Print Inspection: Y7RE

The findings of the kitchen inspection, conducted 05/16/23, 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 05/16/23, conducted 08/14/23, 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, interview, and record review, it was determined the facility failed to ensure food was prepared in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to:

Observations of the main kitchen, the Memory Care Kitchenette, food storage, prep, and service on 05/16/23 revealed:

Spills, splatters, and debris were noted:

* The sides and interior of the range, grease build up on hood;

* Interior and exterior of cabinets and drawers throughout the kitchen;

* The open shelving;

* The can opener blade and casing;

* Interior of reach in refrigerators and freezers;

* Floor throughout the kitchen; and

* Interior of the microwave.

* Staff 3 (Lead Cook) explained the facility used auto dispense Quaternary solution for the sanitizer bucket. There was no documented evidence it was monitored to ensure the correct solution. The sanitizer bucket was tested and found to be above the required part per million.

* The chlorine solution used for sanitizing dishes was not monitored to ensure correct ratios.

* Prepared food items in the refrigerator were not dated or labeled.

* A bowl of undated un-unlabeled food with a serving spoon lying with the handle in the food.

* Multiple packaged food items were not dated when opened.

* There was no evidence of the monitoring of food temperatures on the steam table.

* Staff observed washing dishes did not remove gloves or wash hands between handling dirty and clean dishes.

* Staff were observed to not change gloves between task during meal service.

* The laminate on the facing of open shelving was damaged creating an un-cleanable surface.

* The laminate of the coffee station in the Memory Care Unit was damaged creating an un-cleanable surface.

The areas in need of cleaning and repair, food storage guidelines,and hand hygiene were reviewed with Staff 1 (Executive Director) and Staff 3 on 05/16/23. They acknowledged the findings.

C240-OAR 411-054-0030 (1) (a) Resident Services Meals, Food, Sanitation Rule-

The following actions have been taken to correct this violation in Memory Care, per each example listed.

1. Facility is actively working on correcting the following to keep the Memory Care Kitchen/Dining area in compliance (refrigerator/microwave).

2/3. This system is being corrected to eliminate future violations, as follows:

a. Facility Administrator, Memory Care Director, and  Dietary Manager will do a daily walk-through to ensure that the kitchen/Dining areas in Memory area are in good repair/ clean.

b. During each working day the Facility Administrator, Dietary Manager, and administrative team will spot check all open food items in the kitchen and Memory Care dining room to ensure all open food items have been dated and disposed of after expiration.

c. Facility Administrator will oversee daily, weekly, and monthly cleaning schedules to ensure cleanliness and good repair of the kitchen.

d. Maintence will repair coffee stand so that all surfaces are cleanable. A check will be made of all surfaces during the daily walk through.

4.) The facility Administrator and Dietary Manager will be responsible for corrections and overseeing ongoing compliance.

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.

Z 142/ C240-OAR 411-054-0030 (1) (a) Resident Services Meals, Food, Sanitation Rule-

The following actions have been taken to correct this violation in Memory Care, per each example listed.

1.Facility is actively working on correcting the following to keep the Memory Care Kitchen/Dining area in compliance (refrigerator/microwave).

2.This system is being corrected to eliminate future violations, as follows:

a.Facility Administrator, Memory Care Director, and  Dietary Manager will do a daily walk-through to ensure that the kitchen/Dining areas in Memory area are in good repair/ clean.

b.During each working day the Facility Administrator, Dietary Manager, and administrative team will spot check all open food items in the kitchen and Memory Care dining room to ensure all open food items have been dated and disposed of after expiration.

c.Facility Administrator will oversee daily, weekly, and monthly cleaning schedules to ensure cleanliness and good repair of the kitchen.

D. Maintence will repair coffe stand so that all surfaces are cleanable. A check will be made of all syrfaces during the daily walk through.

3.) The facility Administrator and Dietary Manager will be responsible for corrections and overseeing ongoing compliance.