Print Inspection: ZOXV

The findings of the kitchen inspection, conducted 02/14/24, 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 02/14/24, conducted on 04/05/24, 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 re-visit to the kitchen inspection of 02/14/24, conducted on 05/23/24, are documented in this report. The facility was found 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 kitchen practices and protocols were in accordance with the Food Sanitation Rules OAR 333-150-0000. Findings include, but are not limited to:

On 02/14/24 at 10:50 am, the kitchen was observed to need cleaning in the following areas:

Food spills, splatters, debris, black matter, grease and/or dust were observed on, in or underneath the following:

* The floor of the refrigerator with two roll in carts;

* The walls, ceiling, floor, wire shelves, pipes and fans in the walk in refrigerator;  

* The floor in the walk in freezer;

* The ice maker;

* The exterior doors of the sandwich/salad refrigerator;

* Lower shelves throughout the kitchen;

* Flooring throughout the kitchen, including underneath counters, stove/grill, sinks and storage shelves;

* The wall behind the spray hose, under the sink and around the handwashing soap dispenser in the dishwashing room;

* The ceiling, light fixture and vent in dishwashing room; and

* The back of stove grill, piping next to the stove and side of the stove.

There was a hole in the ceiling between the stove and the grill.

The seals on the doors of the roll in cart refrigerator were loose.  

There were uncovered, unbaked rolls on a baking sheet, in the walk in refrigerator.

The findings were observed and discussed with Staff 1 (Food & Beverage Manager) and were discussed with Staff 2 (Executive Director) on 02/14/24. The findings were acknowledged.

1/review of the cleanning and repairs conducted on 02/06/2023  with regional team: Weekly and Monthly checklist provided 02/15/2024

Repairs for seals and hole in the ceiling to be completed  by 03/08/2024. The ceiling tiles will be cleaned by  03/08/2024, new tiles to be ordered.

Inservice for the cleaning tasks conducted with the cooks on 02/15/2024  

2/ weekly inspection conducted and documented from ED or Culinary director implemented on 02/29/2024 and to be conducted until 05/16/2024.

ongoing: weekly checklist for Cook to start 03/04/2024 and Monthly checklist for DCS to start 03/03/2024

3/ weekly inspection and monthly sanitation checklist

4/Culinary Director and ED

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

On 04/05/24 at 11:05 am, the kitchen was observed to need cleaning and repair in the following areas:

a. Food spills, splatters, debris, black matter, grease and/or dust were observed on, in or underneath the following:

* The interior shelves and door seals of the sandwich/salad refrigerator;

* Flooring throughout the kitchen, including underneath spray sink and prep sink;

* The wall behind and underneath the warewash machine and counters in the dishwashing room;

* Floor and wall behind the stove, grill and steamer; and

* The walls, ceiling, floor, wire shelves, and pipes in the walk in refrigerator had a build up of food debris and dust.

b. The following areas were in need of repair:

* The roll in cart refrigerator door seals were broken and falling off;

* The reach-in refrigerator doors (connected to the walk-in) had broken and deteriorating door seals;

* The walls and wire shelves in the walk-in refrigerator had multiple areas of brown discoloration (rust);

* The wall of the walk-in refrigerator had multiple small holes;

* A leaking pipe in the walk-in refrigerator that was causing a large buildup of ice on the walk-in refrigerator floor;

* Broken floor tiles in the right corner of the walk-in refrigerator;

* Broken floor tiles in the walk-in freezer located to the left of the door and around the freezer door threshold;

* Multiple holes and missing seals between the wall and stainless steel counters surrounding the dishwashing area located near the front of the kitchen;

* Multiple holes and missing seals between the wall and stainless steel counters surrounding the dishwashing machine, located near the back of the kitchen;

* The floor drain under the prep sink was rusted and had missing tile grout surrounding the drain;

* Multiple tile baseboard grout was missing throughout the kitchen, including, but not limited to areas near the walk-in refrigerator and dishwashing areas; and

* Multiple ceiling tiles, tile framing, smoke alarms and sprinklers throughout the kitchen had brown and black discoloration (all areas).

The findings were observed and discussed with Staff 2 (Executive Director) and Staff 3 (Maintenance Director) on 04/05/24. The findings were acknowledged.

Food spills & Splatters, debris, black matter, grease and/or dust on the following:

oInterior shelves & Door seals of sandwich refrigerator,

oFlooring throughout the kitchen, including underneath spray sink and prep sink

oWall behind & underneath warewash machine and counters in dishroom

oFloor behind stove, grill, & steamer

oWalls, ceiling, floor, shelving, and pipes in walk-in refrigerator

->In progress, added to daily and weekly checklist. Deep cleaning scheduled 4/25-26.

Daily/weekly and monthly cleaning audits to be implemented by 4/23 and reviewed monthly for 3 months by the culinary director

Repairs: :

oRoll in cart refrigerator door seals broken and falling off-Quote submitted 4/19,

oReach-in doors to walking deteriorating door seals-vendor quote submitted 4/19, (custom -made)

oWalls and wires shelves in walk-in had multiple areas of discoloration-being repainted

oThe wall of walk-in refrigerator has several small holes-to be completed on 4/25-26

oLeaking pipe in walk-in refrigerator that is causing buildup of ice-vendor scheduled on 04/23

oBroken floor tiles in right corner of walk in refrigerator and freezer-Expected Vendor quote on 04/22 and scheduled on 4/25-26 to repair both Fridge and freezer

oMultiple holes in and missing seals between wall and stainless steel counters surrounding dishwashing area near front of kitchen-caulking and sealing in progress as of 4/11, to be completed by 4/26

oMultiple holes and missing seals between the wall and stainless steel counters located near back of the kitchen-caulking and sealing:  in progress as of 4/11, to be completed by 4/26

oFloor drain under the prep sink was rusted and missing tile grout-completed on 4/15

oMultiple tile baseboard grout missing throughout the kitchen-completed on  4/16,

oMultiple ceiling tiles, tile framing, smoke alarms and sprinklers throughout kitchen had discoloration-painting done on 04/18 and 4/19  

Repairs will be completed under the supervision of the Maintenance Director

Based on observation and interview 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 C 240.

see C 240