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 kitchen practices and protocols were in accordance with the Food Sanitation Rules OARs 333-150-0000. Findings include, but are not limited to: On 10/07/26 at 11:00 am, the facility kitchen was observed to need cleaning in the following areas: * Exterior, top and below the dishwasher – dried debris/smears/splatters; * Wall and caulking behind spray hose on dirty side of dishwasher – black matter build up; * Drain below dishwasher – debris/brown stains; * Sides of plate warmer, convection oven, stove and wall next to flat top grill – grease and food drips/spills/splatters; * Commercial can opener blade – black matter build up; * Ceiling vent above handwashing sink – black matter build up; * Drain under two sink counter – debris/brown matter build up; and * Fire extinguisher – build up of dust. Improper food storage included: * Opened packages of food without dates – included cold cereal/frozen berries/cookies; and * Bulk food stored with cups in product – included brown sugar/granulated sugar/powdered product (not labeled). Other area of concern included: Colored cutting boards – significantly scored and worn. The areas of concern were observed and discussed with Staff 1 (Dietary Services Director and discussed with Staff 2 (Executive Director) and Staff 3 (Business Office Manager) on 10/07/26. The findings were acknowledged at 12:45 pm.

1) A. Exterior, top, below the dishwasher was cleaned and disinfected. Small debris and smears and splatter cleaned. Drain below dishwasher cleaned and disinfected debris and brown stains removed. Also drain under two-sinks cleaned and disinfected. B. Wall and caulking behind the spray hose on other side of dishwasher black matter and buildup have been cleaned. Community is getting a stainless steal backsplash and replacing the old backsplash putting new caulking around all edges and seams to ensure a proper seal to provent matter buildup. C. Plate warmer and convection warmer have been immediatley cleaned, food drips and spills removed. D. Ceiling vents and commercial can opener blade cleaned. E. Fire extinguisher was dusted and wiped down. F. Packages of food cold cereal, berries and cookies have open stickers put on. G. Bulk food the cups have been removed from the suger, brown suger and are labeled. H. All new cutting boards have been purchased. 2) Daily kitchen cleaning checklist was revised making sure above items are included. Staff inserviced to remove all cups from Bulk food and follow food storage labeling requirments. 3) Adherance to these areas of correction will be monitored daily by review of checklists completed daily by staff and walk through weekly by Dining Service Manager. 4) Dining Service Manager and Executive Director will be responsible for ongoing compliance.

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.

Please refer to plan of correction for C240