Print Inspection: WV6M

The findings of the kitchen inspection, conducted 11/17/23, 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 11/17/23, conducted 02/15/24, 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 and interview, it was determined the facility failed to maintain the kitchen 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 kitchen was conducted on 11/17/23 from 9:45 am through 1:30 pm and the following was identified:

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

* Vent above reach-in refrigerators in main kitchen;

* Interior of reach-in refrigerator in activity space;

* Interior of oven; and

* Utility carts' corners and edges.

b. The following areas were in need of repair:

* Utility carts had heavy wear on handles;

* Several cooking utensils were observed to have integrity concerns (example: parts of utensils melted, paint chipped, protective coating worn/chipping/flaking off);

* Knife holder;

* Wood drawers throughout kitchen had integrity concerns (e.g., porous material, chips, missing laminate, etc);

* Cupboards throughout kitchen do not have smooth, cleanable surfaces;

* Caulking behind dish pit area had sections with dark mold-like substance; and

* Calking to left of food prep sink by window had section with dark mold like substance.

c. Poor infection control practices observed include, but are not limited to:

* Dining room had pre-set tables with food contact surfaces of cutlery exposed to potential contamination;

* Ice machine had black mold-like residue on inside of machine;

* While kitchen staff was temping a hot dog, the staff member placed the hot dog on a bun. The meat product tempted at 138 degrees F, staff removed the hot dog from bun and placed back on flattop to continue cooking. Staff did not change gloves and continued to touch and prep other ready-to-eat foods, potentially contaminating those items.

* While temping hot dog the second time, cook did not replace hot dog bun that touched uncooked hot dog, placed hot dog on bun (again), tempted at 179 degrees F, meal was served to resident;

* While prepping salads and sandwiches, the same cutting board was used for multiple foods (lunch meat, cheese, bread, tomato) and was not sanitized in between uses;

* When plating meals, cook(s) touched food items with potentially contaminated gloves;

* Kitchen staff observed to not wash hands in between handling dirty then clean dishes;

* Dry storage had uncovered product with expiration date of 08/05/22;

* Frozen food item observed in main kitchen to have broken packaging, creating potential for contamination;

* Frozen food items uncovered in main kitchen freezer;

* Unlabeled product in activity refrigerator;

* Uncovered product in activity refrigerator;

* Outdated/expired food products found in activity refrigerator; and

* Kitchen staff preparing food without facial hair restraints.

At approximately 2:20 - 2:40 pm, surveyors reviewed above areas with Staff 1 (Executive Director) and Staff 2 (Dining Services Director), who acknowledged the identified areas.

ED and DSD to put in place an updated cleaning schedule and calendar. DSD and ED will audit kitchen for cleanliness on a weekly basis.

Maintence Director to install grips on handles of the utility carts by December 20th 2023.

ED and DSD to audit all kitchen utensils and replace the ones that are needed by January 5th 2024.

ED and DSD to replace and install a new knife holder by  January 5th 2024.

ED to get bids for repair or replacement of cabinetry and drawers by end of December 2023.

Maintence Director to replace caulking around dishwasher and throughout kitchen by end of December 2023.

DSD to inservice all kitchen staff in infection control procedures and food handling procedures by 12/20/23.

ED and DSD will post signage of proper cutting board usage. (Color Coded)

Maintence Director cleaned and sanitized ice machine on 11/29/23.

ED and DSD to create a schedule to check experation dates for dry storage products and do a monthly audit.

DSD to audit refridgerators and freezers on a weekly basis to ensure all products are packaged correctly, stored accordingly, covered and dated.

Activities Director to audit activity refridgerator and freezer on a weekly basis to ensure all products are packaged correctly, stored accordingly, covered and dated. Activities Director to log the temperature daily.

DSD to ordered facial hair restraints on 12/22/23