Print Inspection: FQ6Z

The findings of the kitchen inspection, conducted 08/11/22, 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 first revisit to the kitchen inspection of 08/11/22, conducted 11/14/22 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.

The findings of the kitchen inspection, conducted 07/06/23, 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 re-visit to the kitchen inspection of 07/06/23, conducted 08/24/23, 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 the kitchen was clean and in good repair, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

On 08/11/22 at 11:25 am, the facility kitchen was observed to need cleaning and repair in the following areas:

a. Food spills, splatters, debris, dirt and black matter was observed on or underneath the following:

* Pipes and wall underneath the hand wash sink;

* Rungs of storage racks;

* Pipes under the three-compartment sink;

* Ceiling vents;

* Floor perimeter and tile grout lines;

* Floor drain in dish machine area; and

* Interior of MCC kitchenette microwave.

b. The following areas needed repair:

* The wall underneath the hand wash sink had an approximately six inch by a half inch crack. Black matter was visible inside the crack; and

* The low temperature chemical dish machine was observed to operate multiple times and inconsistently registered the required temperatures for sanitation. The repair company was immediately contacted.

Additionally, a dietary staff person was observed to not sanitize his hands upon entering the kitchen and handling clean dishes.

The areas which required cleaning and repair were observed and discussed with Staff 1 (Administrator), Staff 2 (Dining Services Director) and Staff 3 (Maintenance Director) on 08/11/22. The findings were acknowledged.

1. The kitchen received a deep clean, crack in wall was repaired, and dishwasher temperature was inspected and adjusted.

2. The Dining Services Director will receive additional training on  the kitchen Cleaning Schedule policy and procedure. All Dining Services Staff will receive additional training on handwashing/handhygiene.

3. The Dining Services Director will review this area weekly per the Quality Assurance - Dining Review Schedule.

4.  The Executive Director will be responsible for ensuring corrections are completed and monitored.

Based on observation, record review and interview, it was determined the facility failed to ensure food was prepared 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 07/06/23 revealed:

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

- Walls in the food preparation and cooking areas;

- Upper shelving throughout kitchen;

- Top of the mixer machine;

- Top of the range hood;

- On both sides of kitchen entrance and exit doors;

- Front of the freezer and fridge/freezers in the storage room;

- Fire extinguishers; and

- Floor under the hand washing sink.

* Paint was observed to be chipped, worn or scraped off on:

- Kitchen entrance and exit doors and door frames;

- Walls in food preparation and cooking areas; and

- Paint had bubbled up on the ceiling in front of steam table area approximately four by six inches in size, with a small area of paint peeled open.

* A gallon of milk in the fridge expired on 06/30/23.

* Staff were not using alcohol swabs to clean thermometer probe after use.

* There was no policy available for when kitchen staff were sick.

* Plastic pieces were broken off  from the inside of the white storage room freezer.

* There was no documented evidence that all employees involved in food preparation and serving had a current food handlers card.

The areas in need of cleaning and repair, the need to use alcohol swabs to clean the thermometer probe after use, the need for a policy and procedure for sick staff, and all employees involved in food preparation and service needed to have a food handlers card was discussed with Staff 1 (ED) on 07/06/23.  She acknowledged the findings.

1. The splatters, spills, drips, dust and debris will be cleaned on all surfaces. Chipped, worn, scraped or bubbled paint will be repaired. Freezer with broken pieces will be removed.

2. Dining Services Staff will receive training on updated posting for staff when sick, using alcohol swabs to clean thermometer probes. Employee records will be reviewed to ensure that each Dining Services Staff member has a current food handlers card.

3. The Dining Services Director will review the area weekly per the Quality Assurance - Dining Services Review Schedule.

4. The Executive Director will be responsible to ensure compliance.  

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 C240.

1. Refer to C240.

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