Print Inspection: IY5N

The findings of the kitchen inspection, conducted on 08/07/24, 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 first re-visit to the kitchen inspection of 08/07/24, conducted on 12/02/24, 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 second re-visit to the kitchen inspection of 08/07/24, conducted on 05/12/25, 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 facility was found to be in substantial compliance.

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, and food preparation areas on 08/07/24 noted the following in need of cleaning or repair:

a. General Kitchen Areas

* Exit and entrance doors throughout the kitchen had black and brown scuff marks and were observed to have chipped paint including the doors leading into the janitor closet and the dry food storage;

* Cutting boards were observed to have score marks and gouges deeming them to be uncleanable;

* Flooring at one of the entry ways was cracked and small areas of the concrete were missing;

* Black matter was observed throughout the baseboards of the kitchen as well as where the door jambs connected with the floor;

* There were baseboards missing in areas of the kitchen, including a corner section in the warewashing area;

* Walls throughout the kitchen, which included the warewashing area, had drips, splatters, and small holes observed;

* The flooring under multiple areas of the kitchen equipment (e.g. stainless steel wire storage shelves with wheels, reach in refrigerators and freezers, the grill, etc.) was observed to have built-up black matter;

* All garbage cans had built up matter on the outside and on the lids; and

* Multiple drawers which stored various kitchen utensils, were observed to have debris inside of them.  

b. Dry Food Storage Area

* Debris and a liquid substance was present on the floor, under the stainless steal wire racks; and

* The wall behind the door had drips and splatters observed.

c. Janitor Closet

* Baseboard was peeling away from the walls;

* There were black and brown drips observed down the walls;

* The floor paint was chipping off; and

* The sink located on the floor was observed to have black and green matter inside.

d. Back Food Preparation Area

* The outsides of storage bins used for oats, thickener, and flour had built up debris present;

* A ceiling light cover was missing; and

* A large, industrial fan had built up debris and rust observed.

e. Middle Food Preparation Area

* Built-up matter observed inside and outside of the convection oven;

* The inside of the door to a large, stand-up food warmer had built-up debris observed; and

* The industrial mixer was observed to have chipped paint.

f. Front Food Preparation Area

* The right oven was not in working order;

* The grill had black and brown build-up debris observed and there was an accumulation of food droppings down the left side of the grill;  

* Underneath the shelf located directly above the food on the steam tables had built up black and brown matter observed; and

* The shelving underneath the steam table had food debris present.

g. Warewashing Area

* The warewashing machine was leaking;

* The drain where the leak was running into had a build-up of shiny black matter present; and

* Built-up debris was observed on the top and sides of the warewashing machine as well as on the hood and ceiling above the unit.

The areas in need of cleaning and repair were reviewed with Staff 1 (Dietary Manager) and Staff 2 (Resident Care Manager) on 08/07/24. They acknowledged the findings.

Cleaning:

1. Deep clean of flooring with outside vendor HCSG, scheduled for each quarter going forward

2. Baseboards and door jambs

3. Walls around warewashing machine

4. Garbage cans

5. Dry Storage flooring

6. Wall behind the door of dry storage

7. Storage Bins for oats, thickener, flour

8. Convection Oven - inside and out

9. Inside door of stand-up food warmer

10. Grill

11. Shelves under steam table

12. Warewashing machine and flooring underneath

Maintenance:

1. painted entrance and exit doors where there were scuff marks

2. Replaced missing baseboards

3. holes in wall filled

4. Janitor closet baseboards repaired

5. Janitor closet floor repainted and repaired

6.  Ceiling light cover in back food prep area replaced

7. Industrial fan cleaned/repaired in back food prep area

8. Stand-Up Mixer painted

Items replaced/repaired:

1. Cutting board replaced 8/12

2. Warewashing machine - replacing machine

3. Oven - Hobart contacted for necessary maintenance/repairs; completed on 8/22/24

Ongoing:

1. Daily/Weekly Cleaning list has been revised by Dietary Manager to be more specific with cleaning tasks required daily

2. Audits of kitchen cleaning/repairs will be completed by the Executive Director or Administrator 1 x weekly for 4 weeks, then every 2 weeks for 4 weeks, then monthly thereafter

3. Items identified as needing improvement will be communicated to Dietary Manager and/or Maintenance Director for plan and resolution

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

Observations of the facility kitchen, food storage, and food preparation areas on 12/02/24 noted the following in need of cleaning or repair:

a. General Kitchen Areas

* Multiple doors throughout the kitchen had black and brown scuff marks and were observed to have chipped paint;

* Flooring at one of the entry ways was cracked and small areas of the concrete were missing;

* Black matter was observed throughout the baseboards of the kitchen as well as where the door jambs connected with the floor;

* Walls throughout the kitchen, which included the warewashing area, had drips, splatters, and small holes observed; and

* The flooring under multiple areas of the kitchen equipment (e.g. stainless steel wire storage shelves with wheels, reach in refrigerators and freezers, the grill, etc.) were observed to have built-up black matter;

b. Middle Food Preparation Area

* Built-up matter observed inside and outside of the convection oven;

* The inside of the door to a large, stand-up food warmer had built-up debris observed; and

* The industrial mixer was observed to have chipped paint.

c. Front Food Preparation Area

* The grill had black and brown build-up debris observed and there was an accumulation of food droppings down the left side of the grill;  

* Underneath the shelf located directly above the food on the steam tables had built up black and brown matter observed; and

* The shelving underneath the steam table had food debris present.

d. Warewashing Area

* The warewashing machine was leaking; and

* Built-up debris was observed on the top and sides of the warewashing.

On 12/02/24, the areas in need of cleaning and repair were reviewed with Staff 1 (Dietary Manager), Staff 3 (Executive Director), and Staff 4 (Registered Dietician) on 08/07/24. They acknowledged the findings.

a. General Kitchen Areas

-Maintenance will repair doors and doorways and paint to eliminate chips

-Obtained bids for flooring to be replaced at entryway where cracked and also throughout kitchen

-New chemicals were purchased for cleaning of black matter around door jambs on floors

-Maintenance will clean and repair walls to eliminate holes and debris on walls

b. Middle Food Preparation Area

- Convection oven and stand-up warmer were thoroughly cleaned to remove debris and built-up matter

-Industrial mixer painted as short term measure and being replaced with a industrial grade mixer

c. Front Food Preparation Area

-New chemicals were purchased and are being used to clean brown built-up debris on grill

- Shelving directly above and below the steam table has been cleaned

d. Warewashing Area

- New warewashing machine installed on 12/23/24. No leaks detected in new machine, no debris or built-up matter present on new machine

e. Ongoing measures

- New dietary manager hired to oversee kitchen cleaning and systems

- New cleaning lists created for staff

-Two times weekly manager walk-through by Executive Director or Administrator x 4 weeks, then weekly thereafter

Based on interview and observation, it was determined the facility failed to ensure their re-licensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:

Refer to C240.

Refer to C240.