Inspection Findings Report

Oregon Health Authority | Medical Marijuana Dispensary Program

PO Box 14116 | Portland, OR 97293
mmj.oregon.gov
Facility:

Ancient Remedies LLC
2350 State Street
Salem, OR 97301
MMD No : 40586
Inspection date: July 24, 2014


Inspection Findings:
Recommendations
None.
Deficiencies
OAR 333-008-1050: Approval of Application
o 1050(2) The facilitys second registration was not displayed in the
product intake area (where transfers to the facility take place).

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

OAR 333-008-1190: Testing
o 1190(2)(a)(b)(c) Batch labels did not include the unique identifier, name
of transferor, and/or date received by the facility.

OAR 333-008-1200: Operation
o 1200(2) Scales were not approved by the Department of Agriculture.
(http://www.oregon.gov/ODA/MSD/pages/5points.aspx)

OAR 333-008-1210: Record Keeping
o 1210(1)(a)(b)(c)(d)(f)(g) and (h) All required documentation was not
maintained electronically and not easily accessible.

OAR 333-008-1220: Labeling
o 1220(1)(a) Not all labels included the amount of CBD.
o 1220(1)(e) Not all labels included who performed the testing.



Inspection Findings Report
Oregon Health Authority | Medical Marijuana Dispensary Program
PO Box 14116 | Portland, OR 97293
mmj.oregon.gov
Facility:

Ancient Remedies LLC
2350 State Street
Salem, OR 97301
MMD No : 40586
Inspection date: July 24, 2014


Advisement on how to respond to Deficiencies:
The PRF must submit a signed plan of correction postmarked within 10
business days from the 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 an
extension shall be submitted in writing and must accompany the plan of
correction.
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 completed
o Steps taken to prevent recurrence of the deficiency
o Any supporting documentation
A plan of proposed corrective actions
o Include the estimated date(s) of completion
Include a written request for extension if any of the estimated dates
exceed 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 is
inadequate, the dispensary may be subject to civil penalties of up to $500 per day per
violation, or registration revocation.
Dated: July 28, 2014
Compliance Inspector(s): Erin Kennedy