Observations
Based upon observation during the physical plant inspection on April 7, 2011, the facility failed to keep cold food being stored at or below 40F and frozen food being stored at or below 0 F.
Also, based upon observation during the physical plant inspection on April 7, 2011, the facility failed to document temperatures in accordance with their policy and procedures.
The findings include:
A physical plant inspection was conducted on April 7, 2011 from 11:00 A.M. to approximately 11:30 A.M. One refrigerator and two freezers are provided for client food storage. The temperature of the freezer in the basement was above 0 F. In addition, the facility did not document the temperature of the freezer in the basement according to their policy.
The freezer in the basement was 10 F. The Licensing Specialist obtained the temperature from the thermometer in the freezer.
Also, the facility ' s policy titled: " Program Management Policy & Procedure For Food Preparation & Dietetic Services (Residential), " states:
"Freezers will be maintained at an air temperature of 0 degrees F. Temperatures runs on all refrigerators and freezers will be made and logged two (2) times/day. Any refrigerator registering over 40 degrees F, or any freezer registering over 0 degrees F should be rechecked hourly."
The temperature log was reviewed on April 7, 2011. The log was reviewed for the months covering March 2010 to April 2011. The facility did not have documentation's of a temperature log for March 2011 and April 2011.
An interview with the director of programs conducted on April 7, 2011 confirmed that the temperature of the freezer in the basement was above 0 F. In addition, an interview with the director of programs on the same day confirmed that the facility did not document the temperature of the freezer in the basement according their policy.
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Plan of Correction
On April 7, the aforementioned freezer registered at above 0 degrees. The facility failed to document refrigerator and freezer temperatures as stated in Gaudenzia Policy and Procedure Manual.
On April 7, 2011, the Program Supervisor contacted the refrigeration and frezzer repair company to schedule an appointment for assessment and repair.
The facility also failed to document temperature readings hourly when freezer temperature reads above 0 degrees.
On April 12, 2011, The Program Supervisor for Physical Plant Operations reimplemented the refrigerator and freezer temperature recording log as stated in policy.
On April 12, 2011, the House Manager staff officially began recording refrigerator and freezer temperatures 4 times per day.
To insure that all refrigerators and freezers are maintained at the correct temperatures,any freezer temperature that registers above 0 degrees will be rechecked hourly by the Cook and documented on the freezer temperature log beginning 4/15/2011.
The facility Cook will contact the service repair company within the 1st hour of any reading over 0 degrees for freezers and any refrigerator over 40 degrees to schedule for repair. appointment.
The facility Cook will review temperature logs daily to insure temperatures are being recorded 4 times daily.
The Facility Cook will report to the Program Supervisor of Plant Operations of freezer and refrigerator malfunctions on the 1st day of non-compliant temperature readings.
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