Print Inspection: QTJU

The findings of the kitchen inspection, conducted 11/28/22 through 11/29/22, 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 revisit to the kitchen inspection of 11/29/22, completed on 05/04/23, 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 second revisit to the 11/29/22 kitchen inspection, conducted on 07/28/23, are documented in this report. It was determined the facility was in substantial compliance with 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 ensure the kitchen was clean and in good repair, in accordance with the Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

Observations of the Assisted Living kitchen with Staff 4 (Cook) on 11/28/22 at 9:30 am, revealed the following:

*The kitchen entrance door frame had a chip in the plaster exposing the dry wall underneath;

*The dish machine area above the stainless-steel table, had a softball sized hole in the wall;

*The dish machine had dried food matter and splattered debris on the sides, front, legs and top;

*The wall directly behind the dish machine and sink beside the dish machine had splattered food, dust and dirt;

*Dish Crates around dish station were on floor;

*There were boxes on floor in walk-in refrigerator, freezer and dry storage areas;

*Shelving in the walk-in refrigerator and freezer had a build-up of dirt and debris;

*There was a broken stainless-steel drawer face that had dirt and debris on it;

*The ice machine vent, knife holder, wall outside chef's office, door frames, door jambs and Steam and Hold machine had dirt, dust and debris on them;

*Two trash cans did not have lids in the area near the stove;

* The can opener holder had a build-up of food debris;

* The mixer backsplash had a build-up of dried food debris;

*The shelf above the stove had a build-up of dirt and debris on it;

*The Vulcan stove knobs and handles had sticky matter and dried food debris on them;  

*Lack of test strips to check sanitizers;

*The dry food storage bins had dirt and food matter on their tops and sides; and

*Soiled towels were on the floor underneath the bread rack.

The surveyor reviewed the above areas needing cleaning and repair with Staff 1 (General Manager) and Staff 3 (Director of Regional Operations) on 11/28/22. Staff 1 and Staff 2 acknowledged the above areas needed to be cleaned and repaired.

Each cited item has been cleaned/corrected to correct the rule violation affecting all residents.

Operations Leader reviewed the community's Food Handling Policy with all Food & Beverage team members.

A Sanitation Inspection Form has been established for the community and will be completed by a different team member on a monthly basis. The monthly Sanitation Inspection form will be reviewed by the Chef, who will review the findings and any plans with the General Manager/designee at the weekly 1:1 GM/Chef meeting and documented using the established meeting agenda template.

The General Manager is responsible to see that the corrections are completed and monitored.      

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

Observations of the Assisted Living kitchen with Staff 1 (General Manager) on 05/04/23 at 3:40 pm, revealed the following:

* The kitchen entrance door frame had a chip in the plaster exposing the dry wall underneath and a golf ball sized hole on the frame;

* The wall directly behind the dish machine and sink beside the dish machine had splattered food, dust and dirt;

* Baseboard directly behind the dish machine was cracked and broken;

* Shelving in the walk-in refrigerator and freezer had a build-up of dirt and debris;

* There was a broken stainless-steel drawer face that had dirt and debris on it;

* The ice machine vents had accumulated dust on them;

* The can opener holder had a build-up of food debris;

* Lack of test strips to check sanitizers;

* The dry food storage bins had dirt and food matter on their tops and sides; and

* Shelving in the dry food storage had a build-up of dirt and debris.

The surveyor reviewed the above areas needing cleaning and repair with Staff 1 (General Manager) on 05/04/23. Staff 1 acknowledged the above areas needed to be cleaned and repaired.

Operation Leader and General Manager have revied the Food Handling Policy with all members of the food and beverage team.

A Sanitation inspection form has been established. Chef will finalize all inspections weekly with the help of Sous Chef and Restaurant Supervisor, to ensure all aspects of the kitchen are clean and sanitized. The General Manager and the Chef will go over the weekly sanitation in their weekly meeting using the meeting template.

General Manager as well as the kitchen management team will notify the plant operations supervisor of any repairs that need to be made in a timely manner. General manager and Plant operations supervisor will address any issues involving the kitchen in their weekly meeting using the meeting template.

The General manager is responsible for ensuring that those responsible are being monitored and sanitation is being completed.

Based on observation and interview, it was determined the facility failed to ensure their re-licensure survey plan of correction was implemented and satisfied the Department. Findings include, but are not limited to:

Refer to C 240.

refer to tag C240

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.

Each cited item has been cleaned/corrected to correct the rule violation affecting all residents.

Operations Leader reviewed the community's Food Handling Policy with all Food & Beverage team members.

A Sanitation Inspection Form has been established for the community and will be completed by a different team member on a monthly basis. The monthly Sanitation Inspection form will be reviewed by the Chef, who will review the findings and any plans with the General Manager/designee at the weekly 1:1 GM/Chef meeting and documented using the established meeting agenda template.

The General Manager is responsible to see that the corrections are completed and monitored.      

Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. This is a repeat citation. Findings include, but are not limited to:

Refer to C 240.

Refer to C240