|§483.60(i) Food safety requirements.|
The facility must -
§483.60(i)(1) - Procure food from sources approved or considered satisfactory by federal, state or local authorities.
(i) This may include food items obtained directly from local producers, subject to applicable State and local laws or regulations.
(ii) This provision does not prohibit or prevent facilities from using produce grown in facility gardens, subject to compliance with applicable safe growing and food-handling practices.
(iii) This provision does not preclude residents from consuming foods not procured by the facility.
§483.60(i)(2) - Store, prepare, distribute and serve food in accordance with professional standards for food service safety.
Based on observations and staff interviews, it was determined that the facility failed to properly label, date and seal food products in the main kitchen risking the potential of food borne illnesses
During an observation in the main kitchen on 2/16/21, at 9:25 a.m. the following was observed:
Dry storage area:
1 bag of tortilla shells was not labeled and dated.
1 large opened bag of granola was not labeled and dated.
2 bags of tortilla chips were not labeled and dated.
Walk in cooler #3:
1 pack of 6 hot dog buns was not labeled and dated.
Walk in freezer located inside of walk in cooler #3:
1 large opened bag of fish filets was not labeled, dated, and sealed.
1 opened bag of round breaded patties was not labeled and dated.
1 loosely wrapped croissant roll was not labeled, dated, and sealed.
Basement walk in freezer:
1 opened bag of chocolate chip cookie dough rounds was not labeled and dated.
During an interview on 2/16/21, at 10:00 a.m. the Registered Dietitian Employee E1 confirmed the facility failed to make certain food items were stored correctly to prevent the potential for food borne illnesses and cross contamination in the dry pantry area, bread shelves, walk in cooler and walk in freezers in the main kitchen of the facility.
28 Pa. Code: 201.14(a) Responsibility of licensee.
28 Pa. Code: 201.18(b)(1) Management.
28 Pa. Code: 211,6(c) Dietary services.
| ||Plan of Correction - To be completed: 03/29/2021|
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the provider of the truth of the facts alleged or the findings/conclusions set forth in the statement of deficiencies. The plan of correction has been prepared and/or executed solely because it is required by the provisions of Federal and State law.
1.Immediate action(s) taken for the resident(s) found to have been affected include:
The following items were immediately discarded, in the presence of the surveyor, during the walk through with Department of Health: tortilla shells, granola, two bags of tortilla chips, hot dog buns, breaded patties, croissants, cookie dough.
Upon detailed further investigation it was confirmed the fish fillets were delivered the day before Monday February 15, 2021 according to the sticker on the product, and we used that as the open date for the corrective action. The delivery was confirmed with USFoods invoice 2450865.
Staff members involved were promptly in-serviced on proper label, dating, and storage of food products.
2.Identification of other residents having the potential to be affected was accomplished by:
The facility has determined that all residents who consume food by mouth have the potential to be affected.
3.Actions taken/systems put into place to reduce the risk of future occurrence include:
Dietary staff have been educated by the Director of Dining Services on the facility's policies and practice guidelines for labeling, dating, and food storage. In-service training included instructing the staff on the proper way to label and date using the food storage label. The training also included properly sealing all food products.
4.How the corrective action(s) will be monitored to ensure the practice will not recur:
The Dietary Manager/designee will complete daily audits times two weeks followed by weekly audits times two months, of proper food storage in the dry storage area, coolers, and freezers to ensure that it is in accordance with the facility policy.
Findings of this audit will be discussed with the Resident Council members.
In addition, this issue will be brought to the Quality Assurance and Performance Improvement Committee for follow up and recommendations and tracked until the team determines substantial compliance has been achieved and maintained.