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GUIDANCE TO SURVEYORS - LONG TERM CARE FACILITIES TAG NUMBE R F371 Cont. REGULATION GUIDANCE TO SURVEYORS Refrigerator storage of food to prevent food borne illness includes storing raw meat away from vegetables and other foods. Raw meat should be separated from cooked foods and other foods when refrigerated on its own tray on a bottom shelf so meat juices do not drip on other foods. Foods of both plant and animal origin must be cooked, maintained and stored at appropriate temperatures. o Foods of both plant and animal origin must be cooked, and maintained, and stored at appropriate temperatures. These temperatures are better utilized as food hold temperatures rather than the food temperatures as residents receive the food. o Hot foods which are potentially hazardous should leave the kitchen or steam table ; above 140 F, and cold foods at or below 41 F and freezer temperatures should be at 0 below. Refrigerator temperatures should be maintained at 41 F below. The 1993 FDA Food Code can be used as an authoritative guide to clarify regulatory requirements on how to prepare and serve food to prevent foodborne illness. As the public becomes more informed and educated on how to prevent foodborne illness, this code will become the standard of practice the same as the 1976 Food Service Sanitation Manual did prior to 1993. Procedures: 483.35 h ; 2 ; Observe storage, cooling, and cooking of food. Record the time and date of all observations. If a problem is noted, conduct additional observations to verify findings. Observe that employees are effectively cleaning their hands prior to preparing, serving and distributing food. Observe that food is covered to maintain temperature and protect from other contaminants when transporting meals to residents. Refrigerated storage: Check all refrigerators and freezers for temperatures. Use the facility's or the surveyor's own properly sanitized thermometer to evaluate the internal temperatures of potentially hazardous foods with a focus on the quantity of leftovers and the container sizes in which bulk leftovers are stored. Food preparation: Use a sanitized thermometer to evaluate food temperatures. In addition, how do kitchen staff process leftovers? Are they heated to the appropriate temperatures? How is frozen food thawed? How is potentially hazardous food handled during multi-step food preparation e.g., chicken salad, egg salad ; ? Is hand contact with food minimized? Food service: Using a properly sanitized thermometer, check the temperatures of hot and cold food prior to serving. How long is milk held without refrigeration prior to distribution? Food distribution: Is the food protected from contamination as it is transported to the dining rooms and residents' rooms? Rev. 274 06-95 GUIDANCE TO SURVEYORS - LONG TERM CARE FACILITIES. 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If an employee normally reports to an establishment and is injured there, the case goes on that establishment's log. If an employee is injured or made ill while visiting or working at another of the employer's establishments, then the injury or illness must be recorded on the 300 log of the establishment at which the injury or illness occurred e.g., agency engineer ; Cases for employees injured at another employers establishment go on the log of the employee's home establishment e.g., traveling person and alesse!

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