Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: HL5F

Provider Information


Footsteps at Sherwood

15677 SW OREGON ST
Sherwood, OR 97140

Provider ID
50R397
Administrator
Aimee Agalzoff
Phone
(503) 625-9481
Email
aagalzoff@thespringsliving.com

Inspection Details


Date
10/12/2022
Event ID
HL5F
Inspection type(s)
State Licensure
Deficiencies cited
3

Citation Details


C0000: Comment


Visit Number
1
Visit Date
10/12/2022
Corrected Date
N/A
Details

The findings of the kitchen inspection, conducted 10/12/22, 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.




Visit Number
2
Visit Date
12/14/2022
Corrected Date
N/A
Details

The findings of the revisit to the kitchen inspection of 10/12/22, conducted 12/14/22, 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.



C0240: Resident Services Meals, Food Sanitation Rule


Visit Number
1
Visit Date
10/12/2022
Corrected Date
N/A
Details

Based on observation and interview, it was determined the facility failed to ensure the kitchens were clean in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:


1. On 10/12/22 at 9:40 am, the facility main kitchen (which provided food to both the ALF and MCC) 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:


* Dish machine area: Floor drain, caulking behind sink, in grout between floor tiles, on wall below sink, pipes and garbage disposal;

* Freezer next to fryer;

* Floor drains under steam table and two-compartment sink;

* Lids to sugar and flour bins; and

* Floor perimeter and tile grout lines.


Additionally, a bin containing oatmeal was uncovered and several trash cans lacked lids.


The areas in the main kitchen which required cleaning were observed and discussed with Staff 1 (Executive Director) and Staff 3 (Chef) on 10/12/22. The findings were acknowledged.


2. On 10/12/22 at 10:35 am, the MCC  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:


* Interior of several drawers and cabinets;

* Oven interior;

* Warming oven; and

* Floor perimeter.


b. The following areas needed repair:


* Several cabinet doors had worn corners lacking paint, creating a non-cleanable surface.


The areas which required cleaning and repair were observed and discussed with Staff 1 (Executive Director) and Staff 4 (Server) on 10/12/22. The findings were acknowledged.

Plan of Correction

1 a. Dish machine area - cleaned and reapplied caulking. Freezer next to the dryer - cleaned. Updated task list implemented to clean and sanitize the dish machine area and freezer daily. Food and Beverage Director to perform bi-weekly checks of the area to ensure the area is clean and in good condition. Food and Beverage Director will see that the corrections are completed and monitored.


Floor drains under the steam table and two-compartment sink - cleaned. Updated task list implemented to ensure the area is clean and sanitized daily. Food and Beverage Director to perform weekly area checks to ensure cleanliness. Food and Beverage Director will see that the corrections are completed and monitored.


Lids to sugar and flour bins - sanitized and new lids applied. The culinary staff was reeducated on the importance of keeping lids on after usingusing the items. Executive Chef and Dining Room Supervisor will monitor the area daily to ensure the lids are on. Food and Beverage will see that the correction are completed and monitored.  


Floor perimeter and tile grout lines - cleaning. Executive Director and Food and Beverage Director to perform weekly walk-throughs to ensure the floor is clean and in good condition. Executive Director and Food and Beverage Director will see the correction completed and monitored.

Lids were applied to all trash cans. Person in charge of the kitchen will walk through the kitchen per shift daily to ensure the lids are in place for trash cans. Food and Beverage Director will see that the correction is completed and monitored.


2 a. Interior of several drawers and cabinets - cleaned. Oven interior - cleaned. Warming oven - food debris removed and cleaned. Floor perimeter - cleaning. Updated task list implemented to ensure the area is clean and sanitized daily. Food and Beverage Director to perform weekly area checks to ensure cleanliness. Food and Beverage Director will see that the corrections are completed and monitored.


b.Top cap will be placed on cabinet doors with worn corners and touch-up finish on all cabinet doors. Executive Director and Plant Operations Director to perform bi-weekly walk-throughs to ensure the area are in good condition. Executive Director will see the correction completed and monitored.


Visit Number
2
Visit Date
12/14/2022
Corrected Date
12/1/2022
Details

There are no detail notes for this visit.

Z0142: Administration Compliance


Visit Number
1
Visit Date
10/12/2022
Corrected Date
N/A
Details

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.




Plan of Correction

Refer to C240


Visit Number
2
Visit Date
12/14/2022
Corrected Date
12/1/2022
Details

There are no detail notes for this visit.