Print Inspection: WEDY

The finding of the kitchen inspection, conducted on 12/14/22, 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 12/14/22, conducted 3/13/23, 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 kitchen inspection of 12/14/22, conducted 06/06/23, 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 ensure the kitchen was clean and food was stored in accordance with the Food Sanitation Rules 333-150-0000. Findings include, but are not limited to:

On 12/14/22 at 10:15 am, the facility kitchen was observed to need cleaning in the following areas:

* Counter/prep area in beverage service area (dried food spills);

* Grill surface and sides, deep fat fryer front and side, stove top, steamer doors and oven doors (grease build up and spills);

* Deli refrigerator: food debris on bottom shelf, interior and exterior door with food spills/splatters/drips, cover/lid with spills/splatters;

* Dishwashing area: corner wall under shelf, wall behind sink with sprayer, walls and floor beneath the dish machine and three compartment sinks had accumulation of black matter;

* Drain beneath three compartment sinks filled with food;

* Floor throughout kitchen and underneath prep areas;

* Floor in walk in freezer (food debris);

* Ceiling and several vents throughout kitchen above steam table, near walk in cooler/freezer (above prep area) and steam pan storage rack (accumulation of dust); and

* White cutting boards on deli refrigerator, steam table and in memory care kitchenette, had cuts and gouges and build up of yellow/black matter.

Five garbage cans throughout kitchen were not covered when not in use.

Food was not stored appropriately in the following areas:

* Rolling cart in walk in cooler had six trays of uncovered individual servings of pie;

* Rolling cart in between three compartment sink and steamer had one tray of cookies and three pans of brownies/cake uncovered;

* Walk in freezer had open boxes/bags of blueberries, tater tots, fries, tortellini, three cartons of ice cream without secure lids and two Ziploc bags of biscuits undated.

The above areas were discussed with Staff 1 (Dietary Services Manager) and Staff 2 (Assistant Executive Director) on 12/14/22. The findings were acknowledged.  

1) Counter/prep area in beverage service area (dried food spills) -- Staff will complete the daily cleaning task list will date and initial when completed.

Grill surface and sides, deep fat fryer front and side, stove top, steamer doors and oven doors (grease build up and spills) -- Surfaces will be cleaned between meal services, and monthly deep clean.

Deli refrigerator: food debris on bottom shelf, interior and exterior door with food spills/splatters/drips, cover/lid with spills/splatters -- Clean deli area after each meal service.

Dishwashing area: corner wall under shelf, wall behind sink with sprayer, walls and floor beneath the dish machine and three compartment sinks had accumulation of black matter -- Grout will be replaced. Wall behind sink with sprayer, will be wiped down after meal service dishes completed. Walls beneath dish machine and three compartment sinks to be cleaned twice weekly.

Drain beneath three compartment sinks filled with food -- empty daily end of day and as needed.

Floor throughout kitchen and underneath prep areas -- Cleaned daily and as needed.

Floor in walk in freezer (food debris) -- Cleaned daily and as needed.

Ceiling and several vents throughout kitchen above steam table, near walk in cooler/freezer (above prep area) and steam pan storage rack (accumulation of dust); -- Clean bi-weekly and as needed.

White cutting boards on deli refrigerator, steam table and in memory care kitchenette had cuts and gouges and build up of yellow/black matter -- Ordered new cutting boards.

Five garbage cans throughout kitchen were not covered when not in use. -- Lids will be placed on all kitchen trash cans.

Food was not stored appropriately in the following areas:

Rolling cart in walk in cooler had six trays of uncovered individual servings of pie; -- All Food will be covered and dated

Rolling cart in between three compartment sink and steamer had one tray of cookies and three pans of brownies/cake uncovered; -- All food will covered and dated

Walk in freezer had open boxes/bags of blueberries, tater tots, fries, tortellini, hree cartons of ice cream without secure lids and two Ziploc bags of biscuits undated. -- Bags of food will be closed, and dated after opening, ice cream will be properly covered/closed and dated, all food if opened dated.

2) Training with the dining services team will be completed weekly for the next 4 weeks on cleanliness, proper food storage and proper dish washing

3) Weekly for the next 4 weeks, an audit will be done to ensure the kitchen maintains proper cleanliness and that training is effective

4) The Executive Director or designee will monitor and review per the plan above

Based on observation and interview, it was determined the facility failed to ensure the kitchen was clean and food was stored in accordance with the Food Sanitation Rules 333-150-0000. This is a repeat citation. Findings include, but are not limited to:

On 3/13/23 at 10:20 am, the facility kitchen was observed to need cleaning in the following areas:

* Grill surface and sides, deep fat fryer front and side, stove top, exterior and interior of ovens, equipment knobs (grease build up and spills);

* Deli refrigerator: interior and exterior door with food spills/splatters/drips, cover/lid with spills/splatters;

* Floors in corners/edges throughout kitchen;

* Floors between equipment and underneath prep areas/steam table;

* Floor in walk in freezer (food debris);

* Grates covering cooling fans in walk in cooler covered with dust along with area on the cooler ceiling; and

* Small white portable cutting boards, and large white cutting board in memory care kitchenette had cuts and gouges and build up of yellow/black matter.

*Two garbage cans in kitchen were not covered when not in use.

Food was not stored appropriately in the following areas:

* Rolling cart in walk in cooler had one tray of uncovered individual servings of sandwiches; and

* Walk in freezer had open boxes/bags of croissants.

The following areas were in need of repair:

* Section of tile by dishwasher needed grout repaired/replaced; and

* Water softener was leaking salt water around the floor and dishes were having film/spots as result not giving the appearance of being clean after washing.

The above areas were discussed with Staff 1 (Dietary Services Manager) and Staff 2 (Assistant Executive Director/Regional Operations Support) on 3/13/23. The findings were acknowledged.

C240: Several surfaces in kitchen not cleaned to standard.

All issues have been put on a daily checklist that is reviewed by the DSM and posted for the ED/RDO to visibly check during random visits to kitchen throughout the day. These checklists will be turned in weekly with the 1:1 meeting between DSM and ED.

Proper white cutting board for memory care kitchen has been ordered. Waiting on ETA at this time. But will be placed by 4/27/2023.

Small colored cutting boards and 2 trash can lids have been ordered, they will arrive on April 10 an April 11. The existing colored cutting boards will be replaced and the lids will be placed at that time.

The water softener was leaking salt water and has since been repaired after the service company had parts ordered/were waiting for them at your last visit.

Tile in front of the dishwasher has calls out for

estimates - this work will be completed by

April 27, 2023.

Based on interview, observation and record review, 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 C240.

Refer to C240.

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

Refer to C240.

1) Counter/prep area in beverage service area (dried food spills) -- Staff will complete the daily cleaning task list will date and initial when completed.

Grill surface and sides, deep fat fryer front and side, stove top, steamer doors and oven doors (grease build up and spills) -- Surfaces will be cleaned between meal services, and monthly deep clean.

Deli refrigerator: food debris on bottom shelf, interior and exterior door with food spills/splatters/drips, cover/lid with spills/splatters -- Clean deli area after each meal service.

Dishwashing area: corner wall under shelf, wall behind sink with sprayer, walls and floor beneath the dish machine and three compartment sinks had accumulation of black matter -- Grout will be replaced. Wall behind sink with sprayer, will be wiped down after meal service dishes completed. Walls beneath dish machine and three compartment sinks to be cleaned twice weekly.

Drain beneath three compartment sinks filled with food -- empty daily end of day and as needed.

Floor throughout kitchen and underneath prep areas -- Cleaned daily and as needed.

Floor in walk in freezer (food debris) -- Cleaned daily and as needed.

Ceiling and several vents throughout kitchen above steam table, near walk in cooler/freezer (above prep area) and steam pan storage rack (accumulation of dust); -- Clean bi-weekly and as needed.

White cutting boards on deli refrigerator, steam table and in memory care kitchenette had cuts and gouges and build up of yellow/black matter -- Ordered new cutting boards.

Five garbage cans throughout kitchen were not covered when not in use. -- Lids will be placed on all kitchen trash cans.

Food was not stored appropriately in the following areas:

Rolling cart in walk in cooler had six trays of uncovered individual servings of pie; -- All Food will be covered and dated

Rolling cart in between three compartment sink and steamer had one tray of cookies and three pans of brownies/cake uncovered; -- All food will covered and dated

Walk in freezer had open boxes/bags of blueberries, tater tots, fries, tortellini, hree cartons of ice cream without secure lids and two Ziploc bags of biscuits undated. -- Bags of food will be closed, and dated after opening, ice cream will be properly covered/closed and dated, all food if opened dated.

2) Training with the dining services team will be completed weekly for the next 4 weeks on cleanliness, proper food storage and proper dish washing

3) Weekly for the next 4 weeks, an audit will be done to ensure the kitchen maintains proper cleanliness and that training is effective

4) The Executive Director or designee will monitor and review per the plan above

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.

Refer to C240.