Print Inspection: MR7W

The findings of  the kitchen inspection, conducted on 04/05/23, 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 04/05/23, conducted 08/30/23, are documented in this report. It was determined the facility was 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.

Based on observation and interview, it was determined the facility failed to maintain the kitchen clean and in good repair in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

The kitchen was toured on 04/05/23.

An accumulation of food spills, splatters, loose food debris, dirt, dust, black matter, and grease was visible on or underneath the following:

* Pipes and walls under the dishwasher;

* Shelves and shelving units;

* Mop sink;

* Window sill;

* Utility/Dish carts;

* Laminated wall signs;

* The tracks of the chest freezer;

* Doors, door frames, thresholds;

* Buildup of grease on the grill;

* Buildup of dust on the fans in the refrigerators; and

* Dense black matter and smudges on the flooring throughout the kitchen, with increased density by bases and edges of walls, appliances, shelving units, and food preparation tables.

The following areas were in need of repair or replacement:

* The caulking around the dish machine area had a buildup of black matter;

* A square metal floor trap between the dishwasher and triple sink had brown/black matter on it and rust was developing;

* The coating on multiple wire refrigerator shelves had peeled off and rust was developing;

* Overhead light fixtures by the back door and between the stove and the pass-through windows were missing their covers;

* Multiple cutting boards were heavily scored and discolored;

* There were cracks, chips, and areas where the linoleum flooring had separated observed in the dry storage closet, by the entrance doors, and by the stand refrigerators;  

* There were multiple gouges and chipped paint on the walls throughout the kitchen;

* A hand held metal sifter and potato masher had areas where rust had developed;

* The test strips for the sanitation buckets had expired in 2020 and did not work properly;

* The wall covering above the pass-through window had separated from the wall; and

* The painted shelves in the dry storage had areas where the paint had peeled or worn off and raw wood was exposed.

The need to maintain the kitchen clean and in good repair in accordance with the Food Sanitation Rules, OAR 333-150-000 was discussed with Staff 1 (Administrator) and Staff 2 (Dietary Director) on 04/05/23. They acknowledged the findings.

Cleaning & Sanitation:

  1. Staff will clean all spills, splatters, debris, dust, etc.  

         - wooden shelving removed to be replaced w/ wire shelving

  2. Daily, Weekly, and Monthly cleaning lists have been updated to prevent violation from reoccuring.

         - pipes, walls, window sill, utility/dish carts, wall signs, fridges and freezer tracks, doors, and grill all updated on cleaning lists

  3. Cleaning list will be checked/evaluated daily, weekly, and monthly as well as daily rounding by alternate  managers.

  4. Dining Service Manager will be responsible to see that tasklist/cleaning lists are completed daily, weekly, and monthly while the executive director will monitor Dining Service Manager weekly during 1:1 to assure proper cleaning and satiation is complete as well as taks/cleaning lists.

Repair or Replacement

-Caulking

  1. Will be repaired by Maintenance Manager.

  2. Dining Manager will ensure all items needing replaced or repaired are addressed with Mainintenace Manager.  

  3. Maintenance Manager will inspect monthly with monthly Inspection Checklist.

  4. ED to monitor for completion during weekly 1:1 with both Dining and Maintenance Managers.

-Square Metal Floor Trap

  1. Metal trap will need to be replaced by Maintenace Manager.

  2. Item was added to monthly checklist to ensure grease traps or water drains are not damaged or rusted.

  3. To be completed during monthly inspection.

  4. Dining Manager will be responsible to see that inspection is completed monthly, ED to monitor weekly during 1:1.

- Coating on wire refridgerator racks

  1. Dining manager will order new racks for the refridgerator.

  2. Item was added to monthly checklist to be inspected for rust, peeling paint, and damages.  

  3. To be completed during monthly inpspection.

  4. Dining Manager will be responsible to see that inspection is completed

- Overhead light fixtures

  1. Maintenance Manger will order new covers.

  2. Item is on monthly inspection checklist to ensure lights/fixtures are not in need of repair/cleaning.

  3. To be completed during monthly inspection.   

  4. Maintenace manager to ensure corrections are completed, ED to moonitor for completion during weekly 1:1's

- Fooring

  1. Maintenance manager will replace flooring where damaged.

  2. Item is on monthly inspection checklist to ensure lights/fixtures are not in need of repair/cleaning.

  3. To be completed during monthly inspection.   

  4. Maintenance manager to ensure corrections are completed, ED to moonitor for completion during weekly 1:1's

- Cutting Boards/ Kitchen utenisils, small equipment

  1. All old, stained, damaged cutting boards thrown away.

  2. Dining Manager will ensure inpsection of all utensils or small kitchen equipment is done weekly or monthly. Any items needing replaced will be added to the weekly department order form.  

  3. To be completed during monthly inspections.

  4. Dining Manager will be responsible to see that inspection is completed, ED to monitor for completion during 1:1's.

- Sanitation Test Strips.

  1. New strips have been ordered and delivered.

  2. Dining manager will check test strips weekly and and to order if needed.

  3. Added to monthly inspection to ensure strips have not expired.

    4. Dining Manager will be responsible to see that inspection is completed, ED to monitor for completion during 1:1's.

- Wall coverings

  1. Maintenance will replace

  2. Item is on monthly inspection checklist to ensure walls are not in need of repair/cleaning. Dining will report any damages promptly to Maintenane Manager.

  3. To be completed during monthly inspections.

  4. Maintenace manager to ensure corrections are completed, ED to moonitor for completion during weekly 1:1's

- Painted/Wood Dry Storgae Shelves.

  1. New wire/metal shelves have been ordered and delivered on 04/12/2023. Wooded Shelveds will be removed and replaced.

  2. Item was added to monthly checklist to be inspected for rust, peeling paint, and damages.  

  3. To be completed during monthly inpspection.

  4. Dining Manager will be responsible to see that inspection is completed

Based on observation, record review 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 C 240.

Refer to C 240