Print Inspection: KIT002614

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 02/06/25 at 10:50 am, the facility kitchen was observed to need cleaning in the following areas: * Caulking above the backsplash and behind the sink and spray hose in dishwashing area – significant build up of black matter; * Lids on food storage bins – build up of food debris; * Walk in refrigerator fans – build up of dust on housing of fans and on ceiling above them; * Exterior refrigerator door near the service line – splatters/spills/dried white matter; * Tray on the juice machine – contained over run of juice liquid which was “murky" in appearance; * Flooring under and behind cooking equipment – build up of black matter around wheels of deep fat fryer, between stove and steamer heavy build up of food debris and black matter; and * Wall behind flat grill – build up of grease drips/spills. Other areas of concern included: * Garbage cans throughout the kitchen were uncovered when not in use. * Multiple colored cutting boards – worn finishes (white in appearance)/potentially uncleanable. Kitchen staff with facial hair not wearing beard restraints. Improper food storage: * Food items stored in refrigerator on service line – not labeled or dated (breakfast items, diced tomatoes and diced onions); and * Containers of dry cereal and dried fruit stored on lower shelf of service counter – cereal had cups in the contents and dried fruit had spoons in the contents. The areas of concern were observed and discussed with Staff 1 (Chef) and discussed with Staff 2 (General Manager) on 02/06/25. The findings were acknowledged.

1. The following actions have been or are scheduled to correct the rule violations: - Work order was placed to have maintenance replace caulking in dishwashing area and will be completed by 03/03/2025. - Lids on food storage bins have been cleaned as of 02/24/2025. - Flooring and wall behind cooking equipment is scheduled to be deep cleaned after work hours on 2/26/25. - Juice machines; in kitchen and Opal have been cleaned. - Exterior refrigerator on service line cleaned as of 02/24/25. - New cutting boards being ordered 2/24/25 and will be delivered by 03/10/2025. - Beard restraints being ordered 2/24/25 and will be delivered by 03/10/2025. - Food items dated and stored properly. Proper fitting lids will be ordered on 2/24/25 and delivered by 03/10/2025. - Scoops/cups removed from bins, staff has proper storage and scoops for containers as of 02/24/2025. 2. To ensure the system is corrected so the violations will not happen again: - Staff have received additional training related to task and cleaning assignments. - Supervisors received Supervisor Safety Training related to making continuous quality assurance observations related to proper food handling. - The community has implemented a Kitchen Sanitation Inspection Form that is to be conducted by a different staff member each month. 3. The areas needing correction will be evaluated as follows: - Shift supervisors will monitor task lists and documentation on an ongoing basis. - The Chef and General Manager will review kitchen cleanliness standards during their weekly 1:1 meeting, as well as the monthly Kitchen Sanitation Inspection form. 4. The General Manager is responsible to see that the corrections are completed/monitored.

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by:

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: 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.

1. The current General Manager was recently appointed and is actively reviewing community operations to ensrue administrative compliance with the licensing rules for Residential Care and Assisted Living Facilities. 2. The General Manager will implement policies, procedures and systems for monitoring administrative compliance in accordance with company standards including weekly 1:1 meetings with Department Supervisors and monthly Quality Assuance meetings to evaluation compliance with this Plan of Correction. 3. Specific areas needing correction will be identified and documented on a weekly basis as indicated above in Section 2, and compliance with the POC will be evaluated on a monthly basis as indictated above in Section 2. 4. The General Manager is responsible to see that the corrrections are completed/monitored. Z142 - Refer to C240

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: