EVERGREEN HEALTH & REHABILITATION

Observed sealed plastic container containing sliced cheese (60 degrees Fahrenheit) stored on the counter in the main kitchen area. CA: TCS foods must be cold held at 41 degrees Fahrenheit or below. COS: Per an employee the cheese had been removed from the walk in cooler less than 2 hours prior. The container of sliced cheese was placed into the walk in cooler and loosely cover to rapidly cool.

Observed an accumulation of black residue on the metal cutting blade of the can opener. CA: Food contact surfaces must be cleaned often enough to prevent residue accumulation. COS: The CFSM had an employee properly clean the can opener.

Observed an accumulation of black/ pink residue on the interior surface of the ice machine. CA: Food contact surfaces must be cleaned often enough to prevent residue accumulation. COS: No COS noted at this time. The CFSM will have the ice machine properly cleaned. This will be rechecked by the Health Department.

Observed dishmachine chemical sanitizer at 0 ppm chlorine. CA: Chlorine sanitizers must be maintained between 50ppm-100ppm chlorine. COS: No COS noted at this time. The facility will contact a certified technician to have the dishmachine serviced and will use the 3-compartment sink to properly clean and sanitize dishes until the dishmachine is repaired. This will be rechecked by the Health Department.

Observation: Observed residue accumulation on the interior of the ice machine.

Corrective Action: Discussed cleaning methods and frequency of ice machine with the PIC. The PIC will have the ice machine properly cleaned and will increase the cleaning frequency of the ice machine. This will be rechecked by the Health Department.

Observation: Observed a gap between the floor and wall underneath the dish machine resulting in an accumulation of water in the area. All physical facilities must be maintained in good repair and must be smooth and easily cleanable.

Corrective Action: Discussed having area repaired/ properly sealed with the PIC. The PIC will contact maintenance to have the area repaired. This will be rechecked by the Health Department.

Observed pans of pureed foods (eggs, sausage) cooling using nonapproved method. Both pans were tightly covered with foil and measured 75-85 deg F. Corrective Action: Discussed proper cooling methods with CFSM. The purees were prepared less than two hours before; therefore, the foil was removed and allowed to cool in walk-in freezer to 70 F before the two-hour mark.

Observed broken tiles throughout main kitchen and crumbling walls underneath dishwashing area. Corrective Action: Discussed maintaining facility so that floors, walls and ceilings are smooth and easily cleanable with PIC. PIC will speak with owner and provide the Health Department with a plan to repair the broken and/or missing tiles in main kitchen and repair walls in 30-days.

Observed pans of pureed foods (eggs, sausage) cooling using nonapproved method. Both pans were tightly covered with foil and measured 77-79 F. Corrective Action: Discussed proper cooling methods with CFSM. The purees were prepared less than two hours before; therefore, the foil was removed and the pans were moved to the reach-in freezer to rapidly cool to 70 F before the two-hour mark.

Observed non-food contact surfaces of warewashing machine with food debris and build-up. Corrective Action: Discussed cleaning and maintaining warewashing machine with CFSM. CFSM will assign employee to thoroughly clean warewashing machine and train all staff on regularly cleaning the machine after use.

Observed food debris and build-up on walls and floors throughout main kitchen. The floors under the warewashing machine and three compartment sink were noted to have significant build-up. The walls and floor behind coffee machine and microwave were noted to have build-up. Corrective Action: Discussed cleaning frequency and procedures with CFSM. CFSM will have these areas cleaned and will train all staff on cleaning frequency and procedures. Discussed covering receptacle with faceplate in warewashing area. This will be rechecked by the Health Department in 10 days.

Observed container of sliced cheese held past the seven day date marked expiration. Corrective Action: Discussed with PIC. Cheese was discarded.

Observed multiple potentially hazardous TCS foods in walk-in cooler (rice, cheese sauce) without date marking. Corrective Action: Discussed date marking with PIC. The cheese sauce was discarded. The rice was found to be less than 24 hours old and date mark was added. PIC will re-train employees on date marking procedures.

Observed two packages of lettuce in walk-in cooler past use by date (Use By 10/25/2023, 10/27/2023). Corrective Action: Discussed use by dates with PIC. Both packages of lettuce were discarded.

Observed prepared ham and cheese sandwiches in sealed plastic bags on nurse carts in main kitchen measuring 67 deg F. Per CFSM, these were prepared and placed on carts without cooling. Corrective Action: Discussed properly cooling and storing the prepared sandwiches until served with CFSM. All sandwiches were discarded.