Food Facility Inspection Report  
Bucks County Department of Health
Health Building, Neshaminy Manor Center
Doylestown, PA 18901 (215) 345-3318
Total Violations  5 Date of Inspection  06/13/2024
Risk Violations Count  2 Inspection Time  02.1
Arrival Time 13:22 Recommended for License  N/A
Travel Time 00.3 Facility Closure  NO
Food Facility
MAJESTIC OAKS REHAB AND NURSING CENTER
Address
333 NEWTOWN RD
City/State
WARMINSTER, PA
Zip Code
18974
Telephone
(215) 672-9082
Facility ID #
49F145
Owner
MAJESTIC OAKS NURSING & REHAB LLC
Purpose of Inspection
Reinspection
License Type
Permanent
Risk Category
 4

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS

IN=in compliance    OUT=not in compliance    N/O=not observed    N/A=not applicable
  
COS=corrected on-site during inspection    R=repeat violation
Compliance Status COS R
Demonstration of Knowledge
1 IN Certification by accredited program, compliance with Code, or correct responses    
Employee Health
2 IN Management awareness; policy present    
3 IN Proper use of reporting; restriction & exclusion    
Good Hygienic Practices
4 IN Proper eating, tasting, drinking, or tobacco use    
5 IN No discharge from eyes, nose, and mouth    
Preventing Contamination by Hazards
6 IN Hands clean & properly washed    
7 N/O No bare hand contact with RTE foods or approved alternate method properly followed    
8 IN Adequate handwashing facilities supplied & accessible    
Approved Source
9 IN Food obtained from approved source    
10 N/O Food received at proper temperature    
11 IN Food in good condition, safe, & unadulterated    
12 N/A Required records available: shellstock tags, parasite destruction    
Protection from Contamination
13 IN Food separated & protected    
14 IN Food-contact surfaces: cleaned & sanitized X X
15 IN Proper disposition of returned, previously served, reconditioned, & unsafe food    
 
Compliance Status COS R
Potentially Hazardous Food Time/Temperature
16 N/O Proper cooking time & temperature    
17 N/O Proper reheating procedures for hot holding    
18 IN Proper cooling time & temperature    
19 N/O Proper hot holding temperature    
20 IN Proper cold holding temperature X  
21 IN Proper date marking & disposition    
22 N/A Time as a public health control; procedures & record    
Consumer Advisory
23 N/A Consumer advisory provided for raw or undercooked foods    
Highly Susceptible Populations
24 IN Pasteurized foods used; prohibited foods not offered    
Chemical
25 N/A Food additives: approved & properly used    
26 IN Toxic substances properly identified, stored & used    
Conformance with Approved Procedure
27 N/A Compliance with variance, specialized process, & HACCP plan    
Risk factors are improper practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public Health Interventions are control measures to prevent foodborne illness or injury. * - Critical Item Requiring Immediate Action
GOOD RETAIL PRACTICES
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods.
Compliance Status COS R
Safe Food and Water
28 IN Pasteurized eggs used where required    
29 IN Water & ice from approved source    
30 IN Variance obtained for specialized processing methods    
Food Temperature Control
31 IN Proper cooling methods used; adequate equipment for temperature control    
32 IN Plant food properly cooked for hot holding    
33 IN Approved thawing methods used    
34 IN Thermometer provided & accurate    
35 IN Food properly labeled; original container    
Prevention of Food Contamination
36 OUT Insects, rodents & animals not present; no unauthorized persons   X
37 IN Contamination prevented during food preparation, storage & display    
38 IN Personal cleanliness    
39 IN Wiping cloths: properly used & stored    
40 IN Washing fruit & vegetables    
 
Compliance Status COS R
Proper Use of Utensils
41 IN In-use utensils: properly stored    
42 IN Utensils, equipment & linens: properly stored, dried & handled    
43 IN Single-use & single-service articles: properly stored & used    
44 IN Gloves used properly    
Utensils, Equipment and Vending
45 IN Food & non-food contact surfaces cleanable, properly designed, constructed, & used    
46 OUT Warewashing facilities: installed, maintained, & used; test strips    
47 IN Non-food contact surfaces clean    
Physical Facilities
48 IN Hot & cold water available; adequate pressure    
49 IN Plumbing installed; proper backflow devices    
50 IN Sewage & waste water properly disposed    
51 IN Toilet facilities: properly constructed, supplied, & cleaned    
52 OUT Garbage & refuse properly disposed; facilities maintained    
53 IN Physical facilities installed, maintained, & clean    
54 IN Adequate ventilation & lighting; designated areas used    
Person in Charge (Signature)         Title    Roger Cheeseboro - Food Service Manager Date: 06/13/2024
Inspector (Signature) Jennifer Beagle (150) Date: 06/13/2024
 
  Food Facility Inspection Report  
Bucks County Department of Health
Health Building, Neshaminy Manor Center
Doylestown, PA 18901 (215) 345-3318
Date of Inspection  06/13/2024
Arrival Time  13:22
Recommended for License  N/A
Facility Closure  NO
Facility
Majestic Oaks Rehab and Nursing Center
Address
333 NEWTOWN RD
City/State
WARMINSTER, PA
Zip Code
18974
Telephone
(215) 672-9082
Facility ID #
49F145
Owner
Majestic Oaks Nursing & Rehab LLC
Purpose of Inspection
Reinspection
License Type
Permanent
Risk Category
 4
TEMPERATURE OBSERVATIONS
Item/Location Temp Item/Location Temp Item/Location Temp
Milk/Walk-In Cooler 52 ° F Eggs/Walk-In Cooler 54 ° F Crab cakes/Walk-In Cooler 55 ° F
Ambient/2 door reach-in cooler 40 ° F Ambient/2 door reach-in cooler 24 ° F Ambient/Walk-in freezer 10 ° F
Ambient/Milk cooler 40 ° F Beef -previously frozen/Walk-in cooler 55 ° F  
     
OBSERVATIONS AND CORRECTIVE ACTIONS
Item
Number
Violations cited in this report must be corrected within the time frames below.
*14 *At the beginning of the inspection, chlorine sanitizer was observed at ~25 ppm after the final rinse cycle of the dish machine. The sanitizer was adjusted and retested at 75 ppm.  Corrected On-Site.  Repeat Violation.
*20 *All TCS foods inside the walk-in cooler temped between 52 and 56 degrees F. All TCS food was voluntarily discarded. The unit may not be used until it is repaired and permission for use is granted by BCDH. Submit a work order to the Department.  Corrected On-Site.  New Violation.
36 *Rodent-like droppings observed on the floor, along the walls, in the dry storage area and chemical closet. Clean and sanitize affected areas. Professional pest control reports were provided at the time of inspection.  Repeat Violation.
46 The cold water handle is broken at the faucet above the sanitize basin of the ware washing sink. The handle must be repaired immediately, so that QAT sanitizer is prepared at the proper temperature, according to use criteria (~75 degrees F).  New Violation. To be Corrected By: 06/14/2024
52 -Some debris and decaying matter was observed in the dumpster area.
-A kitchen grease barrel was dented and the lid was not secure.
Clean the area and maintain all receptacles in good repair.
884. Operation and maintenance of storage areas, redeeming machines, receptacles and waste handling units.
(a) Storing refuse, recyclables and returnables. Refuse, recyclables and returnables shall be stored in receptacles or waste handling units so that they are inaccessible to insects and rodents.
(b) Keeping areas, enclosures and receptacles in good repair. Storage areas, enclosures and receptacles for refuse, recyclables and returnables shall be maintained in good repair.
(c) Outside storage prohibitions.
(1) Except as specified in paragraph (2), refuse receptacles not meeting the requirements specified in § 881(d) (relating to storage areas and receptacles for refuse, recyclables and returnables: materials, design, construction and installation) (such as receptacles that are not rodent-resistant, unprotected plastic bags and paper bags, or baled units that contain materials with food residue) may not be stored outside.
(2) Cardboard or other packaging material that does not contain food residues and that is awaiting regularly scheduled delivery to a recycling or disposal site may be stored outside without being in a covered receptacle if it is stored so that it does not create a rodent harborage problem.
(d) Covering receptacles. Receptacles and waste handling units for refuse, recyclables and returnables shall be kept covered as follows:
(1) Inside the food facility if the receptacles and units are filled or contain food residue and are not in continuous use.
(2) With tight-fitting lids or doors if kept outside the food facility.
(e) Using drain plugs. Drains in receptacles and waste handling units for refuse, recyclables and returnables shall have drain plugs in place.
(f) Maintaining refuse areas and enclosures. A storage area and enclosure for refuse, recyclables or returnables shall be maintained free of unnecessary items, as specified in § 981(n) (relating to premises, structures, attachments and fixtures: methods), and clean.
(g) Cleaning receptacles.
(1) Receptacles and waste handling units for refuse, recyclables and returnables shall be thoroughly cleaned in a way that does not contaminate food, equipment, utensils, linens or single-service and single-use articles, and waste water shall be disposed of as specified in § 862(e) (relating to retention, drainage and delivery of sewage, other liquid waste and rainwater).
(2) Soiled receptacles and waste handling units for refuse, recyclables and returnables shall be cleaned at a frequency necessary to prevent them from developing a buildup of soil or becoming attractants for insects and rodents.  New Violation. To be Corrected By: 06/14/2024
   
General Remarks
*Roger Cheeseboro has a valid Serv-Safe certification. The facility must submit the CFSM application to the Department within 5 business days.
-In addition to the routine inspection, a complaint of pest activity was also investigated.

*BCDH will conduct a compliance inspection on or before 06-27-24, due to critical and repeated violations. The facility may be charged a regulatory fee for each compliance inspection.
Person in Charge (Signature)         Title    Roger Cheeseboro - Food Service Manager Date: 06/13/2024
Inspector (Signature) Jennifer Beagle (150) Date: 06/13/2024