Print Inspection: KIT007433

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 10/20/25, from 1:45 pm through 3:40 pm, the facility kitchen and the dining room were observed. 1. The following areas needed cleaning: • Coffee station cabinet, both inside and outside, was dirty with brown and black matter and visible spills; • Handwashing sink, especially around the faucet had a brown buildup; • Vent above the ice machine had accumulated dust; • Window screen had layers of spiderwebs; • Juice and cappuccino dispensers had sticky spills and residual buildup; • Walls throughout the kitchen had visible food debris and spills and stains particularly near the coffee maker and the rack for storing clean utensils; • The interior of the soup warmer had brown residue and rust, and the exterior was sticky to the touch; • Baseboards especially in the corners, had visible food debris and accumulated black and brown matter; • Trash cans exterior had layers of debris; • Sprinkler heads and surrounding ceiling areas had spiderwebs and black buildup; • Rack used for storing clean utensils, bowls, and dishes had visible dust; • Bulk containers had spills and food debris on the outside; • Floor behind the dry storage door and near the plastic rack had black residue and buildup; • Several dry food items including walnuts, cake mix, peanuts, and sunflower seed, were open and undated; and • The interior of the microwave had accumulated food debris. 2. The following items were in need of repair: • Caulking and wall around the dishwasher area had brown residue and accumulated black matter; • Several trays were dented and had brown buildup; • Colored cutting boards were heavily scored; • In the dry storage area, the walls and ceiling near the white shelving had multiple holes and cracks; and • Commercial can opener blade was worn and had black buildup. 3. Improper food storage: • Two-door refrigerator had several food items, including pasteurized liquid eggs, sliced cheese, dressings, sliced lemons, and juices were open, undated and not properly sealed; • Inside the one-door refrigerator, open containers of corn, cheese and meat were undated; • Walk-in cooler, several items including beans, corns and marinated meat were uncovered and undated; and • An open cup of juice was uncovered and undated. 4. Other areas of concern: • Three Red Bull cans containing beverages were observed on the storage rack near the entrance, and a staff member was seen drinking from them; • Mixer was uncovered when not in use; • A garbage can containing soda bottles had no cover or lid and flies were observed around the area; and • Several staff members in the kitchen were observed working without proper hair restraints. The areas of concern were reviewed with Staff 2 (Dining Service Director) and Staff 3 (Wellness Director) on 10/20/25 at 3:00 pm. They acknowledged the findings.

Plan of Correction for 11/2025 Survey • Full Kitchen Deep clean scheduled on 11/19, additional days to be scheduled if needed. • Daily/Weekly Cleaning Sheets to be reconfigured by 11/12 for Kitchen Team meeting. o Staff will be required to sign off when the task is completed followed by Cook on duty signing off before staff leaves from shift. o An attendance sheet will be signed by those who are in attendance, those who miss will follow up with DSD afterwards and sign off on date information discussed. • Kitchen staff will be assigned ServeSafe Training to complete by 11/30 and the Oregon Health Authority Foodborne Illness Prevention Program will be reviewed at staff meeting on 11/12 • Lists goal is to assign and track staff’s attention to the following: 1. The following areas needed cleaning: • Coffee station cabinet, both inside and outside, was dirty with brown and black matter and visible spills o Area will be deep cleaned on 11/19 o Front of house staff to clean and straighten 3 times a day after meal services Follow Up: • DSD to audit weekly • Administrator to spot check monthly for any signs of build-up • Handwashing sink, especially around the faucet had a brown buildup o Handwashing sink to be deep cleaned on 11/19 o Build-up is broken down glue, maintenance to recaulk sink o Handwashing sink to be cleaned weekly Follow Up: • DSD to audit monthly • Administrator to audit quarterly • Vent above the ice machine had accumulated dust o Vent cleaned on 11/22 o Staff to clean weekly Follow Up: • DSD to audit monthly • Administrator to audit quarterly • Window screen had layers of spiderwebs o Schedule to be cleaned during deep clean on 10/19 o Staff to clean weekly Follow Up: • DSD to audit monthly • Administrator to audit quarterly • Juice and cappuccino dispensers had sticky spills and residual buildup o Juice and cappuccino dispensers to be deep cleaned on 11/19 o Staff to clean daily Follow Up: • DSD to audit weekly • Administrator to audit monthly • Walls throughout the kitchen had visible food debris and spills and stains particularly near the coffee maker and the rack for storing clean utensils o Walls to be deep cleaned on 11/19 o Staff to clean daily Follow Up: • DSD to audit weekly • Administrator to audit monthly • The interior of the soup warmer had brown residue and rust, and the exterior was sticky to the touch o A new soup warmer will be purchased o Staff to clean daily Follow up: • DSD to audit weekly • Administrator to audit monthly • Baseboards especially in the corners, had visible food debris and accumulated black and brown matter o Baseboards and corners to be deep cleaned on 11/19 o Baseboard and floors to be cleaned bi-weekly Follow up: • DSD to audit weekly • Administrator to audit monthly • Trash cans exterior had layers of debris o Trash cans to be deep cleaned on 11/19, and replaced if needed after cleaning o Trash cans to be cleaned weekly by team Follow up: • DSD to audit weekly • Administrator to audit monthly • Sprinkler heads and surrounding ceiling areas had spiderwebs and black buildup o Sprinkler heads and surrounding areas cleaned by Maintenance on 10/28 o Team members to monitor weekly and alert maintenance if they need to be cleaned. Follow up: • DSD to audit weekly • Administrator to audit monthly • Rack used for storing clean utensils, bowls, and dishes had visible dust o Rack to be deep cleaned on 11/19 o Plastic cover for shelf purchased as barrier for clean dishes o Team to clean weekly Follow up: • DSD to audit monthly • Administrator to audit quarterly • Bulk containers had spills and food debris on the outside o Containers to be deep cleaned on 11/19 o Team to clean weekly, deep clean when refilling with product Follow up: • DSD to audit monthly • Administrator to audit quarterly • Floor behind the dry storage door and near the plastic rack had black residue and buildup o Full dry storage space to be deep cleaned on 11/19 o Dry Storage tidied biweekly on food order days, floors to be cleaned biweekly as well Follow up: • DSD to audit monthly • Administrator to audit quarterly • Several dry food items including walnuts, cake mix, peanuts, and sunflower seed, were open and undated o New containers to be purchased for products in dry storage o Staff to be retrained on open container and dating requirements o Team to audit dates daily throughout kitchen Follow up: • DSD to audit weekly • Administrator to audit monthly • The interior of the microwave had accumulated food debris. o Microwave deep cleaned on 10/29 o Team to clean microwave daily Follow up: • DSD to audit weekly • Administrator to audit monthly 2. The following items were in need of repair: • Caulking and wall around the dishwasher area had brown residue and accumulated black matter o Team began cleaning dish area on 10/27, will be deep cleaned on 11/19 o Maintenance to recaulk the area prior to compliance date o Team will clean weekly Follow up: • DSD to audit monthly • Administrator to audit monthly • Several trays were dented and had brown buildup o New trays purchased Follow up: • DSD to inventory monthly and replace as needed • Administrator to audit monthly • Colored cutting boards were heavily scored o New colored cutting boards purchased Follow up: • DSD to inventory monthly and replace as needed • Administrator to audit monthly • In the dry storage area, the walls and ceiling near the white shelving had multiple holes and cracks o Maintenance to repair holes and cracks by date of deep cleaning scheduled on 11/19 Follow up: • DSD to check kitchen monthly for maintenance repairs needed • Administrator to audit quarterly • The commercial can opener blade was worn and had black buildup. o New blades purchased o Team to check to see if it needs replaced weekly Follow up: • DSD to audit monthly • Administrator to audit quarterly 3. Improper food storage: • Two-door refrigerator had several food items, including pasteurized liquid eggs, sliced cheese, dressings, sliced lemons, and juices were open, undated and not properly sealed o All undated food discarded after survey was completed o Staff to be retrained on food storage and dating procedures at 11/12 kitchen meeting and ongoing as needed o Staff to check for dates daily as part of cleaning list Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly • Inside the one-door refrigerator, open containers of corn, cheese and meat were undated o All undated food discarded after survey was completed o Staff to be retrained on food storage and dating procedures at 11/12 kitchen meeting and ongoing as needed o Staff to check for dates daily as part of cleaning list Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly • Walk-in cooler, several items including beans, corns and marinated meat were uncovered and undated o All undated food discarded after survey was completed o Staff to be retrained on food storage and dating procedures at 11/12 kitchen meeting and ongoing as needed o New large storage bins with lids purchased for preparing food such as marinating meats o Staff to check for dates daily as part of cleaning list Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly • An open cup of juice was uncovered and undated o Staff to be retrained on beverage storing procedures at 11/12 kitchen meeting and ongoing as needed o Staff to check for open containers daily as part of cleaning list Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly 4. Additional observations: • Three Red Bull cans containing beverages were observed on the storage rack near the entrance, and a staff member was seen drinking from them o Staff to be retrained on employee beverage policy and procedures at 11/12 kitchen meeting and ongoing as needed, including the use of lids and straws o DSD to create designated drink area for employee drinks to comply with regulations Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly • Mixer was uncovered when not in use o Mixer bowl to be stored upside down when not in use o Team to ensure in compliance during while going through daily cleaning lists Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly • A garbage can containing soda bottles had no cover or lid and flies were observed around the area o All lids for garbage cans located and placed on corresponding garbage cans Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly • Several staff members in the kitchen were observed working without proper hair restraints. o Multiple proper hair restraint options purchased for staff to utilize o Staff to be retrained on employee beverage policy and procedures at 11/12 kitchen meeting and ongoing as needed, including the use of lids and straws Follow Up: • DSD to Spot Check Weekly • Administrator to spot check monthly