INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on December 20, 2022 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Arkview Recovery Center was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.7 (b) (2) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(2) Clean and disinfect food preparation areas and appliances following each prepared meal.
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Observations
Based on a physical plant inspection conducted on December 20, 2022, it was observed that the facility failed to clean and disinfect food preparation areas and appliances following each prepared meal. Grease was observed on the wall shield behind the stove.
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Plan of Correction
On 12/20/2022 the Facilities Manager cleaned the grease off the wall shield behind the stove. Additionally, the Executive Director, Facilities Manager and Head Chef met to discuss why the deficiency occurred. It was identified that staff training was the main component for the cause of the deficiency. As a result all applicable staff were trained on the correct process for cleaning and disinfecting food preparation areas, specifically that the food preparation areas must be cleaned immediately after preparing food.
To prevent the deficiency from recurring, the Facilities Manager has revised the Environment of Care Plan to include a "Kitchen Cleanliness Log" which must be completed after all food preparations and signed off by the responsible team member per each shift. The Kitchen Cleanliness Log report will be reviewed by the Quality Assurance Committee on a bi-monthly basis to ensure ongoing compliance. |
705.7 (b) (4) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(4) Ensure that storage areas for foods are free of food particles, dust and dirt.
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Observations
Based on a physical plant inspection conducted on December 20, 2022, it was observed that the facility failed to ensure that storage areas for foods are free of food particles. Slices of bread were observed on the floor of the walk-in freezer.
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Plan of Correction
On 12/20/2022 the Facilities Manager cleaned the slices of bread off of the freezer floor. Additionally, the Executive Director, Facilities Manager and Head Chef met to discuss why the deficiency occurred. It was identified that staff training was the main component for the cause of the deficiency. As a result all applicable staff were trained on the correct process for cleaning of food storage areas, specifically that the food storage areas must be free of food particles at all times.
To prevent the deficiency from recurring, the Facilities Manager has revised the Environment of Care Plan to include a "Kitchen Cleanliness Log" which must be completed after all food preparations and also includes daily, weekly & monthly tasks and signed off by the responsible team member per each shift. The Kitchen Cleanliness Log report will be reviewed by the Quality Assurance Committee on a bi-monthly basis to ensure ongoing compliance.
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705.7 (b) (6) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(6) Store all food items off the floor.
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Observations
Based on a physical plant inspection conducted on December 20, 2022, it was observed that the facility failed to store all food items off the floor.
There were two cases of shredded cheddar cheese observed on the floor of the walk-in refrigerator.
There were two cases of poultry observed on the floor of the walk-in freezer.
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Plan of Correction
On 12/20/2022 the Facilities Manager removed the two cases of shredded cheddar cheese and two cases of poultry off the walk-in refrigerator and walk-in freezer floor, respectively. Additionally, the Executive Director, Facilities Manager and Head Chef met to discuss why the deficiency occurred. It was identified that staff training was the main component for the cause of the deficiency. As a result all applicable staff were trained on the correct process for cleaning of food storage areas, specifically that nothing can be stored on the floor.
To prevent the deficiency from recurring, the Facilities Manager has revised the Environment of Care Plan to include a "Kitchen Cleanliness Log" which must be completed after all food preparations and also includes daily, weekly & monthly tasks and signed off by the responsible team member per each shift. The Kitchen Cleanliness Log report will be reviewed by the Quality Assurance Committee on a bi-monthly basis to ensure ongoing compliance.
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