Print Inspection: GCWY

The findings of the kitchen inspection, conducted 01/19/23, 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 kitchen inspection of 01/19/23, conducted 04/26/23, 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 second revisit to the kitchen inspection of 01/19/23, conducted 08/14/23, 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 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 01/19/23 revealed splatters, spills, drips, and debris noted on:

- Exterior of the gas range and oven;

- Open shelving below the steam table;

- Dry storage shelving and food containers;

- Dishes and cookware stored on open shelving and racks;

- Open shelving and metal rack shelving;

- Interior of the microwave;

- Underneath shelving and equipment throughout kitchen;

- Triple pot sink area; and

- Dishwashing area including flooring, walls, and equipment.

* The laminate shelving below the steam table was damaged, creating an un-cleanable area.

* A scoop was left with the handle in the sugar.

* Dented cans were noted in the dry storage area.

* Caregiving staff in the Memory Care Unit, who provided incontinent care to residents, were not wearing aprons while plating and serving food.

Staff 3 (Dietary Services Manager) and the surveyor toured the kitchen. She acknowledged the findings.

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

The Executive Chef held a kitchen meeting on 1/31/23 to review findings with the team.  Cleaning schedules were modified and reviewed with the dietary team.  Daily, weekly, and monthly checklists were revewered.  Quarterly deep cleaning was implemented and Q1 was completed on 1/31/23.  Executive Chef will audit weekly to ensure completion, any findings of non-compliance will be reviewed with Executive Director.  New metal rack was ordered due to not being 'cleanable'.  Environmental Services Director will repair or replace serving line.  Executive Chef will check all cans when putting stock away weekly.  Aprons for memory care have been ordered and caregivers were instructed/inserviced on when to wear them.

Based on observation 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. This is a repeat citation. Findings include, but are not limited to:

Observations of the facility kitchen, food storage areas, food preparation, and food service on 04/26/23 revealed splatters, spills, drips, and debris noted on:

- Exterior of the gas range and oven;

- Buildup of dust and grease on the hood vents;

- Open shelving below the steam table; and

- Interior of the microwave.

The following areas were in need of repair:

* The laminate shelving below the steam table was damaged, creating an uncleanable area;

* Coffee maker had a leaking water line;

* Cutting board had multiple areas of wear and deep cut marks; and

* Floor cove and base boards near dry storage room were peeling away from the wall and flooring.

Staff 2 (Dietary Services Manager), Staff 3 (Memory Care Administrator) and the surveyor toured the kitchen on 04/26/23. They acknowledged the areas of the kitchen required cleaning and repair.

Oven was cleaned and added to the nightly cleaning schedule.  Oven liners are used and changed our every other day and as needed.  Executive Chef will monitor to ensure this is completed.  

Hoods were cleaned on 5/7 and changed to a quarterly cleaning instead of bi-annual to help with upkeep. Environmental Services Director and Executive Chef will work together to ensure this gets scheduled and completed quarterly.

Open shelving below serving line has been closed off with a permanent covering and is a cleanable/wipeable surface.  The shelving on the right was covered with cleanable/wipeable surface. Cleaning the front of the line will be added to nightly cleaning schedule.

New microwave was purchased for commercial use.

Coffee Maker was repaired same day.  This was on the cleaning schedule.  Executive Chef will ensure this is completed.

New cutting board was installed.  Staff will notify Executive Chef when no longer cleanable due to use.

Floor base was screwed to wall and clear coat of caulking was applied to ensure that nothing gets in to the crevises.  Environmental Services Director and Executive Chef will do weekly spot checks around the perimeter to ensure there are no additional spots.

Based on observation and interview, it was determined the facility failed to ensure the kitchen inspection survey plan of correction was implemented and satisfied the Department. Finding include, but are not limited to:

Refer to C 240.

This is due to not passing re-survey.  Please refer to previous tag C-240

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.

See plan of correction on C240.

Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:

Refer to C 240.

This tag is due to the Kitchen being assisted living, but used by memory care.  Please refer to previous tag C-240.