Health inspection·February 14, 2024

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, facility policy review, product labeling review, and interviews with staff, it was determined that the facility failed to store food under sanitary conditions in the main facility kitchen. Findings Include: At initial kitchen tour was held on February 12, 2024 at 9:25 a.m. with the Director of Dining, Employee E4 and Chef, Employe E5. Review of facility policy titled, Food Receiving and Storage dated April 2022 states, Policy Statement: Foods shall be received and stored in a manner that complies with safe food handling practices. Policy Interpretation and Implementation reads, 1. Food Services, or other designated staff, will maintain clean food storage areas at all times. 2. When food is delivered to the facility it will be inspected for sale transport and quality before being accepted. 3. Foods that are prepared offsite will only be accepted from institutions that are subject to federal, state or local inspection. The food and nutrition services manager shall verify the latest approved inspection and also monitor the food quality of the supplier. 4. Residents may consume foods from sources not procured by the facility 5. Non-refrigerated foods, disposable dishware and napkins will be stored in a designated dry storage unit which is temperature and humidity controlled, free of insects and rodents and kept clean. 6. Food is designated dry storage areas shall be kept off the floor (at least 18 inches) and clear of sprinkler heads, sewage/waste disposal pipes and vents. 7. Dry foods that are stored in bins will be removed from original packaging, labeled and dated (use by date). Such foods will be rotated using a first in- first out system. 8. All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by date). Page 1 of 3 396113 396113 02/14/2024 Health Center at the Hill at Whitemarsh, The 4000 Fox Hound Drive Lafayette Hill, PA 19444

F 0812 Initial tour of the dry storage pantry revealed several items labeled incorrectly, unlabeled, undated, or expired. The items found included the following: Level of Harm - Minimal harm or potential for actual harm One package of pasta wrapped in saran wrap with a date of January 5, 2025. Residents Affected - Some Two packages of pasta in saran wrap undated and unlabeled. A large container of Semolina flour with a date of January 4, 2022. A large container of Peanuts with a date of May 11, 2022. Observation was made of the walk-in freezer with Chef, Employee E5. Observation of the walk-in freezer revealed both unlabeled and expired items. The following were items found: Sixteen container of Fish stock unlabeled and undated. Sixteen containers of [NAME] unlabeled and undated. Four packages of beets unlabeled and undated. Two packages of cranberries unlabeled and undated. A large container of forty individually sealed Meatloaf unlabeled and undated A container of [NAME] de porc with a date of 210910. Pork sauce dated with a date of October 23 with no year date. A quart of Fig jam with a date of October 10 with no year date. A large container of individual beef tenderloins with a date on October 29 with no year date. Halibut with a date of January 7 with no year date. Salmon with a date of January 7 with no year date. A large container of Flat Iron steaks with a date of November 21 with no year date. A large container of Duck stew with a date of November 23 with no year date. Forty-five egg white cartons with a date of May 11, 2021. Review of the walk-in refrigerator with Chef, Employee E5 revealed items undated and unlabeled the items included the following: Two containers of cheese wrapped in saran wrap labeled February 3 with no year date. Two containers of liquid crab cake mix with a date of February 11 with no year date. 396113 Page 2 of 3 396113 02/14/2024 Health Center at the Hill at Whitemarsh, The 4000 Fox Hound Drive Lafayette Hill, PA 19444

F 0812 Cooked Chicken with a date February 10 with no year date. Level of Harm - Minimal harm or potential for actual harm Two prepared pasta with a date of June 11 with no year date. Two packages of Seaweed salad unlabeled and undated. Residents Affected - Some Pancetta wrapped in saran wrap unlabeled and undated. Turkey wrapped in saran wrap unlabeled and undated. A large container of Chicken stock unlabeled and undated. A large container of brine unlabeled and undated. Marinated flank steak unlabeled and undated. A container of chicken legs dated February 9 with no year date. Three container of shrimp chowder with no lids on but placed next to them. Interview with Chef Employee E5 stated that the soup was made February 11, 2024 and he stated it takes to six hours to cool before placing the lids on. He was unsure was time is was made on February 11, 2024. Two packages of mozzarella cheese in saran wrap unlabeled and undated. Two packages of swiss cheese in saran wrap unlabeled and undated. One large container of cooked chicken quarters partially saran wrapped and exposed to air. Chef Employee E5 confirmed the above findings. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1) Management 396113 Page 3 of 3