Health inspection·July 27, 2023

F 0801 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to ensure that two of their dietary employees who handle and prepare food, were current with the food handlers training certificate program and failed to follow their facility policy on food handling. This failure has the potential to affect all 42 residents who reside at the facility, whose meals are prepared by dietary staff. Findings include: Reviewed facility staff roster provided by V1 (Administrator) which listed V10 as a dietary aide and V11 as a housekeeper/cook. Reviewed the dietary department staff schedules provided by V5 (Human Resources/Scheduler) from June 2023 to current which listed both V10 and V11 as current dietary staff. On 07/24/2023, requested food handlers' certificates for all dietary staff from V1 (Administrator). Certificates not provided for V10 (Dietary Aide) and V11 (Housekeeper/Cook). At 2:30 PM, V1 said that he was waiting for V10 and V11 to provide him with a copy. On 07/26/2023 at 11:10 AM, V1 (Administrator) provided food handler certificates for V10 (Dietary Aide) On 07/26/2023 at 12:33 PM, V3 (Dietary Manager) verified who all the current employed dietary staff were which included V10 (Dietary Aide) and V11 (Housekeeper/Cook). V3 then said V10 and V11's food handler certificates both expired last week and were both told to retake the course as soon as possible. Requested the expired certificates for V10 and V11 from V3 who said, they threw them away. On 07/26/2023 at 12:38 PM, V5 (Human Resources/Scheduler) said she asked V10 (Dietary Aide) for her food handler certificate on 07/24 but V10 said she couldn't find it. V5 then said that V11 (Housekeeper/Cook) went from housekeeping to the cook position on 05/29/2023 and that V5 had requested V11's food handler certificate multiple times since this date but it was never provided to her. V5 (Human Resources/Scheduler) said she asked V11 for her certificate again on 07/24/2023 and was then told by V11 that her license expired in 2021. At 1:08 PM, V5 said V10 (Dietary Aide) was rehired to the facility on [DATE], then provided a copy of V10's previous food handler certificate with expiration date listed as 03/09/2023. On 07/26/2023 at 1:16 PM, V11 (Housekeeper/Cook) said her previous certificate expired between 2021 and 2022 so she threw it away. She then said she started working in kitchen on 05/29/2023 and both Page 1 of 2 146078 146078 07/27/2023 Ahva Care of Stickney 3900 South Oak Park Avenue Stickney, IL 60402

F 0801 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many V3 (Dietary Manager) and V5 (Human Resources/Scheduler) asked her multiple times for her certificate but she kept forgetting it. V11 then said the last time V5 asked for her certificate was two to three weeks ago and V11 told her that she had to renew it and was told to complete as soon as possible. On 07/24/2023, V11 said she was asked by V3 and V5 if she had her certificate and again said she didn't have it done. V11 was told by V3 and V5 to get it done today. V11 (Housekeeper/Cook) then said it's important to have a current food handler certificate due to safety and sanitary issues. V5 added that she has had multiple food handler/infection control in-services this year. On 7/26/2023 at 1:47 PM, V5 (Human Resources/Scheduler) said V11 works in housekeeping, laundry and dietary and when pulled into dietary, V11 works as either a dietary aide or cook, wherever she is needed. On 7/26/2023 at 1:51 PM, V2 (Director of Nursing/Infection Preventionist) said all food handlers should be certified so they know the process of properly handling food, food temps and the dangers of improperly prepared food to avoid foodborne illness. Reviewed facility's Preventing Foodborne Illness-Food Handling policy last revised November 2017 that reads in part: Policy Interpretation and Implementation: All employees who handle, prepare, or serve food will be trained in the practices of safe food handling and preventing foodborne illness. Employees will demonstrate knowledge and competency in these practices prior to working with food or serving food to residents. 146078 Page 2 of 2