Print Inspection: KIT005191

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 06/24/25 at 11:00 am, the facility kitchen was observed to need cleaning in the following areas: * Hood vents above cooking equipment – greasy/dusty; * Shelf above cooking equipment – significant build up of grease/dust/debris; * Stainless steel wall attached to stove/grill – build up of grease; * Oven doors/side of oven – drips/spills of food/grease; * Upper cabinet interiors near stove – food/spice debris on shelving; * Lower cabinet interiors and exteriors near stove – food debris/dust, food drips/spills; * Corner cabinet interior near coffee maker – brown sugar debris on shelving; * Center island exterior cabinet doors and end of island – spills/drips/splatters; * Large drawer near service window to dining room interior and cabinet below – build of debris; and * Housing of commercial can opener – build up of black matter. Other areas of concern included: * Commercial can open blade – finish worn off; * Garbage cans uncovered when not in use; * Window screen above sink – not secure with build up of dust creating potential for flies and dust to enter kitchen; * Lack of small diameter thermometer; * Improper food storage: - Refrigerator and freezer food items not securely closed, labeled and/or dated – waffles, feta cheese and multiple unidentified leftovers: and - Dry storage – fresh produce and bulk bags of sugar on floor, unknown food item not labeled or dated when opened. The areas of concern were observed and discussed with Staff 1 and (Cooks/kitchen staff) and discussed with Staff 2 (Life Enrichment Director) on 06/24/25. The findings were acknowledged.

A full deep cleaning of the kitchen was completed, addressing all identified areas including hood vents, stainless steel wall, oven doors, cabinetry, island surfaces, and storage areas. Food storage protocols were reinforced with staff to ensure all food items are securely closed, labeled, and dated. The commercial can opener was replaced, and a properly functioning small-diameter thermometer was provided. A new window screen was installed and secured. Garbage cans are now covered when not in use, and produce/sugar are stored off the floor. Staff were re-trained on kitchen sanitation rules and our internal kitchen cleaning checklist has been revised to include more frequent and detailed inspections. Food storage procedures are now monitored daily during kitchen closing. Administrator will review cleanliness and compliance weekly. The kitchen will be evaluated daily by the kitchen lead and weekly by the facility administrator or designee. The Kitchen Care Staff will be responsible for daily compliance, and the Administrator will monitor weekly.

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.

Since Z142 references the same violations outlined under C240, all actions described in the response to C240 apply here. Additionally, the Memory Care Director has been informed and included in all corrective training related to environmental safety and sanitation. Memory Care leadership staff will participate in monthly reviews to ensure all physical plant and administrative operations remain compliant with both residential care and memory care-specific rules. Staff will be retrained quarterly on compliance requirements relevant to their role. Areas will be monitored weekly by the facility leadership team with oversight from the Executive Director. The Administrator will be responsible for follow-up and compliance tracking.

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: