Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: JB5R
Provider Information
16655 NW WALKER ROAD
Beaverton, OR 97006
- Provider ID
- 50A232
- Administrator
- TERA VAZQUEZ
- Phone
- (503) 439-1653
- tervaz@brookdale.com
Inspection Details
- Date
- 5/1/2024
- Event ID
- JB5R
- Inspection type(s)
- State Licensure
- Deficiencies cited
- 3
Citation Details
C0000: Comment
- Visit Number
- 1
- Visit Date
- 5/1/2024
- Corrected Date
- N/A
- Details
-
The findings of the kitchen inspection, conducted on 05/01/24, 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.
- Visit Number
- 2
- Visit Date
- 7/3/2024
- Corrected Date
- N/A
- Details
-
The findings of the revisit to the kitchen inspection of 05/01/24, conducted on 07/03/24, are documented in this report. The facility was determined to be 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
- 5/1/2024
- Corrected Date
- N/A
- Details
-
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:
Observation of the kitchen was conducted on 05/01/24. The following was noted:
a. An accumulation of food spills, splatters, loose food and trash debris, dirt, dust, and/or black matter was visible on or underneath the following:
* Multiple food carts throughout the kitchen;
* Multiple stainless steel racks and shelves throughout the kitchen;
* Ceramic floor drains throughout the kitchen;
* Tile floors and grout throughout the kitchen; and
* Backsplash caulking behind the sink in the dishwashing area.
b. Wooden shelf holding spices, located above the plate warmer had brown and black debris, food particles and was not a cleanable surface.
The need to ensure the kitchen was kept clean and in good repair, in accordance with the Food Sanitation Rules was discussed with Staff 1 (ED) on 05/01/24. She acknowledged the findings.
- Plan of Correction
-
1. A. Immediate cleaning by DSM 5/2/24 completed. Food spill, loose food, dust, and trash removed.
DSM 5/2/24 cleaned and sanitized stainless steal racks and shelves.
DSM and Maintenance 5/3/24 cleaned the ceramic floor drains
Maintenance scheduled Summett Facility Professional services to deep clean tile, grout and Kitchen walls on 5/29/24.
B.Maintenance 5/13/24 took down wooden spice rack and purchased and installed a new wire rack that is cleanable.
2.DSM has implemented a daily, weekly, and monthly cleaning list.
3.DSM, or designee will bring daily to standup the cleaning list and will do a walk through with ED, Maintnance, or MOD on duty to inspect kitchen.
4. DSM, ED, Maintnance and designee will be responsible for ensuring the above is completed.
- Visit Number
- 2
- Visit Date
- 7/3/2024
- Corrected Date
- 6/10/2024
- Details
-
There are no detail notes for this visit.
Z0142: Administration Compliance
- Visit Number
- 1
- Visit Date
- 5/1/2024
- 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
- 7/3/2024
- Corrected Date
- 6/10/2024
- Details
-
There are no detail notes for this visit.