Deficiencies in Food Service Safety Standards
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During observations, it was noted that cleaning chemicals, specifically glass cleaner, were improperly stored above a food processor. Additionally, the warewashing area had a spray hose nozzle hanging below the sink flood rim, which was in contact with water, posing a risk of back-siphonage. The facility lacked the correct test papers to accurately measure the concentration of the sanitizing solution, as the available test papers did not show the required range of 150 to 400 parts per million of quaternary ammonium compound, as specified by the sanitizer concentrate label. Furthermore, the deli station's reach-down refrigerator door gasket was split and uncleanable, and various areas, including the underside of the floor mixer and floors under the baker's worktable and sink, were soiled with food particles or dirt. During an interview, the facility's administrator acknowledged the issues identified, including the improper storage of glass cleaner, the absence of appropriate sanitizer test papers, the spray hose's potential for back-siphonage, and the need for cleaning in specific areas.
Plan Of Correction
Plan of Correction: Approved February 24, 2025 F812 (483.60) Spray hose and potential back siphonage issue with hose being too long and resting in standing pot water in pot room. 1. Work order placed by supervisor on duty 1/13/25 asking for shorter spray hose to be installed. Work order (# 5) completed on 1/19, issue permanently fixed. 2. All residents have potential to be affected by this alleged deficient practice. Nutrition Service Leadership will monitor this area to verify that the spray hose length is appropriate to prevent potential back siphonage. 3. Nutrition Services and Facilities team made aware that hose must be short and not rest in water. 4. Scheduled kitchen mock surveys in place to document compliance with spray hose length. If non-compliance is discovered a separate work order will be generated and issued to Facilities. 5. Target date for corrective action was 1/19/25. Director Nutrition Services is the responsible party. F812 (483.60) Deli Cooler Gasket was split and uncleanable. 1. Work order submitted on 1/13/25 requesting gasket replacement. Work order (# 1) completed on 1/18/25. 2. All residents have potential to be affected by this alleged deficient practice. 3. Cooler gasket checks have been added to routine cooler preventive maintenance schedule. Deli cleaning and closing checklist revised to add gasket cleaning. Deli staff will be educated on this revised cleaning list, understanding and awareness will be confirmed via employee sign off on this education. 4. Scheduled kitchen mock surveys in place to document compliance with gaskets in main kitchen, deli and SNF kitchen. If non-compliant gaskets are discovered a separate work order will be generated and issued to Facilities. 5. Target date for corrective action was 1/18/25. Director Nutrition Services is the responsible party. F812 (483.60) Incorrect sanitizer test strips used in ware washing sanitizer sink. 1. Ecolab rep called immediately and delivered a supply of QT-40 test strips in less than one hour. All Qt-10 Test strips on site were immediately discarded. 2. All residents have potential to be affected by this alleged deficient practice. Nutrition Service Leadership will monitor this area to verify that the QT-40 test strips are the only strips available and in use for testing PPM of sanitizing solution. 3. Electronic order guide updated to remove QT-10 and replace with appropriate Qt-40 test strip to help prevent the inappropriate test strip from being ordered. Education developed to include manufacturer recommendations for type of test strip to be used to test sanitizer ppm as well as target ppm range. This education will be provided bi-annually. 4. Routine weekly audits x 90 days to ensure compliance. Scheduled kitchen mock surveys in place to document compliance with use of QT-40 test strips. If non-compliance is discovered, we will retrain and reimplement weekly audits to document compliance. 5. Target date for corrective action was 1/13/25 when all QT-10 were discarded and steps implemented as per above. Director Nutrition Services is the responsible party. F812 (483.60) Chemicals not stored properly. Spray bottle of glass cleaner left on windowsill in food prep area near equipment. 1. Spray bottle in question immediately removed from food prep area and stored properly. Inspection of other areas of kitchen revealed no other non-compliant chem storage issues. Staff working in impacted area made aware of non-compliance and reminded of proper storage. 2. All residents have potential to be affected by this alleged deficient practice. Nutrition Service Leadership will monitor the department for compliance with proper chemical storage. 3. Nutrition Service leadership will provide initial and then bi-annual training on proper storage of chemicals. 4. Routine weekly audits x 90 days to ensure compliance. Scheduled kitchen mock surveys in place to document compliance with use of QT-40 test strips. If non-compliance is discovered, we will retrain and reimplement weekly audits to document compliance. 5. Target date for corrective actions is 90 days from survey. Director Nutrition Services is responsible party. Audits and surveys will be shared with SNF QAPI monthly. F812 (483.60) Underside of the floor mixer, floor under the baker’s worktable and bakers sink were soiled. 1. Area under baker’s worktable and pots sink was swept/cleaned immediately by staff members. Work order # 3 submitted requesting removal of the mixer assembly on the underside of the floor mixer for proper cleaning. 2. All residents have the potential to be impacted by this alleged deficient practice. 3. Daily cleaning and closing checklist to be signed off on daily by staff/leader to ensure floors are appropriately cleaned along with other equipment in this area. Mixing assembly removed at underside of floor mixer and sent for cleaning, sanding, repainting. 4. Any non-compliance found daily during cleaning sign off will be addressed in real time. Trends in non-compliance with specific staff will be reviewed weekly when cleaning lists are reviewed prior to scanning into e-file. Non-compliance will be addressed with retraining and job performance disciplines as warranted. Scheduled kitchen mock surveys in place to document compliance with workstation and mixer cleanliness. 5. Target date for corrective action is 90 days from survey. Director Nutrition Services is the responsible party. Daily cleaning sign off and surveys will be shared with SNF Quality Assurance Performance Improvement monthly meeting.