cms_GA: 47
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 47 | BELL MINOR HOME, THE | 115020 | 2200 OLD HAMILTON PLACE NE | GAINESVILLE | GA | 30507 | 2016-11-10 | 371 | F | 0 | 1 | M6O611 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interviews, and documentation review the facility failed to follow manufactures recommendations for sanitizing dishware in the three (3) compartment sink to prevent foodborne illness; failed securely wrap opened food items in the dry storage area as well in one (1) of 3 refrigerators for two (2) of four (4) days of the survey; failed to prevent wet nesting of stainless steel food pans to prevent bacterial growth; failed to ensure the stand-up mixer was cleaned after usage to prevent contamination; failed to ensure the inside ice slide to the ice machine was clean and free from debris. This deficient practice had the potential to effect all ninety three (93) residents receiving an oral diet. Findings include: Observation on 11/07/16 at 11:30 a.m. of AA, dietary aide, wash several cooking utensils in the 3 compartment sink revealed AA took the cooking utensils from the rinse sink compartment, then swished them all in the sanitizing solution compartment for a couple of seconds then placed on a shelf area to dry. Further observation revealed a poster was hung on the wall above the 3 compartment sink which indicated to submerge items for one to two (1-2) minutes. Observation on 11/07/16 at 11:35 a.m. of the first reach-in refrigerator revealed a stainless steel pan, five (5) inches in length, twelve (12) inches in width, and six (6) inches in depth containing a block of sliced American cheese that was eight (8) inches in length and four (4) inches in width and depth opened and not securely wrapped, the top of the cheese was exposed to the air. Observation on 11/07/16 at 11:40 a.m. of the stand-up mixer revealed under the mixing arm was an off white substance that was splattered around in several different areas. Observation on 11/07/16 at 11:45 a.m. of an inverted stack of three stainless steel pans ten (10) inches in length, 12 inches in width and 6 inches in depth, located under the food preparation table near the oven revealed when the top 2 pans were lifted and removed water was found underneath. Observation on 11/07/16 at 11:50 a.m. of the dry storage area revealed a clear re-sealable plastic bag containing shredded coconut. Continued observation revealed the clear plastic bag was not sealed and the shredded coconut did not have a date opened. Observation on 11/07/16 at 12:05 p.m. of the ice machine revealed eight (8) brown spots in center of the stainless steel ice slide located inside the machine the size of a pencil eraser. Interview on 11/07/16 at 11:30 a. m. with AA, Dietary Aide revealed she confirmed she did not submerge the utensils for 1 minute in the sanitizing solution of the 3 compartment sink and confirmed she swished the items in the sanitizing solution for only a few seconds. AA revealed there was a dietary in-service completed recently on using the 3 compartment sink and she did attend. When asked if she recalled how long to submerge dishware in the sanitizing solution AA revealed ten (10) seconds. Interview on 11/07/16 at 12:10 p.m. with the Dietary Manager (DM) revealed she confirmed the facility uses EcoLab Quaternary sanitizing solution for the 3 compartment sink. The DM confirmed dietary staff were in-serviced recently regarding the 3 compartment and were education that items need to be submerged for 1 minute and expects dietary staff to follow the in-service education. Continued interview with the DM revealed they confirmed the opened block of sliced American cheese was not wrapped before placing in the stainless steel pan in the reach-in refrigerator. The DM expects staff to wrap food items before storing in the refrigerator. The DM confirmed the stainless steel pans stacked under the food preparation table were stored wet. The Dietary Manager revealed she expects dietary staff to stack pans after they are dry. The DM confirmed the shredded coconut in the dry storage area was in a re-sealable plastic bag that was not sealed and did not have a date. She expects staff to close the re-sealable plastic bags and place date on opened food items before storing in dry storage. Observation on 11/09/16 at 2:25 p.m. of the stand-up mixer revealed the off white substance remained under the mixing arm. Continued observation revealed when the off white substance was touched it flaked off with finger. Observation on 11/09/16 at 2:30 p.m. of the first reach-in refrigerator revealed the same stainless steel pan containing the block of sliced American cheese. The American cheese was in a re-sealable clear plastic bag however the plastic was not sealed and the cheese was exposed to the air. Observation on 11/09/16 at 2:35 p.m. of the ice machine in the kitchen revealed the 8 brown spots the size of a pencil eraser on the stainless steel ice slide located inside the ice machine. Continued observation revealed when the spots were touched with a paper towel they were removable. Interview on 11/09/16 at 2:35 p.m. with the Dietitian revealed she confirmed there was an off white substance under the mixing arm. Interview on 11/09/16 at 2:35 p.m. with the DM revealed she confirmed the off white substance under the mixing arm. The DM revealed dietary staff uses the stand-up mixer about once a week and staff has not used the mixer this week. The DM expects dietary staff to clean the stand-up mixer after usage. Continued interview with the DM revealed she confirmed the clear re-sealable plastic bag containing sliced American cheese was not closed. The DM revealed she spoke with dietary staff on Monday regarding sealing food items while be stored in the refrigerator. The DM expects dietary staff to securely wrap or seal opened food items in plastic bags while being stored in the refrigerator. Further interview with the DM revealed she confirmed the brown spots on the ice slide inside the ice machine and confirmed when the surveyor touched them with a paper towel the spots were removable. The DM revealed dietary staff are expected to wipe the ice slide inside the ice machine daily as part of regular routine cleaning. Review of the Cleaning Dishes - Manual Dishwashing policy revealed to place the dishes in the sanitizing sink. Allow to stand according to the manufacturer's guidelines for sanitizer. Review of the EcoLab Product Specification Document for Multi-Quat Sanitizer revealed immerse all utensils for at least 1 minute. Review of the Food Storage policy revealed plastic containers with tight fitting covers must be used for storing cereal, cereal products, flour, sugar, dried vegetable, and broken lots of bulk foods. All containers must be legible and accurately labeled and dated. Continued review of the policy revealed leftover food is stored in covered containers or wrapped carefully and securely, each items is clearly labeled and dated before being refrigerated. Further review of the policy revealed all foods should be covered, labeled and dated. Review of the cleaning sheet revealed mixers are to be cleaned after each use. The DM revealed despite the title of the cleaning sheet stating Sample, the dietary staff are to use and follow. Review of the Food Preparation and Handling policy revealed Equipment: all food service equipment should be cleaned, sanitized, dried, and reassembled after each use. Review of the in-services completed in the dietary department for the past 12 months revealed dietary staff were educated on 03/29/16 regarding Food Safety, people who are elderly are receiving [MEDICAL CONDITION], or have chronic illnesses are more susceptible to foodborne illness than health people. Dietary staff also completed an in-service on 10/25/16 regarding Sanitizing Dishware, 3 compartment sink. Sanitizer in 3 compartment sink be aware of procedures, submerge at least 1 minute. | 2020-09-01 |