Print Inspection: T1CB

The findings of the kitchen inspection, conducted 11/27/23, 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 revisit to the kitchen inspection of 11/27/23, conducted 03/07/24, 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, record review, and interview, it was determined the facility failed to maintain the food storage and service areas in good repair and in a sanitary manner in accordance with Food Sanitation Rules, OAR 333-150-000. Findings include, but are not limited to:

Observation of the main kitchenette and the two unit kitchenettes (Sunset and Silver) were reviewed on 11/27/23 at 10:30 am-2:00 pm revealed the following:

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

* Interior of reach in refrigerators;

* Interiors of microwaves;

* Interior and exterior of cabinet drawers and cupboards;

* Exterior of ranges; and

* Interior and exterior of cabinets and drawers.

b. The following areas were in need of repair:

* Multiple cabinets in both units were heavily worn/damaged and in needed of repair/replacement;

* Multiple areas on counter tops in both units were damaged/heavily worn;

* Area under sink in main kitchenette area had water damage; and

* Refrigerator in Sunset unit had visible damage to seal.

c. Multiple care staff did not have hair restrained and/or were not wearing aprons during meal service.

d. Care staff were observed to not wash hands prior to delivering residents meals. There were observations of care staff touching face and/or hair with their hands then preceded to deliver meals to residents without sanitizing/washing hands. Staff were also observed to handle the mouth contact surfaces of clean utensils with potentially contaminated hands and then deliver utensils to residents to use for meals.

e. Food was observed stored in reach in refrigerator in Sunset unit without dates or resident identifiers as required.

f. Thermometer in reach in refrigerator in Sunset unit read 50 degrees Fahrenheit. This refrigerator was storing food for residents including protein rich food items. The temperature of the milk products stored in the fridge registered at 48.7 degrees Fahrenheit. Facility staff could not validate length of time refrigerator was above the required 41 degrees. Staff 1 (Executive Director) was made aware of elevated temperature of food products and facility staff discarded food items stored in the affected refrigerator.   

g. Food items for meal service were observed placed next to hand washing sink in Silver unit. Staff were observed to wash hands in sink and splash contamination was observed to reach the service containers stored next to the sink.

h. The hand washing sink in Sunset unit was without paper towels. Staff were observed to open drawer for paper towels potentially contaminated their hands when opening drawer.

i. Frozen health shakes stored in main kitchenette did not have use by dates, or pulled dates to ensure they were consumed by 14 days as recommended per standards.

Identified areas were reviewed with Staff 1 (Executive Director) and Staff 2 (Dining Services Director), they acknowledged the areas in need of attention.

1. The identified cleaning deficiencies have been addressed; food spills, splatters, loose food, trash debris, dirt, dust, black matter, and grease has been cleaned and are in compliance. This includes the refrigerators, microwaves, interior/exteriors of the cabinets, floors, walls, and exterior of the ranges. The requested repair items have a scheduled date to be compelted by a professional contrator which includes a complete kitchen remodel on both the Sunset and Silver sides in the MC. The Sunset refrigerator has been replaced (all food has been discarded). The main Kitchenette water damage will be addressed during the remodel and is not in use. Staff training to address proper dining attire (hair nets, gloves and aprons) completed and and will be ongoing. Staff training also inludes hand washing and sanitizing between tasks. Training also focused on labeling foods and dating when opened then placed in the refrigerator or dry storage. The frozen high protein health shakes will remain in the freezer until needed. Staff have been instructed to not place food/meals next to hand washing sink. Hand washing stations are stocked with disposable paper towels.  

2. Onboarding and ongoing training of all staff. All kitchen and meal areas will be monitored for compliance. New Kitchen Cleaning Task sheets has been developed to ensure the focus of proper cleaning pratices.

3. Daily by staff, weekly by the supervisors, and monthly by the Director during the QAPI process.

4. The Director (administrator).   

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 C240.

Please reference C240 for compliance plan and information.