Orchard Post Acute
ORCHARD POST ACUTE in FRESNO, CA — inspection on November 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
office, the CDM stated cleaning the ice machine was a daily responsibility assigned to the aides.
The CDM stated she did not realize the dietary staff needed to clean the sides and underneath areas more thoroughly.
The CDM stated she did not notice the rust and water buildup on the ice machine.
The CDM stated dietary staff, and maintenance should work together to ensure there was no buildup on the ice machine.
The CDM stated the ice from the ice machine was served to residents.
The CDM stated the expectation from dietary staff was that daily attention was needed for exterior surfaces.
The CDM stated cross contamination could occur and residents could get sick.
The CDM stated it was important that both the outside and inside of the machine be cleaned regularly.During a concurrent interview and record review with the Administrator (ADM) and the Director of Nursing (DON) on 11/19/2025 at 5:05 p.m. in the DON's office, the pictures of the ice machine showing white, black and green substances on the exterior side of the ice machine, the picture of the clean white paper towel showing a brownish green substance and the picture of the MTD's finger with a small quantity of black substance from running his finger along the side of the ice machine were reviewed.
The ADM and DON confirmed the presence of the substances.
The DON and the ADM stated they were unaware of the substances on the ice machine.
The ADM stated the substance looked like a collection of dirt.
The DON stated the outside of the ice machine would not create a concern for her, for the residents or for the ice to get cross contaminated.
The DON stated that staff were expected to keep the ice machine clean both inside and outside.
The DON stated that cleaning the ice machine was important for maintaining infection control practices and environmental cleanliness, as well as for reducing the potential for bacterial growth, illness, or other health risk.
The DON stated a clean environment promotes good health.
The DON stated that the facility would initiate plans to add ice machine cleanliness monitoring to the facility's quality assurance and performance improvement (QAPI) programA review of the facility document titled, Job description: Dietary Supervisor (DS), dated 9/2016, the DS indicated, General Purpose.
The Dietary Supervisor will . maintain area and equipment in sanitary condition.
Essential Duties .Maintain kitchen and food storage area in a safe, orderly, clean and sanitary manner.During a review of the facility's document titled, MW, undated, the MW indicated, {Named} Ice Systems, .
User Responsibility: The product must be installed, cleaned and maintained as described in the Manual furnished with the product.It is the User's responsibility to keep the ice machine and ice storage bin in a sanitary condition.
Without human intervention, sanitation will not be maintained.During a review of the facility's document titled, AWM, 10/2016, the AWM indicated, .Exterior Panels-The front, top and side panels are durable stainless steel.
Fingerprints, dust and grease will require cleaning .During the review of the 2022 Food and Drug Administration (FDA) Food Code, Section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils, indicated, .C.
Nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue and other debris .
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