OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by: Based on observation, interview, and record review, it was determined the facility failed to ensure food was handled, and the kitchen was maintained, in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: Observations of the facility kitchen, food storage areas, food preparation, and food service with Staff 1 (Regional Director of Operations) on 10/21/24 revealed: * The were no testing strips available to ensure the sanitizing solution was at the correct ratio. There was no documented evidence the sanitizer solution was tested to ensure correct ratios. * There was no evidence cooked food temperatures were consistently monitored. * Plates delivered to residents rooms were not covered. * Spills, splatters, and debris were noted inside draws and cabinets. * Eggs and thawing chicken were stored in the refrigerator over ready to eat foods. An uncovered bowl of cut melon was observed on the kitchen counter. At 10:45 am, Universal Staff serving food stated the melon had been cut for breakfast around 7:30 am that morning. The temperature of the melon was taken and in excess of 41 degrees Fahrenheit (F). There was no system in place to ensure hot foods were maintained at 135° F or above and cold foods maintained at 41° F or below when being served. The food handling and storage findings were reviewed with Staff 1 on 10/21/24. She acknowledged the findings.

1. Removed sanitation buckets and using a different santizing product; Temp logs for fridge located and used; The fridge has been labeled where raw foods/eggs go. Scheduled a staff training on food safety/policy and procedures including: food temps, room trays/covers, etc. All hot foods are being put in the oven on a safe temp to keep warm. The cabinets have been cleaned and relined. 2. Regular audits of kitchen binder with cleaning logs, temp logs etc. and staff education. 3. Daily and Weekly audits 4. The Assistant Executive Director and Executive Director

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by:

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: Based on observation, interview, and record review, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to: Refer to C 240.

Refer to C 240

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: