Failure to Ensure Hand Hygiene and Proper Cold Holding of Milk During Meal Service
Penalty
Summary
Dietary staff failed to perform proper hand hygiene during meal preparation and service, as observed on multiple occasions. One dietary aide was seen scratching her head and face, touching her clothes and pants, and then handling plates and food items without washing or sanitizing her hands. These actions were observed during both lunch and breakfast tray lines, and the aide continued to prepare and serve food after touching her face, hair, and clothing. The facility's policy required hand hygiene after such contact, and both the Dietary Manager and Administrator confirmed that staff were expected to follow these procedures. Additionally, the facility did not ensure that milk served on the tray line was maintained at the required temperature of 41 degrees Fahrenheit or less. During breakfast service, lactose-free milk was poured into cups and left on the tray line without being held in ice. When the temperature was checked, the milk measured 43 degrees Fahrenheit, above the acceptable limit. The Dietary Manager acknowledged that the milk could not be served at that temperature, and both the DON and Administrator stated their expectation that food and drink temperatures be kept within required ranges.