Table of Contents
Alice Hyde Medical Center
Deficiency Details, Certification Survey, October 20, 2011
PFI: 0326
Regional Office: Capital District Regional Office
F371 483.35(i): STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS
Scope: Pattern
Severity: Potential for more than Minimal Harm
Corrected Date: November 11, 2011
The facility must - (1) Procure food from sources approved or considered satisfactory by Federal, State or local authorities; and (2) Store, prepare, distribute and serve food under sanitary conditions
Citation date: October 20, 2011
Based upon observation and interview, it was determined that the facility, did not store potentially hazardous foods at proper temperatures, food contact surfaces were not maintained free of residues, and the facility did not minimize the potential for cross contamination. Specifically, a refrigerator was not maintaining foods at or below 41 degrees Fahrenheit (F), residue was noted on the interior surface of the ice machine, and the potential for cross contamination was not being minimized due to the use of a common use fingernail brush located above the handwash sink. This resulted in the potential for more than minimal harm that is not immediate jeopardy. This is evidenced as follows:
The air temperature of the sandwich station refrigerator was 62 degrees F on 10/17/11 at 12:25 pm. The refrigerator was maintaining some potentially hazardous foods such as cottage cheese and puddings. A temperature was taken of the cottage cheese at this time and noted at 60 degrees F. The Food Service Director was interviewed at this time who stated that the refrigerator had been out for repairs and came back last Thursday and temperatures were being monitored in the mornings. Temperature logs noted temperatures below 41 degrees F.
The ice machine in the main kitchen was inspected on 10/17/11 at 12:55 pm, The interior surface was noted with blackened residue which readily wiped off on a clean paper towel. The Food Service Director stated that the ice machines are sanitized by the maintenance department. The Director of Maintenance was interviewed on 10/18/11 at 11:00 am, stating that the ice machines are sanitized on a quarterly basis.
A fingernail brush was observed above the employee handwash sink in the kitchen on 10/17/11 at 12:45 pm. The Food Service Director was interviewed regarding it's use, who stated that it is for employees (common) use, and has been there for years.
10NYCRR 415.14(h)
State Sanitary Code Subpart 14-1
E702 402.6(a): CRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK
Scope: Isolated
Severity: Potential for more than Minimal Harm
Corrected Date: November 11, 2011
Section 402.6 Criminal History Record Check Process. (a) The provider shall ensure the submission of a request for a criminal history record check for each prospective employee. If a permanent record does not exist for the prospective employee, the Department shall be authorized to request and receive criminal history information from the Division concerning the prospective employee in accordance with the provisions of section 845-b of the Executive Law. Access to and the use of such information shall be governed by the provisions of such section of the Executive Law. The Division is authorized to submit fingerprints to the FBI for a national criminal history record check.
Citation date: October 20, 2011
Based upon interview and review of employee files, it was determined that the facility did not conduct a Criminal History Background Check (CHRC) on all recently hired non licensed employees. Specifically, one of four recently hired, non licensed, employees did not have a CHRC during the time of employment. This results in the potential for more than minimal harm that is not immediate jeopardy and is evidenced as follows:
A Graduate Practical Nurse (GPN) was hired by the facility on 8/5/11 and remained employed until 9/12/11. A review of employee files was conducted on 10/19/11 at 8:40 am. It was determined this individual lacked a CHRC prior to or during employment. The Employee Benefits Coordinator was interviewed at this time who stated that she informed that it was not necessary to conduct a CHRC on this individual because she was in transition to become a Licensed Practical Nurse.
10NYCRR 402.6(a)