Health inspection·March 13, 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. Based on observation, interviews, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for food and nutrition services. The facility failed to ensure the food was properly stored in the freezer and the pantry. This failure could place residents at risk being served food that could have been crossed-contaminated, frost bitten, and foodborne illness. Finding included: Observation on 03/11/2024 between 9:30 am and 10:30 am revealed an open bag of frozen fish was undated in the walk-in freezer. The box of fish was pulled forward to show the DM the fish was exposed, and he stated the staff was going to cook it that day. Continued observation walking throughout the freezer revealed there was a box of chicken nuggets open and exposed which was 2 boxes down on the same shelf with the fish. There was a box of what appeared to be hamburger patties open and exposed. Observation of the pantry revealed there was an open and exposed bag of crotons. The DM stated that it was wrapped up as there was plastic wrap around the bag. However, the top of the bag was open and exposed. Observation on 03/13/2024 between 11:00 am and 12:00 pm revealed cake served from the previous day was in the refrigerator exposed on a rack. In an interview with CK 1 on 03/13/2024 at 11:45 AM, CK 1 stated once the food was opened it should be wrapped and labeled. He stated once he opened the boxes and he does not use all the food, he wrapped and labeled the food. CK 1 stated if the food was not closed or wrapped up, it can be freezer burnt and rodents or anything can get into the pantry food items, then the food will have to be thrown away; which will become costly. In an interview with CK 2 on 03/13/2024 at 12:00 PM, CK 2 stated if the food was exposed in the freezer, it will get frost bitten but it should not be wrapped up. CK 2 stated once a box or bag was opened, it should be closed, wrapped, and dated. CK 2 stated if the food is exposed it can be at risk of cross contamination. CK 2 stated he did not open any food and leave it exposed. CK 2 stated he properly closed the food, labeled, and dated it, and placed it in the designated area within the kitchen. In an interview with DM on 03/13/2024 at 2:30 PM, DM stated his expectations of his employees Page 1 of 2 675533 675533 03/13/2024 Juniper Village at Spicewood Summit 4401 Spicewood Springs Rd Austin, TX 78759

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some regarding their kitchen duties was to keep everything safe and compliant, provide high quality food and services, and to respect everyone. DM stated that food left exposed in the refrigerator could be spilled onto other food items, cross-contaminate foods. DM stated foods left exposed in the freezer could cause cross-contamination and freezer burn. DM stated foods left exposed in the pantry could spill onto other items or get contaminated by pests. DM stated all of this could cause food-borne illness. DM stated staff is trained on food preparation, handling, and pathogens. DM stated the administration is responsible for ensuring annual training is completed. DM stated that it is his responsibility to ensure staff had updated food handlers licenses. In an interview with the DM on 03/13/2024 at 3:30 PM, DON stated her expectations for the kitchen staff is to provide high quality food and service, attention to detail, and do it in a safely manner. DON stated if food is left exposed in the refrigerator/freezer, it can be crossed contaminated with spillage from other foods, and end in product loss. DON stated if food is left exposed in the pantry, it can possibly be contaminated by pests and spillage from other foods, and end in product loss. DON stated the kitchen staff is trained on food borne illness and pathogens on in the computer-based training system. DON stated it is the Administrator's responsibility to ensure the staff completed their training. DON stated the staff has food handling license. DON stated it is responsibility of the DM to make sure the licenses are current. A record review of the facility's undated policy titled Storage - Refrigerator and Freezer reflected the following: All foods used in the dietary departments are received, stored, and issued in a timely fashion to reduce deterioration, contamination, and loss. A record review of the facility's undated policy titled Storage - Supplies reflected the following: To provide for safe and sanitary storage of dietary food and non-food supplies. A record review of the facility's undated policy titled Storage - Dry Goods reflected the following: All foods used in the dietary department are received, stored, used in a timely fashion to reduce deterioration, contamination, and loss. 675533 Page 2 of 2