noted on:

- Can opener blade and surrounding;

- Interiors of drawers and cabinets;

- Walls behind and near the dish machine;

- Hood vents over stoves;

- Drip pan under stoves;

- Reach in refrigerator and freezers; and

- Interior of microwave.

The following items were in need of repair:

- Kitchen flooring with large crack down middle of floor;

- Underneath dishwashers;

- Multiple cupboards with damage to surface exposing porous sections of wood;

- Large area under sink with holes and damage;

- Paint on wood surfaces of shelves pealing, chipped or missing; and

- Multiple old screw holes exposed on different areas of walls needing patching and painting.

* Cutting boards found with deep scoring and staining. Some utensils with scoring, Portable grill top with damage, staining and in need of replacement.

* Kitchen not using correct thermometer probes. Did not have a thin diameter probe for thin foods.

* Kitchen staff not checking concentration of sanitizing solution and was unaware of correct concentration numbers. Staff not following manufactures recommendation for spray on disinfectant cleaner.

* Scoops or utensils stored in bulk food storage containers (sugar and brown sugar).

* Facility not covering food when delivering trays to rooms.

Staff 2 (Kitchen Manager) and the surveyor toured the kitchen. Staff 2 acknowledged the above findings.

The areas in need of cleaning and repair were reviewed with Staff 1 (Administrator) and Staff 2 (RCC). They acknowledged the findings.

Purchased new items as follows:

cutting boards

portable grills

thermomiter

utensils

A audit of kitchen tools and gadgets will be monitored monthly for condition, wear and staining, and sanitation.

Monthly audits for next 3 months and quarterly audits by the kitchen manager there after.

Sanitizing buckets will be changed 2x daily and will be checked with concentration strips to ensure the correct solution. Kitchen staff will check a log for the next 30 days to develop a habit. Administration will do monthly check in regarding and new staff will be trained on the practice to ensure the sanitzing station is in limits of santizer.

Cleaning of vent hood, drip pans under stove, refridgerator, and freezers, interior of microwave, walls near the dish machine. Kitchen manager will monitor the daily, weeklys cleaning schedules daily. These will be monitored monthly with kitchen manger and Administration at monthly meeting 3 months and then quarterly on the QAPI.

Scoops removed from bulk food storage,  and will be monitored on the daily check list.

Tray covers have been purchased for hall trays.

The following repairs have been made, Kitchen flooring middle of floor crack fixed

underneath dishwashers fixed

Multiple cupboards with damaged surfaces, painted repaired and fiixed.

Hole under sink repaired

Shelves with peeling or chipped paint painted and fixed.  kitchen manager will monitor all surfaces during the monthly audits and discussed at monthly meeting with Admin for 3 monhts and then on the QAPI thereafter.

Based on observation, record review 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 C240.

Refer to C240.