Health inspection·April 20, 2023

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 store, prepare, distribute, and serve food by professional standards for food service safety for 1 of 1 kitchen reviewed. Residents Affected - Some There was expired chocolate milk in the refrigerator There were dirty dishes on the clean rack There were dented and scratched pans This failure could place residents at serious risk for complications from food contamination. Findings were: Observation and initial tour of the kitchen on 04/18/23 at 09:30 AM revealed 8, 1/2 gallons of chocolate milk with expiration dates of 04/17/23 in the refrigerator with 2 other 1/2 gallons of unexpired chocolate milk. There were 4 full trays of dirty dessert cups on the clean rack mixed in with clean dessert cups. There were 4 Teflon-type pans that were badly scratched, flaking, and hanging on the rack of pans. A large colander that was badly dented was also hanging on the rack of pans. There were 8 small; size 4, 3 large; size 1/4-6, and 3 shallows; size 1/3-6 food-holding steam table pans, that were badly dented. Observation of the clean rack of dishes on 04/20/23 at 01:40 PM revealed stained and/or scratched plastic glasses, coffee cups, and dessert cups on multiple trays. An interview with the COOK on 04/18/23 at 09:45 AM stated the 4 full trays of dirty dessert cups on the clean rack were mixed in with clean dessert cups. The COOK stated the Teflon-type pans, and the large, dented colander were in use. The COOK stated the pans and colander should probably not be used in the state they were in because one of the pans was very rusty. The COOK stated whoever washed the dishes was responsible for checking if the dishes were clean. Interview with the DM on 04/18/23 at 09:50 AM stated she had ordered new pans about 3 weeks ago but had not received them because of back-orders. The DM stated the dented and scratched pans should not be used because the Teflon could flake off and get in the food and it might cause cancer. The DM stated the entire kitchen staff was responsible for making sure the dishes were clean. An interview with the DM and RD on 04/19/23 at 02:38 PM the RD stated the vendor came in weekly, removed expired goods, and credited the facility. The DM stated the expired chocolate milk was not Page 1 of 3 455697 455697 04/20/2023 Avir at Corpus Christi 202 Fortune Dr Corpus Christi, TX 78405

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some separated from the unexpired chocolate milk or in any way marked for return. The DM stated expired goods could make residents sick if it was served and consumed by them. An interview with the DM on 04/20/23 at 01:45 PM stated she had a whole bunch of new dishes that she had not yet put out. The DM stated the dirty dishes got thrown away whenever staff saw them because they were all adults in the kitchen. The DM stated the dirty dishes on the clean racks would have potentially been used. An in-service dated 04/19/23 titled, Milk-Best by Dates, Credit, was provided by the DM on 04/19/23 at 2:55 PM. The in-service reflected the objective of the in-service was: if the milk date was prior to the current best-by date, do not use or throw it away. A vendor will arrive weekly on Thursdays to pick up any items and credit our account. A record review of the restaurant supply invoice #CS90270 for 2 full sheet pans, 2 small; size 1/6-4, 3 large; size 1/4-6, and 2 shallows; size1/3-6 food-holding steam table pans, dated 04/18/23, documented a cash sale/customer picked up on 04/18/23. Invoice #219576 dated 04/18/23 for 1, 8-inch, 1, 10 inches, and 1, 12-inch aluminum fry pan, 1 saucepan, 1 large and 1 small colander documented customer picked up on 04/18/23. The facility failed to produce a food storage policy. 8-101.10 Public Health Protection: (B) In enforcing the provisions of this Code, the REGULATORY AUTHORITY shall assess existing facilities or EQUIPMENT that were in use before the effective date of this Code based on the following considerations: (1) Whether the facilities or EQUIPMENT are in good repair and capable of being maintained in a sanitary condition; (2) Whether FOOD-CONTACT SURFACES comply with Subpart 4-101; 4-101.11 Characteristics. Materials that are used in the construction of UTENSILS and FOOD?CONTACT SURFACES of EQUIPMENT may not allow the migration of deleterious substances or impart colors, odors, or tastes to FOOD and under normal use conditions shall be: (A) Safe; (B) Durable, CORROSION-RESISTANT, and nonabsorbent; (C) Sufficient in weight and thickness to withstand repeated WAREWASHING; (D) Finished to have a SMOOTH, EASILY CLEANABLE surface; and (E) Resistant to pitting, chipping, crazing, scratching, scoring, distortion, and decomposition. 4-101.18 Nonstick Coatings, Use Limitation. Multiuse KITCHENWARE such as frying pans, griddles, sauce pans, cookie sheets, and waffle bakers that have a perfluorocarbon resin coating shall be used with nonscoring or nonscratching UTENSILS and cleaning aids. Refrigeration prevents food from becoming a hazard by significantly slowing the growth of most microbes. The growth of some bacteria, such as Listeria monocytogenes, is significantly slowed but not stopped by refrigeration. Over a period of time, this and similar organisms may increase their risk to public health in ready-to-eat foods. Based on a predictive growth curve modeling program for Listeria monocytogenes, ready-to-eat, time/temperature control for safety food may be kept at 5oC (41oF) a total of 7 days. Food which is prepared and held, or prepared, frozen, and thawed must be controlled by date marking to ensure its safety based on the total amount of time it was held at refrigeration temperature, and the opportunity for Listeria monocytogenes to multiply, before freezing and after thawing. Time/temperature control for safety refrigerated foods must be consumed, sold or discarded by the expiration date 455697 Page 2 of 3 455697 04/20/2023 Avir at Corpus Christi 202 Fortune Dr Corpus Christi, TX 78405

F 0812 References: https://www.fda.gov/media/110822/download Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 455697 Page 3 of 3