| 55 |
GUARDIAN ELDER CARE AT WHEELING |
515002 |
20 HOMESTEAD AVENUE |
WHEELING |
WV |
26003 |
2018-05-03 |
812 |
D |
0 |
1 |
X20F11 |
Based on observation, interview and record review, the facility failed to store, prepare and serve food in accordance with professional standards for food service safety in one of one kitchens. Specifically, the facility failed to ensure staff conducted proper hand hygiene and transported clean utensils in a sanitary manner. This failed practice had the potential to affect a limited number of residents. Facility census: 142. Findings included: a) Facility policy The Safety and Sanitation policy, revised 12/14/17, was provided by the Director of Nursing on 5/3/18 at 1:20 PM. The policy directed, in pertinent part: VII. Hand washing . 1. When to wash: i. After working with or cleaning dirty equipment or utensils . l. Between glove changes . q. Between any dirty to clean task . VII. Glove use . 1. Single use gloves: c. Wash hands thoroughly before and after wearing or changing gloves. Bacteria will build up under gloves and should be washed away after wearing gloves . 3. Cloth gloves: a. (MONTH) not be used in direct contact with food . b) Observations On 4/30/18 at 8:40 AM, during the initial tour, two trash cans were observed close to the handwashing sink. One trash can had a foot pedal that opened the top. The other trash can had a lid on top that had to be manually opened. Multiple observations were made on 5/1/18 from 11:10 AM to 12:25 PM. At 11:30 AM, Cook #119 was observed to mix cabbage and noodles togethers. During this process, the food mixture touched her oven mitt that was holding onto the pan. At 11:37 AM, Cook #119 was observed to gather the serving utensils to serve from the steam table. While transporting the utensils to the steam table, she held the ladle for the gravy up next to her chest, touching her shirt. Her shirt was visibly dirty with food debris. At 11:45 AM, Dietary Staff #89 was observed spreading butter on slices of bread, while wearing gloves. When she was finished with the butter, she covered it with plastic wrap and pulled a pen out of her shirt to write the date. Wearing the same gloves, she proceeded to place the buttered bread in a pan and grab slices of cheese to make grilled cheeses. Cook #119 served the lunch meal from the steam table. Multiple observations were made during the lunch service from 11:54 AM to 12:25 PM. While Cook #119 served, she was observed to place two to three plates along the steam table. She then leaned across the plates to get food from the back of the steam table. As she did this, her shirt touched the plates. This process was observed several times. From 11:10 AM to 12:25 PM, multiple observations were made of staff changing their gloves without washing their hands between glove changes. Food preparation was observed on 5/2/18 from 10:00 AM to 10:30 AM. At 10:02 AM, Cook #119 was observed to leave the kitchen with a measuring cup full of butter. She was observed to use the microwave in the staff break room. She came back into the kitchen at 10:05 AM and the butter was melted. She did not wash her hands when she returned to the kitchen. She proceeded to prepare the pureed foods and used the butter for the vegetables. At 10:09 AM, after Cook #119 made a batch of pureed vegetables in the food processor, the blade fell out as she poured the mixture into the pan. She touched the blade, rinsed it off under some water, and then placed it back into the processor. She proceeded to make other portions of pureed vegetables. At 10:18 AM, Cook #119 was observed to dry off her hands and place the paper towel in the trash can with the manual lid on top of it. She had to touch the trash can lid to place the paper towel inside. Cook #119 stated that the trash can with the manual lid was the trash can they used for everything, including after they washed their hands. She said the trash can with the pedal was used for salad preparation. At 10:24 AM, Cook #119 grabbed the food processor pieces and spatula that had been sanitized in the three-compartment sink. While transporting the food processor pieces and spatula to the preparation area, she held the pieces up against her shirt. Her shirt was visibly soiled with food debris. From 10:00 AM to 10:30 PM, multiple observations were made of staff changing their gloves without washing their hands between glove changes. c) Interviews In an interview on 5/3/18 at 10:08 AM the Dietary Manager stated every time a staff member changed gloves, they were supposed to wash their hands. Staff were also supposed to wash their hands each time they entered the kitchen. If they left to go to the breakroom, then they needed to wash their hands when they returned. She stated she did not know why there was not a microwave in the kitchen but said staff should not have to go to the break room to use the microwave for food preparation. She said when transporting clean utensils, they should be carried away from the body. If the utensils touched the body, such as a shirt, then that was unsanitary. Clothing was not supposed to touch plates as meals were being served from the steam table. |
2020-09-01 |