Health inspection·November 19, 2023

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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 ensure that food items were labeled and expired food was not stored in the kitchen accessible to be used in preparing foods for one of 22 sampled residents (Resident 17) on the Sub-Acute unit. This practice had the potential to result in the residents ingesting expired food and can result in foodborne illnesses. Findings: During the initial tour of the kitchen, on 11/18/23 at 10:15 a.m., with Dietary Staff A, Refrigerator 9 was observed to have mandarin oranges in a clear storage container with a use by date of 11/17/23, two turkey sandwiches with a used by date of 11/17/23. Also, noted in Refrigerator 9, jalapenos were stored in a small, black storage container with a use-by date of 11/15/23, feta cheese and shredded carrots was separated in two clear storage containers with no labels noted. The technician proceeded to throw away the expired and unlabeled food. During an observation of walk-in refrigerator # 4, on 11/18/23 at 10:30 a.m. with Dietary Staff A, refrigerator 4 was noted to have expired Romaine lettuce with a use-by date of 11/17/23. DT stated romaine lettuce should have been discarded on 11/17/23 by the evening shift dietary staff. DT proceeded to discard romaine lettuce. During an observation of walk-in refrigerator 2, on 11/18/23 at 10:35 a.m. with Dietary Staff A, refrigerator 2 was noted to have a thickened unflavored water for residents with dysphagia (difficulty swallowing foods or liquids). The 18 sealed, individual cups of thickened unflavored water were noted to have a use-by date of 11/13/23. During a concurrent observation and interview, on 11/17/23 at 10:50 a.m., with Dietary Staff A, in the dry storage area, 5 large cans of spinach artichoke indicated a use-by date of 9/27/23. DT stated the risk of having expired food can cause residents to become sick from possibly spoiled food. During concurrent observation and interview, on 11/17/23 at 11:00 a.m., with Dietary Staff A, walk in refrigerator 3 was noted to have white shredded cheese in a clear storage container with a use by date of 11/17/23. Observation also included no label on an opened heavy cream carton. Dietary Staff A stated the heavy cream carton should be labeled. Dietary Staff A further stated the risk of not having items labeled can cause confusion on knowing when the carton was open or whether the contents are expired or not. Page 1 of 2 555255 555255 11/19/2023 East Los Angeles Doctors Hosp 4060 E. Whittier Blvd. Los Angeles, CA 90023

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few A review of the facility policy and procedures, titled Infection Control-Food Storage, dated on 11/2019, indicated the following: 1. All containers of open food in the refrigerator are labeled with product name, dated and covered or wrapped. 2. Supplies are rotated so that food placed in storage first is used before new supplies are used. This practice is termed First In, First Out (FIFO). All dated items are pulled if not used before the pull dates. 3. Daily checks are made by the Chef/Food Production Manager or designee of the inventory of leftover foods to ensure that these foods can either be incorporated into the menu or discarded. 555255 Page 2 of 2