inspection reports for non-salem dispensaries

8/11/2019 Inspection Reports for non-Salem dispensaries

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Inspection Findings Report

Oregon Health Authority | Medical Marijuana Dispensary ProgramPO Box 14116 | Portland, OR 97293

mmj.oregon.gov

Facility: The Herb Center2205 NE Division StreetBend, OR 97701

MMD No : 97215

Inspection date: July 10, 2014

Page 1 of 4

Inspection Findings:

Recommendations Lab reports of testing and testing-related information were maintained

electronically but only accessible by email account. Electronically file labreports and testing-related information and so all employees can easilyaccess those documents.

Deficiencies

OAR 333-008-1140: Securityo 1140(4)(a) When the facility is open, usable product are not locked and

accessible only by authorized personnel.o 1140(5)(b) When the facility is closed, not all usable marijuana is kept in

a safe.o 1140(6)(c) Hard-copy archives are not kept in a locked storage area.

OAR 333-008-1160: Video Surveillance Equipmento 1160(3)(b) The DVR/surveillance system does not notify the PRF or

employees of a failure.

OAR 333-008-1190: Testingo 1190(10) The facility did not have a log tracking those authorized to do

testing in/out of secure or restricted access areas.

OAR 333-008-1200: Operationo 1200(1)(a) Minors could not be prevented in areas where usable

marijuana was present.o Door to the dispensing room was left open. Swing doors installed

do not provide for the dispensary to be a secure area.o 1200(2) Scale located in dispensing room is not approved by the

Department of Agriculture and should not be used for per-packaged items.o 1200(3) Unauthorized persons could be permitted into areas where

usable marijuana are present.o Doors to the dispensing room were left open

o 1200(4)(a) The facility lacked written procedures for security.o 1200(4)(b) The facility lacked written procedures for testing.o 1200(4)(c) The facility lacked written procedures for transfers to and

from the facility.o 1200(4)(d) The facility lacked written procedures for operation.


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mmj.oregon.gov


MMD No : 97215


Page 2 of 4

o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.

OAR 333-008-1210: Record Keepingo 1210(1)(a) Authorization to Transfer forms were not maintained

electronically.o 1210(1)(c) Revocations of Authorization of Transfer forms were not

maintained electronically and/or were not easily accessible.

OAR 333-008-1220: Labelingo 1220(1)(e) Labels for dried flowers and/or edibles did not include who

performed the testing.

OAR 333-008-1225: Packagingo 1225(2)(a)(b) Packaging for usable marijuana, including flower, was not

placed in child-resistant containers (tamper-proof, re-closable, opaque,and labeled).

OAR 333-008-1230: Transfers to a Registered Facil ityo

1230(1)(b) Authorization to Transfer forms did not contain the name,OMMP number, expiration date, and/or contact information of the personauthorized to make the transfer.

o Forms were incomplete and missing caregiver and growerinformation.

o 1230(6)(a) The facility authorization forms on file that authorizes theindividual that is transferring the usable marijuana to make the transfer.

o 1230(6)(b) The individual transferring the usable marijuana is theindividual authorized to make the transfer.

o Authorization Transfer forms were incomplete and lacked theproper authorization.

o

1230(7)(f) Documentation for received product did not include whotransferred the usable marijuana, the individuals OMMP card number andexpiration date of the card, a copy of the individuals picture identification,the date the usable marijuana or an immature plant was received, and/orthe name of the patient who authorized the transfer.

o Forms were incomplete and missing appropriate informationrequired for an authorized transfer.


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mmj.oregon.gov


MMD No : 97215


Page 3 of 4

o 1230(7)(d) PRF must ensure that when a registered facility accepts thetransfer of usable marijuana the amount and/or units of finished productsis documented.

o Usable marijuana should not be put out for transfer until the productis accounted for and formal documentation is completed.

o 1230(10) Could not account for its inventory or the amount of usablemarijuana at the registered facility. The facilitys usable marijuana was notwithin 5% of inventory nor was all inventories kept on-site.


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mmj.oregon.gov

Facility: DiamondTREE Inc.2715 NE HWY 20Bend, OR 97701

MMD No : 01429


Page 1 of 4


Recommendations

Dried plant material was observed in the old bank drop box. While it isunknown if the drop box is being used, be advised that per OAR 333-008-1140(4), the old bank drop box may not be used to transfer any form ofuseable marijuana to and from the dispensary.

Deficiencies

OAR 333-008-1140: Securityo 1140(4)(a) When the facility is open, usable product and plants are not

locked and accessible only by authorized personnel.Medibles were located in the dispensary in an area that was easilyaccessible by patients.

o 1140(5)(b) When the facility is closed, not all usable marijuana is kept ina safe.Edibles in the refrigerator are not locked away when the facility is closed.Placing a lock on the refrigerator would correct this item.

OAR 333-008-1150: Alarm Systemo 1150(4)(c) There are not two (2) panic buttons operational, or linked to

the alarm system.


employees of a failure.This item was not able to be reviewed during the inspection. Please senda copy of the notification that is received.

o 1160(3)(c) The surveillance system did not provide for at least 60

minutes of power.The battery backup only ran for 15 minutes when tested during theinspection.

OAR 333-008-1170: Cameras Coverage and Placemento 1170(1)(d) The facility lacks cameras covering all points of entry to and

exit from the facility.


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mmj.oregon.gov


MMD No : 01429


Page 2 of 4

o 1170(2) The facility lacks cameras that are capable of clearingidentifying activity occurring within 15 feet of entry/exit.Cameras must be placed on the outside to cover all points of entry andexit to the dispensary.

OAR 333-008-1180: Video Recording Requirementso 1180(2)(a) Surveillance recordings were not kept for a minimum of 30

days.Video recordings could only be retrieved as far back as July 1, 2014.

o 1180(2)(b) The facility could not produce a color still photo from any

camera image.

OAR 333-008-1190: Testingo 1190(7)(a) Immature plants with visible pesticide residue, mold, and/or

mildew were not returned.The inventory indicated there should be 46 clones on site but only 17 wereaccounted for in the dispensary.There was no documentation to showwhat happened to the other 29 clones. The manager indicated that someplants had mites and were thrown out but there was no documentation toshow this had happened.

o 1190(10) The facility did not have a log tracking those authorized to do

testing in/out of secure or restricted access areas.There needs to be a separation of when someone is coming in as apatient verse when they are coming in to perform work at the facility. Atracking log needs to be kept when a person is coming in and out ofsecure or restricted areas that patient typically do not access.

OAR 333-008-1220: Labelingo 1220(1)(b) Labels on pre-packaged usable marijuana did not include the

weight or volume.o 1220(1)(d) Labels for dried flowers and/or edibles did not include the

potency information.

o 1220(1)(e) Labels for dried flowers and/or edibles did not include whoperformed the testing.There was an inconsistency with the labels found on edibles. The PRF isresponsible for making sure all labels content the information required.


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mmj.oregon.gov


MMD No : 01429


Page 3 of 4

OAR 333-008-1225: Packagingo 1225(2)(a)(b) Packaging for usable marijuana was not placed in child-

resistant containers (tamper-proof, re-closable, opaque, and labeled).Flowers were being placed in opaque zip lock baggies. All usablemarijuana, including flower, must be placed in child-resistant containers asindicated in rule.

OAR 333-008-1230: Transfers to a Registered Facil ityo 1230(1)(b) Authorization to Transfer forms did not contain the name,

OMMP number, expiration date, and/or contact information of the person

authorized to make the transfer.o 1230(7)(f) Documentation for received product did not include who

transferred the usable marijuana or the immature plant, the individualsOMMP card number and expiration date of the card, a copy of theindividuals picture identification, the date the usable marijuana or animmature plant was received, and/or the name of the patient whoauthorized the transferThe dispensary must use the Authorize to Transfer form prescribed by theAuthority. In addition, the dispensary my chose to use the form theycreated (form 1210). If the dispensary continues to use form 1210, it maynot use the Authoritys logo on any paperwork created by the dispensary.

Form 1210 did not include all information needed to be retained by thedispensary such as the caregivers and growers name, OMMP card andexpiration date.

o 1230(10) The facility could not account for all inventory.o 1230(10) The facilitys usable marijuana was not within 5% of inventory.

Review the MMJMenu software to ensure it is accurately trackinginventory as it is being sold. Weights of flower weighted were notaccurate.


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mmj.oregon.gov


MMD No : 01429


Page 4 of 4

Advisement on how to respond to Def ic iencies:

The PRF must submit a signed plan of correctionpostmarkedwithin 10business days from the date of this letter.

The PRF must correct all deficiencies within 10 days from the date of thisletter, unless an extension is requested from the Authority. A request for such anextension shall be submitted in writing and must accompany the plan ofcorrection.

Include the following information in all correspondence relating to this report:

MMD #

A list of corrective action items that have been completed, including:

o The date the item was completedo Steps taken to prevent recurrence of the deficiencyo Any supporting documentation

A plan of proposed corrective actionso Include the estimated date(s) of completion

Include a written request for extension if any of the estimated datesexceed 10 days from the date of this letter

o As corrective action items are completed, send: The list of items completed The date(s) of completion

Steps taken to prevent recurrence

Any supporting documentation Signed acknowledgement from the PRF

If there is no written response within the designated time frame, or the response isinadequate, the dispensary may be subject to civil penalties of up to $500 per day perviolation, or registration revocation.

Dated:July 10, 2014

Compliance Inspectors: Margaret Lut, & Keith Moen


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mmj.oregon.gov

Facility: Amazon Organics3443 Hilyard StEugene, OR 97405

MMD No : 05545

Inspection date: June 24, 2014

Page 1 of 2


Recommendations It is recommended that the dispensary install an additional panic button near

the POS. Camera positioning resulted in insufficient coverage for both computer

terminals. It is recommended that camera angle be adjusted for improvedsecurity.

Deficiencies

OAR 333-008-1140: Securityo 1140(4)(b)(c) The facility lacked proper signage for transfer areas.



OAR 333-008-1180: Video Recording Requirementso 1180(2)(a) During the inspection, the dispensary could not view

surveillance recordings for the required 30 days.o 1180(2)(b) The facility could not produce a color still photo from any

camera image.

OAR 333-008-1190: Testingo 1190(10) The facility did not have a log tracking those authorized to do


OAR 333-008-1200: Operation 1200(2) Scales were not approved by the Department of Agriculture.

(http://www.oregon.gov/ODA/MSD/pages/5points.aspx)o 1200(4)(a) The facility lacked written procedures for security.o 1200(4)(b) The facility lacked written procedures for testing.o

1200(4)(c) The facility lacked written procedures for transfers to andfrom the facility.o 1200(4)(d) The facility lacked written procedures for operation.o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.


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mmj.oregon.gov


MMD No : 05545


Page 2 of 2


electronically and/or were not easily accessible.o 1210(1)(d) All information for transfers to and/or from the facility is not

maintained electronically.o 1210(1)(h) Lab reports of testing and testing-related information were

not maintained electronically and/or were not easily accessible.

OAR 333-008-1220: Labelingo 1220(1)(a) Labels for edibles did not always include the amount of THC

and CBD.o 1220(1)(c) Labels for prerolls did not include the amount of usable

marijuana in the finished product in metric units.o 1220(1)(d) Labels for edibles did not always include the potency

information.o 1220(1)(e) Labels for edibles did not always include who performed the

testing.o 1220(2) Non-flower products were not all labeled WARNING;

MEDICINAL PRODUCT KEEP OUT OF REACH OF CHILDREN

OAR 333-008-1225: Packagingo

1225(2)(a)(b) Not all usable marijuana, specifically Pop Naturalconcentrate pens, was placed in child-resistant containers (tamper-proof,re-closable, opaque, and labeled).

OAR 333-008-1230: Transfers to a Registered Facilityo 1230(10) The facilitys inventory of dried flowers was not within 5% of

inventory.


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mmj.oregon.gov


MMD No : 05545


Page 3 of 2

Advisement on how to respond to Deficiencies:




MMD #









Dated:June 30, 2014

Compliance Inspectors: Erin Kennedy & Keith Moen


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mmj.oregon.gov

Facility: Divine Kind8601 SW Terwilliger BlvdPortland, OR 97219

MMD No : 07445






MMD # A list of corrective action items that have been completed, including:




o As corrective action items are completed, send: The list of items completed

The date(s) of completion

Steps taken to prevent recurrence Any supporting documentation

Signed acknowledgement from the PRF


Dated:July 3, 2014

Compliance Inspectors: Keith Moen


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mmj.oregon.gov

Facility: Canna-Daddys Wellness Center16955 SE Division St.Portland, OR 97236

MMD No : 10505


Page 2 of 4

.o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.


electronically.o 1210(1)(d) All information for transfers to and/or from the facility is not


not maintained electronically.

OAR 333-008-1220: Labelingo 1220(1)(a) Labels for edibles did not include the amount of THC and

CBD.o 1220(1)(b) Labels on pre-packaged usable marijuana did not include the

weight or volume.o 1220(1)(d) Labels for edibles did not include the potency information.o 1220(1)(e) Labels for edibles did not include who performed the testing.o

1220(2) Non-flower products were not labeled WARNING; MEDICINALPRODUCT KEEP OUT OF REACH OF CHILDREN

The locking refrigerator in the dispensary contained marijuana infusedsoups and cheesecake that were not labeled or segregated from otheredibles that were available for transfer to a patient. Dispensary refrigeratorshould not be used as storage for edibles not ready for transfer to apatient.

In addition, ensure all useable marijuana products, including tinctures,cough syrup, etc. include all information required on labels.

OAR 333-008-1225: Packagingo 1225(2)(a)(b) Usable marijuana was not placed in child-resistant

containers (tamper-proof, re-closable, opaque, and labeled).This includes containers for dried flower and per-rolls.

OAR 333-008-1230: Transfers to a Registered Facility


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mmj.oregon.gov

Facility: Canna-Daddys Wellness Center16955 SE Division St.Portland, OR 97236

MMD No : 10505


Page 3 of 4

o 1230(1)(a) Authorization to Transfer forms did not contain the patientsname, OMMP number, expiration date, and/or contact information.

o 1230(1)(b) Authorization to Transfer forms did not contain the name,OMMP number, expiration date, and/or contact information of the personauthorized to make the transfer.

o 1230(7)(a) Documentation for received product did not include a uniqueidentifier.

o 1230(7)(b) Documentation for received product did not include theweight in metric units.

o 1230(7)(d) Documentation for received product did not include theamount of a finished product.

o 1230(7)(e) Documentation for received product did not include adescription of the form of the usable marijuana.

o 1230(9)(a) Untested usable marijuana was not segregated, withheldfrom use, and/or was not in a secure location.

The locking refrigerator in the dispensary contained marijuana infusedsoups and cheesecake that were not labeled or segregated from otheredibles that were available for transfer to a patient. Dispensary refrigeratorshould not be used as storage for edibles not ready for transfer to apatient.

o 1230(10) The facility could not account for all inventory. In addition,usable marijuana was not within 5% of inventory.

Inventory included negative amounts and was found to be over the 5%allowed for many products checked. Reconciliation for all products shouldbe conducted on a more regular basis.


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mmj.oregon.gov

Facility: Herbalist Farmer45 NE 122ndAvePortland, OR 97220

MMD No : 12485


Page 1 of 4


Recommendations The locks on the back door should be upgraded.

The video monitor had several burn-in marks that made it difficult to see thecamera angles and the monitor should be replaced.

Dispensary record-keeping was generally disorganized, making it difficult tolocate information. Recording keeping should be organized.

Paraphernalia used for employee on-site medicating should be kept awayfrom spaces used to perform business.

DeficienciesOAR 333-008-1140(4)(b)(c) Security

Dispensary lacked proper required signage for all transfer areas.

OAR 333-008-1140(5)(b) SecurityWhen facility is closed, not all usable marijuana is kept in a safe; instead,only dried flower is put in the safe for the night.

OAR 333-008-1140(6)(a)(b);1210(1)(a) through (g) Security; Record KeepingThe facility lacked any electronic records. Patients were checked-in on amanual notepad.

OAR 333-008-1140(6)(c) SecurityHard copy records were not kept in a locked storage area.

OAR 333-008-1160(3)(b) Video SurveillanceThe DVR/Surveillance system was not set up to notify the PRF of asystem failure.

OAR 333-008-1160(3)(c) Video SurveillanceThe security system lacked a battery back-up capable of providing aminimum of 1 hour of power.

OAR 333-008-1180(2)(a) Video Recording EquipmentSurveillance recordings were not kept for a minimum of 30 days.

OAR 333-008-1180(2)(b) Video Recording EquipmentThe facility was unable to produce a color, still photo from any cameraimage.

OAR 333-008-1190(1) and (4)(c) TestingIt could not be demonstrated that products were tested for mold, mildew,and pesticides before transfer to patients/caregivers.


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mmj.oregon.gov


MMD No : 12485


Page 3 of 4

OAR 333-008-1230(10) Transfers to the FacilityDispensary could not account for all items in inventory and there wereconsistent gaps greater than 5% between what was stated in the inventorysystem and what was actually in stock.

OAR 333-008-1245(3)(a) Transfers to the Patient/CaregiverNot all transfer documents included the name, OMMP card number, andexpiration date of the transferee.

OAR 333-008-1245(3)(b) Transfers to the Patient/CaregiverDocumentation for transfers from the facility did not include a copy ofpatient/caregiver photo ID.

OAR 333-008-1245(3)(c)(d) Transfers to the Patient/CaregiverTransfer documentation did not consistently include the amount of usablemarijuana or number of plants transferred in metric units.

OAR 333-008-1245(3)(e) Transfers to the Patient/CaregiverTransfer documentation did not consistently include the amount of finishedproduct.

OAR 333-008-1245(3)(g) Transfers to the Patient/CaregiverTransfer documentation did not consistently include the date of transfer.

OAR 333-008-1245(3)(h) Transfers to the Patient/Caregiver

Transfer documentation did not include the amount of money paid for thetransfer.


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mmj.oregon.gov


MMD No : 12485


Page 4 of 4


The PRF must submit a signed plan of correction postmarkedwithin 10business days from the date of this letter.



MMD #









Dated:June 17, 2014

Compliance Inspectors: Erin Kennedy, Margaret Lut, & Keith Moen


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mmj.oregon.gov

Page 1of 3

Facility: Oregon Resources Marketing LLCDBA Oregons Finest1327 NE Kearney Street

Portland, OR 97209

MMD No : 16217



Recommendations

License was displayed on the refreshment counter. Recommend license belocated in a more conspicuous location like the lobby or dispensing area andthe transfer room.

There is no panic button located in the dispensing area. Also, someemployees were not sure where the panic buttons were located. It isrecommended that staff be educated on the location and use of the panic

buttons and that one be located in the dispensary. It is recommended that the PRF maintain a list of employees, their roles, and

their access in the dispensary so that authorized personnel are clearlydefined.

Inventory was reconciled monthly. It is recommended that inventory bereconciled more frequently in order to better account for loss. In addition, thePRF should improve internal inventory control as some product was notinventoried at the time of inspection.

DeficienciesOAR 333-008-1160(3)(b) DVR/Surveillance system failure notification system

notifies the PRF or employees.This feature was not set up at the time of inspection.

OAR 333-008-1180(2)(a) Surveillance recordings must be kept for a minimumof 30 days

During the inspection, surveillance recordings could only be reviewedback to 5/16/14, which is 18 days.

OAR 333-008-1180(2)(b)(c) The surveillance system is capable of producing acolor still photo from any camera and the image is date and time stampembedded.

The PRF was unable to produce a still from the surveillance system.

OAR 333-008-1190(10) Tracking personnelDispensary did not track the name, date in, and date out of laboratorypersonnel entering the facility.


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mmj.oregon.gov

Facility: Powell House Cannabis Club5311 SE Powell BlvdPortland, OR 97206

MMD No : 18544

Inspection date: May 22, 2014


Recommendations Keys to the surveillance equipment were kept in a box in the secure room. It is

recommended that all keys remain in the possession of the PRF or authorizedemployees.

When battery backup was activated, no notification was received to PRF oremployee. It is recommended that a notification be sent when system is forced to runon battery backup.

It is recommended that the PRF maintain a list of employees, their roles, and theiraccess in the dispensary so that authorized personnel are clearly defined.

It is recommended that written procedures include instructions for employees otherthan the PRF.

Scales were located on glass display cases and demonstrated fluctuation as a resultof leaning or bumping against the case. It is recommended that scales be moved to amore stable surface.

Inventory was reconciled monthly. It is recommended that inventory be reconciledmore frequently in order to better account for loss.

DeficienciesOAR 333-008-1220(1)(e) Labeling

Labels on edibles did not contain who performed the lab testing.

OAR 333-008-1190(10) Tracking personnelDispensary did not track the name, date in, and date out of laboratory personnelentering the facility.


The PRF must submit a signed plan of correction within 10 business days fromthe date of this letter.

The PRF must correct all deficiencies within 10 days from the date of this letter,unless an extension is requested from the Authority. A request for such anextension shall be submitted in writing and must accompany the plan ofcorrection. Send supporting documentation as evidence of compliance with the

rules.

If there is no written response within the designated time frame, or the response isinadequate, the dispensary may be subject to civil penalties of up to $500 per day perviolation.

Dated:May 30, 2014

Compliance Inspectors: Margaret Lut, Keith Moen, & Erin Kennedy


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mmj.oregon.gov

Facility: Oregon Medigreen570 Lawrence St #112Eugene, OR 97401

MMD No : 19162


OAR 333-008-1225: Packagingo 1225(2)(a)(b) Packaging for pre-rolls was not child-resistant.

OAR 333-008-1230: Transfers to a Registered Facilityo 1230(10) The facility could not account for all inventory.o 1230(10) The facilitys usable marijuana was not within 5% of inventory.


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mmj.oregon.gov

Facility: Emerald City Medicinal DeliveryService, LLC1474 W 6thAve

Eugene, OR 97402

MMD No : 21244



Recommendations It appeared that the surveillance system was configured to notify the PRF of

failure; however, it is recommended that the PRF test this configuration toensure consistent notifications are received.

The process for transfers to patients/caregivers was a manual process and,although all required information was documented, it is recommended that thefacility improve this process (i.e. an electronic Point of Sale system) in orderto increase accuracy and improve accessibility.

Deficiencies

OAR 333-008-1140: Securityo 1140(4)(b)(c) The facility lacked proper signage for transfer areas.o 1140(5)(b) When the facility is closed, not all usable marijuana is kept in

the safe.o 1140(6)(c) Hard-copy archives are not kept in a locked storage area;

rather, they were kept in an unlocked cabinet.

OAR 333-008-1160: Video Surveillance Equipmento 1160(3)(a)(E) The surveillance system does not include a color printer.o 1160(3)(c) The surveillance system did not include a battery backup,

that provides for at least 60 minutes of power.


days.o 1180(2)(b) The facility could not produce a color still photo from any

camera image.

OAR 333-008-1200: Operationo 1200(1)(a) Because there was a space between wall and ceiling, minors

could not be prevented from entering areas where usable marijuana ispresent.

o 1200(2) Scales were not approved by the Department of Agriculture.(http://www.oregon.gov/ODA/MSD/pages/5points.aspx)

o 1200(3) Because there was a space between wall and ceiling,unauthorized persons could not be prevented from entering areas whereusable marijuana is present.

o 1200(4)(a) The facility lacked written procedures for security.


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mmj.oregon.gov


Eugene, OR 97402

MMD No : 21244


o 1200(4)(b) The facility lacked written procedures for testing.o 1200(4)(c) The facility lacked written procedures for transfers to and

from the facility.o 1200(4)(d) The facility lacked written procedures for operation.o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.


electronically and easily accessible.o 1210(1)(d) All information for transfers to and/or from the facility is not

maintained electronically.o 1210(1)(e) Documentation of the cost of doing business was not

maintained electronically and easily accessible.o 1210(1)(f) Documentation of the amount paid to a grower for each

transfer was not maintained electronically and easily accessible.o 1210(1)(g) The amount of money paid by each cardholder was not

maintained electronically and easily accessible.o 1210(1)(h) Lab reports of testing and testing-related information were

not maintained electronically and easily accessible.

OAR 333-008-1225: Packagingo 1225(2)(a)(b) Usable marijuana (dried flower and edibles) was not

placed in child-resistant containers (tamper-proof, re-closable, opaque,and labeled). Glass containers had screw-on lids.


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mmj.oregon.gov


Eugene, OR 97402

MMD No : 21244






MMD # A list of corrective action items that have been completed, including:








Dated:July 1, 2014



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mmj.oregon.gov

Facility: High Quality Compassion1300 NW 9thStCorvallis, OR 97330

MMD No : 23829



Recommendations The lock on the door to the back alley, although commercial, could be

replaced with a sturdier unit. In order to improve inventory accuracy, it is recommended that the dispensary

differentiate between different sizes of pre-packaged usable marijuana instock.

Some warning labels on packages could be made larger (or supplementedwith larger labels).

Deficiencies

OAR 333-008-1160: Video Surveillance Equipmento 1160(3)(c) During the inspection, it could not be demonstrated that the

surveillance system included a battery backup capable of providing for atleast 60 minutes of power.

OAR 333-008-1180: Video Recording Requirementso 1180(2)(b) During the inspection, it could not be demonstrated that the

facility could produce a color still photo from any camera image.

OAR 333-008-1200: Operationo 1200(4)(a) The facility lacked written procedures for security.o 1200(4)(b) The facility lacked written procedures for testing.o 1200(4)(c) The facility lacked written procedures for transfers to and

from the facility.o 1200(4)(d) The facility lacked written procedures for operation.o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.


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mmj.oregon.gov

Facility: High Quality Compassion1300 NW 9thStCorvallis, OR 97330

MMD No : 23829






MMD #









Dated:July 7, 2014

Compliance Inspectors: Erin Kennedy


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mmj.oregon.gov

Facility: ReLeaf MM1034 SE 122ndAvePortland, OR 97233

MMD No : 24134


Page 1 of 4


Recommendations Recommend removing pictures from your website that indicate a drive-thru is

coming soon. They are in the photo gallery of the dispensary. A better documentation system is needed to show that clones have been

tested. While consumption on premises is allowed by employees who are OMMP

card holders, ensure it is happening in a closed room, they are alone and outof view from anyone in the dispensary.

Deficiencies

o OAR 333-008-1140: Securityo 1140(4)(a) When the facility is open, usable product and plants are not

locked and accessible only by authorized personnel.The door to the dispensary must be a locked door that is kept locked andcan only be accessed by authorized personnel.

o 1140(5)(b) When the facility is closed, not all usable marijuana is kept ina safe. A safe is defined as: a metal receptacle with a locking mechanismcapable of storing all usable marijuana at a registered facility that isrendered immobile by being securely anchored to a permanent structureof the building, Ensure your safe is anchored and that the refrigeratorsused to store medibles is lockable and secured.

o 1140(6)(a) The facilitys electronic records were not encrypted and/ornot securely stored.

o 1140(6)(b) The facilitys electronic records are not backed up.

o OAR 333-008-1160: Video Surveillance Equipmento 1160(4) Video equipment/recordings are not locked and accessible only

to PRF and authorized employees.

o OAR 333-008-1180: Video Recording Requirementso 1180(1) The facilitys video for all points of entry/exit are not monitored

by motion sensors.A motion sensor needs to be installed in the lobby.

o 1180(2)(a) Surveillance recordings were not kept for a minimum of 30days.

o OAR 333-008-1190: Testing


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Page 3 of 4

o 1230(1)(a) Authorization to Transfer forms did not contain the patientsname, OMMP number, expiration date, and/or contact information.

o 1230(1)(b) Authorization to Transfer forms did not contain the name,OMMP number, expiration date, and/or contact information of the personauthorized to make the transfer.

o 1230(1)(c) Authorization to Transfer forms did not contain the name andaddress of the facility receiving the product.

o 1230(7)(f) Documentation for received product did not include whotransferred the usable marijuana or the immature plant, the individualsOMMP card number and expiration date of the card, a copy of theindividuals picture identification, the date the usable marijuana or animmature plant was received, and/or the name of the patient whoauthorized the transfer

o 1230(10) The facility could not account for all inventory. The facilitysusable marijuana was not within 5% of inventory.


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MMD No : 24134


Page 4 of 4





MMD #









Dated:July 31, 2014

Compliance Inspectors: Margaret Lut


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Facility: Mt. Hood Wellness Center2532 NE Broadway StPortland, OR 97232

MMD No : 27102


Page 1 of 3


Recommendations Recommend making your procedures more robust for the following areas:

security required record keeping, transfers to and from the facility, andviolations and enforcement.

Deficiencieso OAR 333-008-1140: Security

o 1140(5)(b) When the facility is closed, not all usable marijuana is kept ina safe. The refrigerator used to store medibles must be lockable.

o OAR 333-008-1150: Alarm Systemo 1150(1) Not all points of entry and exit were alarmed. The door inside

the dispensary that leads to the buildings main hallway needs to bealarmed.

o OAR 333-008-1170: Cameras Coverage and Placemento 1170(2) The facility lacks cameras that are capable of clearing

identifying activity occurring within 15 feet of entry/exit.

o OAR 333-008-1210: Record Keepingo 1210(1)(a) Authorization to Transfer forms were not maintained

electronically.o 1210(1)(d) All information for transfers to and/or from the facility is not

maintained electronically.

o OAR 333-008-1220: Labelingo 1220(1)(b) Labels on pre-packaged usable marijuana did not include the

weight or volume.o 1220(1)(d) Labels for some edibles did not include the potency

information.

The labeling information on some Nanas Naturals products did notinclude the appropriate labeling information. Please ensure all useablemarijuana products contain information required.

o OAR 333-008-1225: Packagingo 1225(2)(a)(b) Packaging for usable marijuana was not placed in child-

resistant containers (tamper-proof, re-closable, opaque, and labeled).Containers used must be opaque.


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Facility: Mt. Hood Wellness Center2532 NE Broadway StPortland, OR 97232

MMD No : 27102


Page 3 of 3





MMD #









Dated:June 3, 2014

Compliance Inspectors: Margaret Lut


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Facility: The Agrestic LLC1665 3rdStCorvallis, OR 97333

MMD No : 28067



Recommendations Hard drive had just been replaced. It is recommended that the PRF check the

footage on or around August 2 to ensure it is storing the required 30 days. Procedures for Record Keeping, Labeling, and Violations/Enforcement could

be made more robust and specific to the dispensary. Some immature plants were just under the allowable size. It is recommended

that staff keep immature plants trimmed so that they do not grow over 12 x12.

Some of the pop-top containers used were easy to open. It is recommendedthat containers that require more effort be used moving forward. Dispensary had proper signage into the dispensing area and restricted areas;

however, they were posted above the door and should be moved to be moreconspicuous.

Deficiencies

OAR 333-008-1190: Testingo 1190(8) Documentation for product being returned as a result of testing

positive for pesticide, mold, and/or mildew did not include the date it wasreturned.


electronically and not easily accessible.o 1210(1)(d) All information for transfers to the facility is not maintained

electronically.o 1210(1)(e) Documentation of the cost of doing business was not

maintained electronically and not easily accessible.o 1210(1)(h) Lab reports of testing and testing-related information were

not maintained electronically and not easily accessible.

OAR 333-008-1230: Transfers to a Registered Facilityo 1230(10) The facility could not account for all inventory and the facilitys

usable marijuana was not within 5% of inventory.


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Facility: Collective Awakenings2823 NE Sandy Blvd.Portland, OR 97232

MMD No : 30480



Recommendations While the dispensary is keeping track of those authorized to do testing in and

out of the secure or restricted access areas, it is recommended that a log bekept for easily tracking personnel.

Deficiencies

OAR 333-008-1140: Securityo 1140(4)(a) When the facility is open, usable product and plants are not

locked and accessible only by authorized personnel.o 1140(5)(b) When the facility is closed, not all usable marijuana is kept in

a safe. Refrigerators must be locking and securely anchored to apermanent structure of the building.

o 1140(5)(c) When the facility is close, immature plants are not kept in alocked room. A lock must be placed on the cabinet where the clones arekept.


employees of a failure.o 1160(3)(c) The surveillance system does not include a battery backup,

or the battery backup does not provide for at least 60 minutes of power.

OAR 333-008-1180: Video Recording Requirementso 1180(1) The facilitys video for all points of entry/exit are not monitored

by motion sensors, or they do not operate 24 hours/day.o 1180(2)(b) The facility could not produce a color still photo from any

camera image.

OAR 333-008-1210: Record Keepingo 1210(1)(d) All information for transfers to and/or from the facility is not




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MMD No : 30480


OAR 333-008-1225: Packagingo 1225(2)(a)(b) Packaging of usable marijuana was not placed in child-

resistant containers (tamper-proof, re-closable, opaque, and labeled). Alluseable marijuana, including flower, must be placed in opaque containers.

OAR 333-008-1230: Transfers to a Registered Facilityo 1230(10) The facility could not account for all inventory. Ensure give-

aways are accounted for in the POS system.o 1230(10) The facilitys usable marijuana was not within 5% of inventory.

The clone inventory was off due to an error in the system. Also, ensureinventory is entered into the POS system before it is placed on the shelvesfor transfer to patients.


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MMD No : 30480






MMD #









Dated:July 21, 2014

Compliance Inspector(s): Margaret Lut and Keith Moen


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Facility: Healing Green Dispensary769 N Main, Suite CIndependence, OR 97351

MMD No : 35100



Recommendations None.

Deficiencies

OAR 333-008-1010: Definitionso 1010(10)(a)(b) Not all working at the facility met the definition of

employee.

OAR 333-008-1140: Securityo 1140(5)(b) When the facility is closed, not all usable marijuana is kept in

a safe. Products are kept in a refrigerator and freezer that do not lock andare not secured to the facility.

OAR 333-008-1190: Testingo 1190(2)(a)(b)(c) Batch labels did not include the unique identifier, name

of transferor, and/or date received by the facility.o 1190(10) The facility did not have a log tracking those authorized to do


OAR 333-008-1210: Record Keepingo 1210(1)(a)(b)(c)(d)(f) and (h) Not all required documentation was

maintained electronically and easily accessible.

OAR 333-008-1220: Labelingo 1220(1)(a) Labels for some edibles did not include the amount of THC

and CBD.o 1220(1)(b) Labels some edibles did not include the weight or volume.o 1220(1)(e) Labels for some edibles did not include who performed the

testing.

OAR 333-008-1230: Transfers to a Registered Facilityo 1230(7)(a) Documentation for received product did not include a uniqueidentifier.


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Facility: L.J.s Medication Destination3131 W 11thAveEugene, OR 97403

MMD No : 42549


Page 3 of 3





MMD #









Dated:July 1, 2014



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Facility: Cannabend LLC3312 N Hwy 97Bend, OR 97701

MMD No : 43092



Recommendations It is recommended that a camera be installed outside to improve security of

the facility. Facility had written procedures, but mostly consisted of rules from HB 3460. It

is recommended that the written procedures be made more specific to theoperations of the dispensary.

Deficiencies

OAR 333-008-1190: Testingo 1190(7) Testing results from Cannatest were not signed by a person

who can attest to the accuracy of the results.o 1190(10) The facility did not have a log tracking those authorized to do

testing in/out of secure or restricted access areas. It is recommended thatthe facility create a log for all non-patient entry into the facility (e.g.contractors).

OAR 333-008-1200: Operationo 1200(1)(a) and 1200(3) Because there was a gap between the wall and

ceiling (of the wall separating the dispensing room from the lobby), minorsand other unauthorized persons could not be prevented from enteringareas where usable marijuana and immature plants are present.

OAR 333-008-1210: Record Keepingo 1210(1)(d)(f) All information for transfers to the facility is not maintained

electronically.


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Facility: Cannabend LLC3312 N Hwy 97Bend, OR 97701

MMD No : 43092






MMD #









Dated:July 14, 2014

Compliance Inspector(s): Erin Kennedy


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Facility: DBA NaturesBetter Health220 NW 2ndSt

Corvallis, OR 97330

MMD No : 44776


o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.

OAR 333-008-1225: Packagingo 1225(2)(a)(b) Not all usable marijuana was placed in child-resistant

containers (specifically pre-rolls).

OAR 333-008-1230: Transfers to a Registered Facilityo

1230(7)(a) Documentation for received product did not include a uniqueidentifier.


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Facility: River City Holistic Health LLC1761 NE Dekum StPortland, OR 97211

MMD No : 49498


Page 1 of 4


Recommendations The facilitys second registration should be displayed in the room that will be

used to transfer useable marijuana to the facility. It is recommended that all hard-copy archives be organized and filed in a

locked filing cabinet in the vault and not kept in lose stacks in the vault. Dispensary record-keeping was generally disorganized, making it difficult to

locate information. Recording keeping should be organized.

Paraphernalia used for employee on-site medicating should be kept away

from spaces used to perform business. Ensure video recordings and other security measures will be kept in a locked

area only accessible to the PRF and authorized employees.

Deficiencieso OAR 333-008-1010: Definitions

o 1010(16)(a) Plants were larger than 12 inches tall and/or 12 inches indiameter.

o OAR 333-008-1050: Approval of Applicationo 1140(4)(b) - All areas where usable marijuana or immature plants are

received for transfer by a registered facility are identified as a restrictedaccess area by posting a sign not less than 12 inches wide and 12 incheslong, composed of letters not less than one-half inch in height that reads,Restricted Access Area Authorized Personnel Only.

o 11140(c)(A)- Identified as a restricted access area and clearly identifiedby the posting of a sign not less than 12 inches wide and 12 inches long,composed of letters not less than one-half inch in height that readsRestricted Access Area No Minors Allowed

o 1140(c)(C) - All areas where usable marijuana or immature plants areavailable for transfer to a patient or designated primary caregiver areseparate from any area where usable marijuana or immature plants arebeing transferred to a registered facility.

o 1140(5)(c) When the facility is close, immature plants are not kept in alocked room.

o 1140(6)(b) The facilitys electronic records are not backed up. Ensurethe Excel expense sheet is being backed up.


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MMD No : 49498


Page 2 of 4

o OAR 333-008-1160: Video Surveillance Equipmento 1160(3)(b) The DVR/surveillance system does not notify the PRF or

employees of a failure.o 1160(3)(c) The surveillance system does not include a battery backup,

or the battery backup does not provide for at least 60 minutes of power.

o OAR 333-008-1170: Cameras Coverage and Placemento 1170(1)(a)(c) The facility lacks cameras covering secure and restricted

areas.

o OAR 333-008-1180: Video Recording Requirementso 1180(2)(b) The facility could not produce a color still photo from any

camera image.o 1180(2)(c) The date and time stamp is not embedded on all recordings

and/or it obscures the image.

o OAR 333-008-1190: Testingo 1190(4)(a) There was no documentation that immature plants were

tested using valid testing methods.o 1190(6) There was no documentation that plants were testedby

someone with the required degree.o 1190(7) Testing results were not signed by a person who can attest to

the accuracy of the results. There was no documentation demonstratingthat immature plants were tested.

o 1190(10) The facility did not have a log tracking those authorized to dotesting in/out of secure or restricted access areas.

o OAR 333-008-1200: Operationo 1200(2) Scales were not approved by the Department of Agriculture.

Please the Dept. of Agriculture website athttp://www.oregon.gov/ODA/MSD/Pages/index.aspx

o 1200(4)(a) The facility lacked written procedures for security.o 1200(4)(b) The facility lacked written procedures for testing.o 1200(4)(c) The facility lacked written procedures for transfers to and

from the facility.o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.


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MMD No : 49498


Page 3 of 4

o OAR 333-008-1210: Record Keepingo 1210(1)(a) Authorization to Transfer forms were not maintained

electronically and/or were not easily accessible.o 1210(1)(d) All information for transfers to and/or from the facility is not



o OAR 333-008-1220: Labelingo 1220(1)(a) Labels for some edibles did not include the amount of THC

and CBD.o 1220(1)(d) Labels for some edibles did not include the potency

information.o 1220(1)(e) Labels for dried flowers some edibles did not include who


o OAR 333-008-1230: Transfers to a Registered Facilityo 1230(9)(a) Untested usable marijuana was not segregated, withheld

from use, and/or was not in a secure location.o 1230(10) The facility could not account for all inventory. In addition, the

facilitys usable marijuana was not within 5% of inventory.


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Facility: The Medication Station Inc.817 NW Hill StreetBend, OR 97701

MMD No : 50923


Page 1 of 5


Deficiencies

OAR 333-008-1050: Approval of Appl icationo 1050(3) A registered facility may not post any signs at the facility that

use the Authority or the OMMP name or logo except to the extent thatinformation is contained on the proof of registration.

OMMP sign was observed outside the facility.

OAR 333-008-1140: Securityo

1140(3)

No commercial-grade locks were installed on the externaldoors.Back door to the facility did not have commercial-grade locks installed.

o 1140(4)(a) When the facility is open, usable product and plants are notlocked and accessible only by authorized personnel.Door leading into the dispensary was left open and immature plants werekept in the main lobby.

o 1140(5)(b) When the facility is closed, not all usable marijuana is kept ina safe.Medibles were not kept in a safe after hours.

o 1140(5)(c) When the facility is close, immature plants are not kept in alocked room.

o 1140(6)(a) The facilitys electronic records were not encrypted and/ornot securely stored.

o 1140(6)(b) The facilitys electronic records are not backed up.o 1140(6)(c) Hard-copy archives are not kept in a locked storage area.

OAR 333-008-1150: Alarm Systemo 1150(4)(a) No motion sensors, or motion sensors inactive.

Lacked motion sensors in the back of the facility (kitchen area).



OAR 333-008-1170: Cameras Coverage and Placemento 1170(1)(b) The facility lacks camera proper coverage for the POS

area(s).o 1170(1)(d) The facility lacks cameras covering all points of entry to and

exit from the facility.


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MMD No : 50923


Page 3 of 5

o 1210(1)(d) All information for transfers to and from the facility was notmaintained electronically.

o 1210(1)(e) Documentation of the cost of doing business was notmaintained electronically and was not easily accessible.

o 1210(1)(f) Documentation of the amount paid to a grower for eachtransfer was not maintained electronically and was not easily accessible.

o 1210(1)(g) The amount of money paid by each cardholder was notmaintained electronically and was not easily accessible.

o 1210(1)(h) Lab reports of testing and testing-related information werenot maintained electronically and were not easily accessible.

OAR 333-008-1220: Labelingo 1220(1)(a) Labels for dried flowers and/or edibles did not include the

amount of THC and CBD.o 1220(1)(c) Labels for dried flowers did not include the amount of usable

marijuana in the finished product in metric units.o 1220(1)(d) Labels for dried flowers and edibles did not include the

potency information.o 1220(1)(e) Labels for dried flowers and edibles did not include who


OAR 333-008-1230: Transfers to a Registered Facil ityo 1230(1)(a) Authorization to Transfer forms did not contain the patientsname, OMMP number, expiration date, and contact information.

o 1230(7)(d) Documentation for received product did not include theamount of a finished product.

o 1230(7)(e) Documentation for received product did not include adescription of the form of the usable marijuana.

o 1230(7)(f) Documentation for received product did not include whotransferred the usable marijuana or the immature plant, the individualsOMMP card number and expiration date of the card, a copy of theindividuals picture identification, the date the usable marijuana or animmature plant was received, and/or the name of the patient whoauthorized the transfer

o 1230(7)(g) Documentation for received product did not include theamount of reimbursement paid by the facility.

o 1230(9)(a) Untested usable marijuana was not segregated, withheldfrom use, and/or was not in a secure location.

o 1230(10) The facility could not account for all inventory.o 1230(10) The facilitys usable marijuana was not within 5% of inventory.


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MMD No : 50923


Page 4 of 5

OAR 333-008-1245: Transfers to a Patient or Caregivero 1245(2)(b) The facility did not view the OMMP card and picture ID of

each patient/caregiver to make sure the two match.o 1245(3)(a) The facility did not document the name, OMMP number, and

expiration date of cardholders.o 1245(3)(b) The facility did not document a copy of cardholders ID (or

there were no copies of IDs on file).o 1245(3)(d) The facility did not document the number of immature plants

transferred to cardholders.

Patient must have a valid OMMP card to enter the dispensary. Safety packetscannot be accepted.


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Facility: Medicine Tree LLC2046 OR 99W #AMcMinnville, OR 97128

MMD No : 55773



Recommendations Written procedures for transfers to and from the facility were mainly specific to

how to enter data into the POS system. The dispensary should augment theprocedure to include the entire transfer process followed by the dispensary.

Deficiencies

OAR 333-008-1140: Securityo 1140(5)(b) When the facility is closed, not all usable marijuana is kept in

a safe. Corrected July 26, 2014 photo sent to MMDP.


days.o 1180(2)(b) The facility could not produce a color still photo from any

camera image.

OAR 333-008-1200: Operationo 1200(4)(b) The facility lacked written procedures for testing.o 1200(4)(e) The facility lacked written procedures for record keeping.o 1200(4)(f) The facility lacked written procedures for labeling.o 1200(4)(g) The facility lacked written procedures for violations and

enforcement.

OAR 333-008-1225: Packagingo 1225(2)(a)(b) Packaging for usable marijuana was not child-resistant

(specifically for pre-rolls and kief).

OAR 333-008-1245: Transfers to a Patient or Caregivero 1245(2)(b) Because the facility had been accepting Safety Packets

they did not view the OMMP card and picture ID of each patient/caregiverto make sure the two match.

o 1245(3)(a) Because the facility had been accepting Safety Packetsthey did not document the name, OMMP number, and/or expiration date ofcardholders.


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Facility: Flora Portland110 SE Main St, Suite CPortland, OR 97214

MMD No : 62014


Page 1 of 3


Recommendations All employees should be educated and trained on the use and location of

panic buttons. Update the time on the video surveillance system so it is correct. See if there

is a way for the system to automatically change with day light savings time. Recommend upgrading lock and steel cable used on refrigerator that stores

medibles to something a little tougher.

It is recommended that medicated candies, shatter, etc on display counter be

placed so it is not easily accessible by patients. Dept. of Agriculture license should be displayed in the dispensary. The second facility registration should be displayed in the room used to

transfer products to the dispensary.

Deficiencies

OAR 333-008-1160: Video Surveillance Equipmento 1160(4) Video equipment/recordings are not locked and accessible only

to PRF and authorized employees. A lock should be placed on the doorwhich leads to the security systems.

OAR 333-008-1180: Video Recording Requirementso 1180(2)(b) The facility could not produce a color still photo from any

camera image.o 1180(2)(c) The date and time stamp is not embedded on all recordings

and/or it obscures the image.

OAR 333-008-1190: Testingo 1190(2)(a)(b)(c) Upon receipt, product is not labeled. Batch labels did

not include the unique identifier, name of transferor, and/or date received

by the facility.o 1190(10) The facility did not have a log tracking those authorized to do


OAR 333-008-1200: Operationo 1200(4)(a) The facility lacked written procedures for security.o 1200(4)(b) The facility lacked written procedures for testing.


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Facility: Flora Portland110 SE Main St, Suite CPortland,

inspection reports for non-salem dispensaries

Documents