Print Inspection: H0XV

The findings of the annual kitchen inspection, conducted on 07/24/24, 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 07/24/24, conducted 10/30/24 thru 10/31/24, 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 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, food preparation areas, and the Memory Care's kitchenettes on 07/24/24 noted the following in need of cleaning or repair:

a. Main Kitchen

* The reach in freezer to the right of the kitchen entrance door had food debris present on the lowest shelf;

* The room where the reach in freezer was located had a gouge in the wall, chipping paint, and the light switch face was broken;

* The reach in freezer to the right of the steam table had icicles present and there was a bag of food open to air;

* The grill to the left of the oven had a build-up of black and brown matter present;

* Both sides of the deep fryer were observed to have a build-up of debris;

* Inside, outside, and the backsplash of the stove had brown and black matter present;

* The garbage can to the right of the stove had built-up food matter and debris on the top and sides;

* The lower shelves of the steam table had food debris present;

* There was undated and unlabeled food located in the deli cart's refrigerator;

* There was a dirty rag and coffee grounds in the drain in front of the coffee maker;

* The cupboard under the hand washing sink had spills present;

* There were small holes in the wall behind the hand washing sink and the area was missing some paint;

* There was debris present outside of the reach in refrigerator's door;

* There were multiple food items in the walk-in refrigerator that were not covered, labeled, or dated;

* Boxes were observed to be stored on the floor in the walk-in freezer;

* Cutting boards throughout the kitchen, including the one attached to the deli cart, had deep grooves and score marks present deeming them to be uncleanable;

* The shelf above the one compartment sink was sticky to the touch;

* The garbage can to the left of the one compartment sink had built-up debris on the top and the sides;

* The blade on the industrial can opener had built-up food debris present;

* The two spice shelves had a layer of debris present;

* The faucet in the dish washing area had a constant drip;

* Walls throughout the kitchen had drips, splatters, food debris, scuffs, and chipped paint;

* The ceiling panel outside of the walk-in refrigerator was missing, and there were other ceiling panels in the front of the kitchen that were lifting up;

* Vents in the ceiling located by the stove area and by a large wire storing rack in the back of the kitchen had an accumulation of dust;

* A fan located to the right of the three compartment sink was covered in a thick layer of dust; and

* Floor drains throughout the kitchen had brown and black matter present.

b. Kitchenettes

* The cabinets and doors leading into the kitchenettes had chipped paint;

* There were drawers observed to have debris inside of them;

* The cupboards had areas on the outside where the paint was chipping off; and

* Inside of the standing refrigerator and freezer units, there was food debris observed.  

The areas in need of cleaning and repair were reviewed with Staff 1 (Culinary Director), Staff 2 (Maintenance), and Staff 3 (Memory Care Program Director) on 07/24/24. They acknowledged the findings.

The plan of correction for the kitchenettes on memory care are to have maintenance paint the doors leading into the kitchenettes in both cottages and the cupboards.

Staff will clean the drawers, cupboards, and inside of the fridges and freezers.

They have been given task list with these items and both the dietary manager and memory care program director will follow up monthly to ensure these areas are clean and in good repair.  Staff will be inserviced on this in the staff meeting on 8/15/24

The following areas will be repaired by maintenance

1. enterance and exit doors

2. gouge in wall by reach in freezer

3. wall behind the handwashing sink

4. faucet in the dink washing area

5. chipped paint on walls throughout kitchen

6. ceiling panels

7. Doors in Memory care

The kitchen will be cleaned and to ensure this is maintained

new staff task list will be presented and all staff will be

trained on these on 8/15/24

Staff will also be retrained on proper food storage on 8/15/24

Garbage cans will have lids on them moving forward and will

be placed on the task list for cleaning daily

Audits will be done by the dietary manager of the kitchen

weekly to ensure task list are done and we are in compliance

with food safety and sanitation guidelines, once we are in

compliance they will be done monthly

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 C240