Health inspection·April 1, 2025

F 0812 Level of Harm - Minimal harm or potential for actual harm Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, interview, and record review, the facility failed to safely store food for a census of 84 residents, when unlabeled and expired food items were stored in the facility ' s kitchen. Residents Affected - Some This failure had the potential to lead to foodborne illness among residents. Findings: During a concurrent observation and interview on 4/1/25 at 11:10 a.m. with the Dietary Services Supervisor (DSS) in the kitchen walk-in refrigerator and freezer units, DSS confirmed the following unlabeled and expired food items were stored: In the walk-in refrigerator: 1. A storage container of cooked tomato sauce with expiration date 3/26/25; 2. A storage container of fresh parsley with expiration date 3/23/25; 3. Three five pounds bags of raw chicken pieces with expiration date 2/27/25; 4. Three unlabeled meat packages of five pounds chubs of raw hamburger; 5. An unlabeled package of shredded red cabbage; and 6. Two packages of fresh spinach with expiration dates of 3/29/25 and 3/31/25. In the freezer: - One opened, unsealed, unlabeled, and undated package of veggie burgers. DSS stated she was not sure for how many days the hamburger and chicken had been sitting in the refrigerator to thaw. DSS further stated kitchen staff should not serve any of the expired and unlabeled food because eating these items could potentially make the residents sick. During a concurrent observation and interview on 4/1/25 at 11:32 a.m. with the [NAME] and DSS in the Dry Goods Storage area, both the [NAME] and DSS confirmed an unlabeled bread storage bin was found with two bags of hamburger buns, one dated 3/20/25, the other one open and unlabeled, and four Page 1 of 2 055446 055446 04/01/2025 Rock Creek Care Center 260 Racetrack Street Auburn, CA 95603

F 0812 Level of Harm - Minimal harm or potential for actual harm unlabeled bags of cinnamon bread. The [NAME] stated the bread was supposed to be labeled. DSS stated the bread was inedible and should have not been placed in the dry storage area. During an interview on 4/1/25 at 1 p.m. with Administrator (ADM), ADM stated kitchen staff should not store unlabeled and expired food items. Residents Affected - Some A review of the facility ' s procedure titled, Refrigerated Storage, dated 2023, indicated, Food items should be arranged so that older items will be used first. Dating the packages or containers will facilitate this practice. The procedure further indicated, Individual packages of refrigerated or frozen taken from the original packing box need to be labeled and dated. A review of the facility ' s document titled, Refrigerated Storage Guide, dated 2023, indicated, Meat taken from freezer to thaw [poultry . ground meat]: Maximum refrigeration time once meat has thawed: 2 days. A review of the facility ' s document titled, Produce Storage Guidelines, dated 2023, indicated greens such as spinach are to be stored in the refrigerator for three to five days before removal. The document further indicated fresh parsley was to be stored two to three days in the refrigerator before disposal. A review of the facility ' s procedure titled, Freezer Storage, dated 2023, indicated, All frozen food should be labeled and dated. A review of the facility ' s document titled, Dry Good Storage Guidelines, dated 2023, indicated bread, opened or unopened on the shelf was recommended to be stored for five to seven days before discarding unused bread. A review of the facility ' s policy and procedure titled, Storage of [Dry] Food and Supplies, dated 2023, indicated, Labels should be visible . All food will be dated – month, day, year . No food will be kept longer than the expiration date on the product. 055446 Page 2 of 2