Print Inspection: HH5O

The findings of the kitchen inspection, conducted 01/11/23, 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 to the kitchen inspection of 01/11/23, conducted 04/12/23 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 in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

On 01/11/23 at 1:15 pm, the facility kitchen was observed to need cleaning in the following areas:

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

* Multiple white floor drains;

* Oven interiors, knobs, doors and handles;

* Caulking behind the dish machine;

* Pipes and garbage disposal in dish machine area;

* A floor fan; and

* A black, three-shelf rolling cart.

The areas that required cleaning were observed and discussed with Staff 2 (Culinary Director) on 01/11/23. He acknowledged that the areas observed needed to be cleaned. He stated that the areas that needed to be cleaned would be discussed with staff.  

The need to ensure the kitchen was kept clean in accordance with the Food Sanitation Rules was discussed with Staff 1 (Executive Director) during the exit interview on 01/11/23. No further information was provided.

Plan of correction for spills, splatters, debris, dirt and black matter observed:

1. The following areas will be cleaned immediately by kitchen staff, to be completed by 1/30/23-

-White floor drains

-oven interiors, knobs, doors, handles on oven

-pipes and garbage disposal in dish machine area

-floor fan

-black, three shelf rolling cart

The following items have been submitted to maintenance to fix, completed by 1/30/23:

- caulking behind dish machine

2. To prevent these violations from happening in the future all cleaning items will be added to the kitchen staff monthly cleaning checklist. These checklists are initialed by the staff completing the task and the Culinary Director collects them at the end of the month and monitors that items are actually completed. To prevent issues related to the maintenance of the kitchen from happening in the future the Culinary Director will complete a monthly environmental audit where he will inspect all areas of the kitchen for broken, worn out items or areas that are in need of maintenance. This will be given to the Maintenance Director so the items can be addressed.

3. All cleaning tasks will be evaluated monthly by the Culinary Director. All environmental items will also be evaluated monthly by the Culinary Director. The Executive Director will also walk through the kitchen monthly and address any areas of concern with the Culinary Director.

4. Persons involved in the plan of correction are the Executive Director, Culinary Director and the Maintenance Director.

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.