Print Inspection: Y3JL

The findings of the kitchen inspection, conducted 11/15/22, 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 revisit to the kitchen inspection of 11/15/22, conducted 1/19/23, 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 11/15/22, conducted 4/26/23, 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, record review, and interview, it was determined the facility failed to ensure the kitchen was maintained in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the main facility kitchen, food storage areas, food preparation, and food service on 11/15/22 revealed splatters, spills, drips, and debris noted on:

- Can opener blade and casing;

- Stand mixer;

- Food Processor;

- Interior and exterior of the microwave;

- Walls in food preparation area;

- Interior of reach in freezer;

- Food packages and containers in dry food storage area;,

- Dishes and cookware stored on open shelving and racks;

- Open stainless steel shelving and metal rack shelving;

- Top of black reach in refrigerator and juice machine,

- Ceiling vent above black reach in refrigerator;

- Plastic knife case hanging on the wall;

- Bakery racks;

- Front grate of the ice machine;

- Underneath shelving and equipment;

- Floor of the walk in refrigerator;

- Dishwashing area including flooring, walls, and equipment; and

- Radio.

* The stand mixer blade was noted to have the finished chipped off.

* Cutting boards were deeply scored and flaking off pieces.

* Open packages and dented cans were noted in the dry food storage area.

* Dish washing racks were stored on the floor. Visible debris was noted on the clean side of the dish machine.

* The rinse cycle thermometer on the dish machine was not operating.

* Staff were using a mixture of bleach and dish soap for sanitizing. There was no evidence of testing the solution to ensure between 50 and 110 parts per million. When tested, it was above 200 parts per million.

* Staff were observed to not change gloves between tasks while handling ready to eat foods.

Observations of the kitchenettes on 11/14/22 revealed:

* Splatters, spills, drips, and debris noted on:

- Interior and exterior of cupboards and drawers and walls;

- Outer surfaces of garbage cans and hampers;

- Interiors of mini-refrigerators;

- Interior and exterior of microwaves;and

- Flooring and cove base.

* Undated and unlabeled storage bags of cookies and rolls were noted in a drawer.

* Food wrapped in aluminum was observed left in a microwave.

* The mini-refrigerator/freezers were noted to have frost build up in the freezers and damage to the shelving in the refrigerators.

Staff 2 (Dietary Manger) and the Surveyor toured the kitchen. Staff 2 acknowledged the above findings.

The areas in need of cleaning and repair were reviewed with Staff 1 (Administrator). She acknowledged the findings.

-Areas of the kitchenetts were noted to have spills of has been cleaned and an updated cleaning schedule has been published to ensure all areas remain in compliance.

-All undated foods have been removed and staff have been trainied on dating any foods opened and proper storage policies. Resident care coodinator and Administrator will ensure compliance.

-The mini fridges have been defrosted and cleaned. The damaged fridges have been replaced.

-All areas noted that required cleaning have been cleand and an updated cleaning schedule has been published. Dining srevices director inspects daily cleaning and submits weekly quality assurance checklist to the Administrator.

-Administrator will do weekly and as needed spot checks to ensure compliance with the cleaning requirements.

Based on observation, record review, and interview, it was determined the facility failed to ensure the kitchen was maintained 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 main facility kitchen, food storage areas, food preparation, and food service on 1/19/23 revealed splatters, spills, drips, dust and debris noted on:

- Dishwashing Equipment; and

- Fire sprinkler heads.

* White cutting board on steam table was found to be deeply scored and stained.

* Dish washing rack was observed stored on the floor.

* Hole in the wall exposing electrical and piping found on the back left wall by the baking rack.

*The rinse cycle thermometer on the dish machine was not operating correctly. The rinse dial was reading 170 and did not move. The wash cycle thermometer did not quite get to 180. The dish machine temperature logs were reviewed and revealed multiple readings that were not at the required 180 F for sanitation. Staff 2 (Dietary Manager) stated the process when dish machine was not operating correctly was to utilize the 3 compartment sink method. Staff 2 validated s/he was not notified when temperatures were not reaching 180 and could not verify that a 3 compartment sink method was utilized under those circumstances. Staff 2 utilized an instant read digital thermometer to validate rinse temperature was at 181.3 F after 4 runs of machine. Kitchen staff stated that the temperature gages "never work right". Staff 2 did validate that the dish machine had been serviced multiple times that month and there were still problems with the temperature gauges.

Staff 2 (Dietary Manger) and the Surveyor toured the kitchen. Staff 2 acknowledged the above findings.

Observations of the kitchenettes on 1/19/23 revealed:

* Splatters, spills, drips, and debris noted on:

- Interior and exterior of cupboards and drawers;

- Interior and exterior of microwave; and

- Flooring and molding.

* One of the mini-refrigerator/freezer had damage to the shelving making it a non cleanable surface. One of four microwaves were found to be damaged making it a non cleanable surface.

* Two coffee containers were found with scoops stored inside and touching the coffee grounds.

* Under the sinks of all kitchenettes had a large cut out area in the cabinet. The underneath of these cabinets were dirty and had exposed particle board. Pipes were dirty with potential leaks on the pipes. One sink had a strong odor and visible standing fluid in a basin under the pipe. All areas had items stored  under the sink that could be potentially contaminated by dripping grey water from the sink (toasters, coffee makers).

*Multiple cabinet interiors had exposed particle board in various areas.

The areas in need of cleaning and repair were reviewed with Staff 1 (Administrator). She acknowledged the findings.

The are of the diswasher noted to need cleaning has been deep cleaned and will be monitored by the dietary supervisor.

The fire sprinkler heads are being replaced by Performance systerms intergrated as they were not able to be cleaned to our satisfaction.

The cutting board on the steam table has been replaced.

The whole in the wall behind the bread rack has been repaired.

The rinse cycle on the dish machine has been repaired and is reaching 180 degrees. A procedure for when to contact the dietary supervisor has been posted.

Based on observation, interview, and record review, 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

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.

All areas of the kitchenetts noted to need cleaning have been deep cleaned and will remain on a weekly deep cleaning schedule monitored by the resident care coordinator.

Staff have been notified that they are no loner allowed to have the scoops left in the coffe containers. The dietary supervisor will be ordering indvidually bagged servings of coffee going forward to elemanate the need for coffee scoops.

The refrigerator noted to have damage has been replaced and the microvave noted to have damage has been replaced

The particle board making up the bottom of the cuppards under the sinks have been replaced closing up the open cut out areas. The pipes have all been inspected and cleaned.

The items under the sinks have been removed .