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 and interview, it was determined the facility failed to ensure the kitchen was maintained in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: On 12/03/25 at 4:30 pm, the facility kitchen was observed to need cleaning and repair in the following areas: a. Food spills, splatters, debris, dirt and/or black matter was observed on or underneath the following: * Oven interior; * Floor perimeter; * Floor of dry storage closet; and * Exterior of several drawers and cabinets. b. The following areas needed repair: * The half-doors on both sides of the kitchen had chipped and/or worn paint on the upper ledges. c. Countertops had a large accumulation of miscellaneous items which included but were not limited to: staff drinks, fast food bags, charging cords, soiled dishes and flatware, baskets of assorted items, binders, scissors and cleaning supplies. d. The standing mixer, bowl, and mixing paddle were uncovered creating potential for cross contamination. The need to ensure the kitchen was clean, in good repair, and that Food Sanitation Rules were followed was discussed with Staff 1 (ED) and Staff 2 (Assistant ED) during a tour of the kitchen on 12/03/25 at 5:35 pm. The findings were acknowledged.

1A. Oven interior, Floor, Closet, exterior drawers were all deep cleaned. 1B. half doors on both sides of the kitchen were repaired and repainted. 1C. Staff items and none kitchen items were removed from the kitchen. 1D. All counters were decluctered, kitchen appliances stored when not in use. 2A. NOC shift to deep clean all exterior, interior cabinets and floors weekly on Tuesdays. Executive Director will audit every Wednesday. 2B. Side doors added to Maintenance log monthy for any repairs. 2C. Staff have been reeducated about cross contamination. All items will be kept in employee break room. 2D. Executive Director will do spot checks for counter clutter. All appliances not in use will br stored in a specific storage area. Continued on page 3.

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 and interview, 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 C240.

See C240