Residential Provider Compliance Status Report

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ABEBE, HUNDE OATFIELD CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT ABEBE, YESHIHAREG FARGO MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ABRAHAM, GEMECHU FOREST GALE WASHINGTON PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW ADAIR, DAVID OAK HILL DOUGLAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ADAIR, DAVID OAK HILL DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/29/2016 ADULT ADAMS, SHARON L WHISTLE DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 111TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 111TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 10/18/2016 ADULT ADULT LEARNING 120TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 120TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC EXPECTATION 05/27/2016 ADULT ADULT LEARNING 143RD MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 143RD MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 09/21/2016 ADULT ADULT LEARNING 145TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 145TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 10/18/2016 ADULT ADULT LEARNING 205TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 205TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC EXPECTATION 03/08/2016 ADULT ADULT LEARNING 214TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 22ND MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - SYSTEMS OR INC REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 22ND MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 03/08/2017 ADULT ADULT LEARNING 231ST 1611 MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 231ST 1611 MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 03/08/2017 ADULT ADULT LEARNING 236TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION REGULATORY ADULT ONSITE REVIEW 1 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ADULT LEARNING 236TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC EXPECTATION 07/27/2016 ADULT ADULT LEARNING 238TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 238TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC EXPECTATION 03/18/2016 ADULT ADULT LEARNING 29TH CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - SYSTEMS OR INC REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 97TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING 97TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 10/19/2016 ADULT ADULT LEARNING 9TH JACKSON PENDING INCOMPLETE SURVEY RESIDENTIAL - SYSTEMS OR INC REGULATORY ADULT ONSITE REVIEW ADULT LEARNING FLEMING MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING GLISAN MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING GLISAN *10/*14 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING GLISAN *10/*14 MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC EXPECTATION 05/04/2016 ADULT ADULT LEARNING JOHN QUINCY CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC ADAMS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING JOHN QUINCY CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC ADAMS EXPECTATION 02/15/2017 ADULT ADULT LEARNING KNIGHT MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING KNIGHT MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 02/15/2017 ADULT ADULT LEARNING MAIN WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - SYSTEMS OR INC REGULATORY ADULT ONSITE REVIEW ADULT LEARNING MULTNOMAH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SYSTEMS OR INC EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW ADULT LEARNING OREGON MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - SYSTEMS OR INC REGULATORY ADULT ONSITE REVIEW ADULT LEARNING OREGON MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC 01/20/2017 ADULT ADULT LEARNING RAYMOND MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SYSTEMS OR INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ADULT LEARNING RAYMOND MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SYSTEMS OR INC EXPECTATION 07/27/2016 ADULT

2 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type AGBONZE, PRINCE 156TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW AHMED BENNOUR PARKER WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW AHMED BENNOUR PARKER WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/04/2017 ADULT AIMRO, FEKERTE T 167TH WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 10TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 10TH WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 02/17/2017 CHILD ALBERTINA KERR 159TH MULTNOMAH COMPLIANT NEW SITE / INITIAL RESIDENTIAL - CENTERS REVIEW ADULT ALBERTINA KERR 164TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - CENTERS REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 165TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 165TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 08/11/2016 CHILD ALBERTINA KERR 16TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 16TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 02/11/2016 CHILD ALBERTINA KERR 181ST WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - CENTERS REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 190TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 190TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/29/2017 ADULT ALBERTINA KERR 196TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 40TH MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 4TH *45 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 4TH *45 MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 05/17/2016 CHILD ALBERTINA KERR 4TH *50 WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 4TH *50 WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 04/04/2017 CHILD

3 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALBERTINA KERR 51ST MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 51ST MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - CENTERS 01/19/2017 ADULT ALBERTINA KERR 59TH CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 59TH CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 06/22/2016 ADULT ALBERTINA KERR 5TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR 5TH WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/15/2017 CHILD ALBERTINA KERR 68TH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - CENTERS REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR 68TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 01/27/2016 ADULT ALBERTINA KERR 76TH WASHINGTON DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY SCRUTINY CHILD ONSITE REVIEW ALBERTINA KERR 76TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 06/09/2016 CHILD ALBERTINA KERR 7TH MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - CENTERS REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR APPALOOSA MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR APPALOOSA MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 12/19/2016 ADULT ALBERTINA KERR BARLOW WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR BLANTON CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR BLANTON CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/02/2016 ADULT ALBERTINA KERR BLOSSOM MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR BLOSSOM MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - CENTERS 04/05/2017 ADULT ALBERTINA KERR CLACKAMAS MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING CENTERS EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW ALBERTINA KERR CLARK WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR COMINGER CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW

4 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALBERTINA KERR DELORIS WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR DELORIS WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 01/31/2017 ADULT ALBERTINA KERR FLORIDA MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR FLORIDA MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 05/23/2016 ADULT ALBERTINA KERR HACIENDA MULTNOMAH DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW ALBERTINA KERR HACIENDA MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 01/30/2017 ADULT ALBERTINA KERR HILLYARD MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR HILLYARD MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 11/07/2016 ADULT ALBERTINA KERR HOLLYWOOD MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR HOLLYWOOD MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 04/05/2017 ADULT ALBERTINA KERR JASON LEE CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR JASON LEE CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/28/2017 ADULT ALBERTINA KERR JAY WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - CENTERS REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR LINDEN WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR LINDENBROOK CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - CENTERS REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR LINDENBROOK CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 04/05/2017 ADULT ALBERTINA KERR MEADOWLARK MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW ALBERTINA KERR MEADOWLARK MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/08/2016 ADULT ALBERTINA KERR MISTLETOE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR NECTARINE WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR ORCHID CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - CENTERS REGULATORY ADULT ONSITE REVIEW

5 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALBERTINA KERR QUIET MEADOWS CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW ALBERTINA KERR QUIET MEADOWS CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/10/2016 ADULT ALBERTINA KERR RHONE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR RHONE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 01/24/2017 ADULT ALBERTINA KERR ROANOKE WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - CENTERS REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR ROANOKE WASHINGTON DOES NOT MEET DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION EXPECTATION 08/16/2016 CHILD ALBERTINA KERR SAN RAFAEL MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR SAN RAFAEL MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 06/23/2016 CHILD ALBERTINA KERR STEPHENS MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR TANAGER WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR TANAGER WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 06/14/2016 ADULT ALBERTINA KERR TRIGGER CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR TRIGGER CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 11/03/2016 ADULT ALBERTINA KERR TUCKERWOOD WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR TUCKERWOOD WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 03/22/2017 CHILD ALBERTINA KERR VIEW ACRES MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTINA KERR VIEW ACRES MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 04/13/2017 ADULT ALBERTINA KERR WEATHERS MARION PENDING COMPLIANT SURVEY RESIDENTIAL - CENTERS REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR WEATHERS MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 12/02/2016 CHILD ALBERTINA KERR WICKER WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALBERTINA KERR WILLAMETTE CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - CENTERS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW ALBERTINA KERR WILLAMETTE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTERS EXPECTATION 04/20/2017 ADULT 6 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALBERTSON,ANGIE DOG LAKE LAKE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALBERTSON,ANGIE DOG LAKE LAKE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/22/2016 ADULT ALDER HOME AFH LLC CEDAR *09 CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALDER HOME AFH LLC CEDAR *09 CLATSOP COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 02/25/2016 ADULT ALDERWOOD ASSISTED ALDER JACKSON COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LIVING REVIEW ADULT ALEXANDER, MOLLY & WARD MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - DENNIS CHILD WELFARE ALI FATHALLA - ALI'S LELAND *7 CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - ADULT CARE HOME REGULATORY ADULT ONSITE REVIEW ALI FATHALLA - ALI'S LELAND *7 CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ADULT CARE HOME EXPECTATION 12/20/2016 ADULT ALICIA & KERRY CORUM TIMBER RIDGE MARION PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ALICIA & KERRY CORUM TIMBER RIDGE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/12/2016 ADULT ALIK, HANIL ANTONIA MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT ALIXANDREA ROSSI WILLONA LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALIXANDREA ROSSI WILLONA LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/28/2016 ADULT ALKARAWI, ALI ABBOT MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW CHILD ALLISON BAGLEY LARKSPUR JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 104TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 104TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 02/25/2016 ADULT ALTERNATIVE SVCS 105TH CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 128TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW ALTERNATIVE SVCS 128TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 02/14/2017 ADULT ALTERNATIVE SVCS 142ND MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 142ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 05/05/2016 ADULT ALTERNATIVE SVCS 145TH CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 7 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALTERNATIVE SVCS 145TH CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 03/02/2017 ADULT ALTERNATIVE SVCS 16TH LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 16TH LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 05/31/2016 ADULT ALTERNATIVE SVCS 27TH *3 CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 27TH *7 CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 34TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ALTERNATIVE SVCS 34TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 01/31/2017 CHILD ALTERNATIVE SVCS 56TH CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 58TH CLACKAMAS PENDING HEIGHTENED SURVEY RESIDENTIAL - OREGON INC REGULATORY SCRUTINY ADULT ONSITE REVIEW ALTERNATIVE SVCS 58TH CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 04/25/2016 ADULT ALTERNATIVE SVCS 5TH CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS 5TH CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 02/09/2016 ADULT ALTERNATIVE SVCS A STREET CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS A STREET CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 01/18/2017 ADULT ALTERNATIVE SVCS ARISTA CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS ASPEN LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS ASPEN LANE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 03/14/2017 ADULT ALTERNATIVE SVCS BRISTOL JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS BRISTOL JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 06/23/2016 ADULT ALTERNATIVE SVCS CLACKAMAS MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING OREGON INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW ALTERNATIVE SVCS CRATER LAKE JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS CRATER LAKE JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 8 of 159 01/12/2017 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALTERNATIVE SVCS CRESTVIEW CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - OREGON INC REGULATORY CHILD ONSITE REVIEW ALTERNATIVE SVCS ECHO HOLLOW CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS ECHO HOLLOW CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 12/28/2016 ADULT ALTERNATIVE SVCS GLEN CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS GLEN ECHO *1 CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS GLEN ECHO *5 CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS GLEN ECHO *9 CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS GLEN ECHO *9 CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 03/09/2017 ADULT ALTERNATIVE SVCS HULL CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS IVON MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS IVON MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 04/11/2017 ADULT ALTERNATIVE SVCS KAMRATH CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS KAMRATH CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 02/03/2016 ADULT ALTERNATIVE SVCS LINWOOD CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS LINWOOD CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 04/11/2016 ADULT ALTERNATIVE SVCS MAPLE *03 CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS MAPLE *03 CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 02/16/2017 ADULT ALTERNATIVE SVCS MAPLE *65 LINN DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW ALTERNATIVE SVCS MOON *02/*04/*06 CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS MOON *20/*22/*24 CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS MOON *20/*22/*24 CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 03/30/2017 ADULT 9 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALTERNATIVE SVCS PILGRIM CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS PILGRIM CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 03/13/2017 ADULT ALTERNATIVE SVCS PLUMTREE LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS RYAN BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS RYAN BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 02/09/2016 ADULT ALTERNATIVE SVCS SALYER JACKSON PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS SANDRA JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS SANDRA JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 01/12/2017 ADULT ALTERNATIVE SVCS SOUTH WAY JACKSON PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS SOUTH WAY JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON INC 03/13/2017 ADULT ALTERNATIVE SVCS SPRINGBROOK JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS TOLMAN MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON INC REGULATORY ADULT ONSITE REVIEW ALTERNATIVE SVCS TOLMAN MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON INC EXPECTATION 03/15/2016 ADULT ALVORD TAYLOR INC 18TH LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC 18TH LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 05/24/2016 ADULT ALVORD TAYLOR INC 38TH LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC 38TH LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/11/2016 ADULT ALVORD TAYLOR INC A STREET LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC COKERON LANE PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC E STREET LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC E STREET LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/02/2016 ADULT

10 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALVORD TAYLOR INC HIONDA LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC KINCAID LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC KINCAID LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/08/2017 ADULT ALVORD TAYLOR INC LANE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW ALVORD TAYLOR INC LINDEN LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC LINDEN LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 04/13/2016 ADULT ALVORD TAYLOR INC M STREET LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC MARTHA CT LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC MARTHA CT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/15/2017 ADULT ALVORD TAYLOR INC NORTHRIDGE LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC PLEASANT LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC PLEASANT LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 06/15/2016 ADULT ALVORD TAYLOR INC R Street LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC SCOTT LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC SCOTT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/13/2016 ADULT ALVORD TAYLOR INC VIRGINIA *03/*05 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC VIRGINIA *04/*06 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC VIRGINIA *04/*06 LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/09/2016 ADULT ALVORD TAYLOR INC WARRINGTON LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ALVORD TAYLOR INC WARRINGTON LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 09/14/2016 ADULT ALVORD TAYLOR INC WOOD LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW 11 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ALVORD TAYLOR INC WOOD LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 11/08/2016 CHILD AMADD, MEKIYA 47TH MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW AMADD, MEKIYA 47TH MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 04/06/2016 ADULT AMBER TAILLON 33RD UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW AMBER TAILLON 33RD UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/04/2016 ADULT AMY HOWELL AUMSVILLE HWY MARION PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW AMY HOWELL AUMSVILLE HWY MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 07/25/2016 ADULT ANA & GERADO BELAIR LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LEGORETTA EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ANA & GERADO BELAIR LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - LEGORETTA EXPECTATION 05/20/2016 ADULT ANALIZA WORK STAGE COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ANALIZA WORK STAGE COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/09/2016 ADULT ANDERSON, HAROLD R 3RD MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ANDERSON, JERRY 155TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ANDERSON, KIERYN J FERN HILL COLUMBIA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ANDERSON, SCOTT OLD RANIER COLUMBIA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ANDERSON, SCOTT OLD RANIER COLUMBIA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/03/2016 ADULT ANDERSON, SCOTT A RIVERVIEW COLUMBIA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ANDERSON, TREASA POTTS JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ANDRADE, SHARIE STANCIU BAKER DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ANDRADE, SHARIE STANCIU BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/28/2016 CHILD ANDREASON, KAREN D THOMPSON CURRY PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW

12 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ANNABELLE BOWLES PROSPECTOR CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ANNABELLE BOWLES PROSPECTOR CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/11/2016 ADULT ANNE DOLLAR SUNRISE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ANNE DOLLAR SUNRISE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 03/29/2016 ADULT APO, LISA M 6TH LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW APPLEGATE, CHARITY FIRST TILLAMOOK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW APPLEGATE, CHARITY FIRST TILLAMOOK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/10/2016 ADULT APREOTES, YELIZAVETA 129TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW APREOTESI, MIHAI HARMONY CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW APREOTESI, SIMONA LINWOOD CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW APREOTESI, SIMONA LINWOOD CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/09/2016 ADULT AQUINO, DAWN BARGER LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE ARAUJO, ROSENDA 45TH MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW ARELLANO ESPINOZA, JANUS LANE PENDING INCOMPLETE SURVEY FOSTER CARE - DAVID A REGULATORY ADULT ONSITE REVIEW ARJMANDI, HAMID ALDABRA LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW ARJMANDI, HAMID ALDABRA LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/30/2016 ADULT ARMSTRONG 24 HOUR ALDINE CT MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - CARE LLC REVIEW ADULT ARMSTRONG, KIM MCKENZIE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ARMSTRONG, KIM MCKENZIE LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/26/2016 ADULT AROUND THE CLOCK BAYNE MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - SUPPORT REVIEW ADULT AROUND THE CLOCK GREAT PLAINS MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - SUPPORT REVIEW ADULT AROUND THE CLOCK HOLLY MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - SUPPORT REGULATORY ADULT ONSITE REVIEW 13 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type AROUND THE CLOCK SETTLERS MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - SUPPORT REGULATORY ADULT ONSITE REVIEW AROUND THE CLOCK WHEELER MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - SUPPORT REGULATORY ADULT ONSITE REVIEW AROUND THE CLOCK BENTON MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - SUPPORT REVIEW ADULT AROUND THE CLOCK JULIANA MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - SUPPORT REGULATORY ADULT ONSITE REVIEW ARTA JONES EDWARDS UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ARTA JONES EDWARDS UMATILLA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/11/2016 ADULT ARTHERHOLT, IVA BOBWHITE DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW ARTHERHOLT, IVA BOBWHITE DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/19/2016 ADULT ARTHERHOLT, IVA RIVERSIDE DOUGLAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW ASBURY-DIKEMAN, JUNIPER MARION PENDING INCOMPLETE SURVEY FOSTER CARE - SANDRA REGULATORY ADULT ONSITE REVIEW ASH INC ALMEDA JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW ASH INC ALMEDA JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/04/2016 ADULT ASH INC MICHELLE JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ASH INC NEVADA JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ASH INC NEVADA JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/24/2016 ADULT ASHMEAD, KELLY 3RD GRANT DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ASHMEAD, KELLY 3RD GRANT DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/09/2016 ADULT ASHMUN, MARY 15TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW ASHMUN, MARY E 15TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ASKALE KINDE OTHELLO WASHINGTON PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ASKALE KINDE OTHELLO WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/13/2016 ADULT 14 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ASKEW, MELISSA & DONOHOE LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - NICHOLAS CHILD WELFARE ASPEN FOUNDATION FRONTAGE DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOREST GLEN SENIOR EXPECTATION EXPECTATION REGULATORY ADULT RETIREMENT ONSITE REVIEW ASPEN FOUNDATION FRONTAGE DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - FOREST GLEN SENIOR 04/04/2017 ADULT RETIREMENT ASRAT, ETSEGENET BRIAR CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ASSEFA NEGGA, ESAYAS OREGON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - A EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ASSEFA NEGGA, ESAYAS OREGON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - A EXPECTATION 06/14/2016 ADULT ASSEFA, SAMRAWIT T BRIAR CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT ASTER GIZAW MELDRUM WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ASTER GIZAW MELDRUM WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/25/2016 ADULT ASTER GIZAW NORTH DAKOTA CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ASTER GIZAW NORTH DAKOTA CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/06/2017 ADULT ATSBAHA, DANIEL A 47TH MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ATSBEHA, GETACHEW DEKUM MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT ATWOOD, TRACI 131ST MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW AUSTIN HELMER STRONG MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW AUSTIN HELMER STRONG MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/18/2016 ADULT AUSTIN, WENDY J SEYMOUR MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW AVA CROWE BRIGGS DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW AVA CROWE BRIGGS DOUGLAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/15/2016 ADULT BACKUS, PAGE MINI JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BAGGETT, IVY M 112TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE BAGLEY, ROXANNE RODNEY MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW 15 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BAGLEY, ROXANNE RODNEY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/28/2016 ADULT BAHR, HOLLY M ANTHANY LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW BAHR, HOLLY M ANTHANY LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 02/12/2016 CHILD BAILEY, CHRIS E ST POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BAILEY, KEENAN M BAKER YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BAILEY, TRACIE MIAMI FOLEY TILLAMOOK REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE BAKER, JESSE & CARRIE NEHALEM MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE BAKER, STEFFANY FAIRCREST WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE BAKKALA, CORY A BASSWOOD POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BALDWIN, RICHARD WEST UNION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BALDWIN, RICHARD WEST UNION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/21/2016 ADULT BANYASZ, YELENA 115TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BANYASZ, YELENA 115TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/16/2016 ADULT BARBARA COOPER GREENFIELD CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BARBARA COOPER GREENFIELD CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/02/2016 ADULT BARBARA NUCKOLLS APPLEGATE BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BARBARA NUCKOLLS APPLEGATE BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/25/2016 ADULT BARBEAU, KIMBERLY FIRLOK PARK COLUMBIA REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE BARBER, DRAKE HOLLADAY MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BARCH INC LANSING *05 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BARCH INC LANSING *05 MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/19/2016 ADULT BARCH INC LANSING *10 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BARCH INC LANSING *10 MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION16 of 159 10/19/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BARCH INC LANSING *30 MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW BARCH INC LANSING *30 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 05/24/2016 ADULT BARCHENGER, LINDA ROOSEVELT MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BARCHENGER, LINDA ROOSEVELT MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/14/2016 ADULT BARROS, DALE & ANDY RADELL MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BARROS, DALE & ANDY RADELL MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/21/2016 ADULT BARROS, MARIA WALL MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW BARROS, MARIA WALL MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/14/2016 CHILD BARTELL, DIANNA 133RD MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BARTELL, DIANNA 133RD MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/25/2016 ADULT BARTELL, TONE TIBBETTS MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BARTELL, TONE TIBBETTS MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/15/2016 ADULT BARTON, CHERYL LANCE COOS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BATAVIA, REBECCA & MAIN UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - KURT VAN EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BATAVIA, REBECCA & MAIN UMATILLA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - KURT VAN EXPECTATION 11/02/2016 ADULT BATTLE, GRACE WOODMERE WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BD BEND I LLC DBA THE WILSON DESCHUTES PENDING INCOMPLETE SURVEY RESIDENTIAL - SUMMIT ASSISTED REGULATORY ADULT LIVING ONSITE REVIEW BD PRINEVILLE I LLC ELM CROOK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW BD REDMOND I LLC DBA 32ND DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - THE HEIGHTS ASST EXPECTATION EXPECTATION REGULATORY ADULT LIVING ONSITE REVIEW BEAMISH, PATRICIA IVY DESCHUTES COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT BEARD, MYRA SANDY MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BEARD, MYRA SANDY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - 17 of 159 EXPECTATION 08/05/2016 AsCHILD of 10/14/2016

BECK, LAURIE PEDRIOLI CURRY DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BECKER, DAVID & SNOW PEAK LINN REMEDIATION DATA WAREHOUSE FOSTER CARE - JENNIFER CHILD WELFARE BECKLEY, CHARLES C MERRYVALE LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BEDASO, FAYE ALDER MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BEDASO, FAYE ALDER MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/04/2016 ADULT BEDASO, FAYE RUSSELL MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT BEDASO, GENET HILL CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BEDASO, GENET HILL CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/24/2016 ADULT BEDASO, SHEGA 156TH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BEHNKE, DEBBIE & REX CEDAR WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BEHNKE, DEBBIE & REX CEDAR WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/10/2017 ADULT BEKUTO, CHALI WASHINGTON MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT BELL, BETTY SHERATON LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BELL, BETTY SHERATON LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/20/2016 ADULT BELTRAN, ISAAC HARVEY CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BELTRAN, ISAAC HARVEY CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/07/2016 ADULT BENCO INC 17TH BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC 29TH BENTON PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW 18 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BENCO INC COMMONS BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC COMMONS BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 11/17/2016 ADULT BENCO INC GARFIELD *50 BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC GARFIELD *50 BENTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/23/2016 ADULT BENCO INC GARFIELD *65 BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC GRANT BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC MAXINE BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC MAXINE BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/17/2016 ADULT BENCO INC SEQUOIA BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC SEQUOIA BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/31/2016 ADULT BENCO INC STONE BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENCO INC STONE BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/13/2017 ADULT BENCO INC SYCAMORE BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - *86/*76/*78/*80/*8 EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT 2 ONSITE REVIEW BENCO INC SYCAMORE BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - *86/*76/*78/*80/*8 EXPECTATION 07/21/2016 ADULT 2 BENDER, LYNETTE D ALLEN JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BENEDICT, ROSEMARIE 9TH KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - L REGULATORY ADULT ONSITE REVIEW BENJAMIN BOTOFAN NELLA CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BENJAMIN BOTOFAN NELLA CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/11/2016 ADULT BENTLEY, LINDA MYRTLEWOOD KLAMATH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BENTLEY, LINDA MYRTLEWOOD KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BENTLEY, LINDA MYRTLEWOOD KLAMATH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 07/26/2016 ADULT 19 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BENTLEY, TERESA AZALEA LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BENTLEY, TERESA AZALEA LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BERISO TUSSE DOGWOOD WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BERISO TUSSE DOGWOOD WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/12/2017 ADULT BERISO, HANA 22ND WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BERISO, HANA 22ND WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/05/2016 ADULT BESO, CONNIE LA MESA MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 191ST WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 191ST WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 04/26/2016 ADULT BETHESDA LUTHERAN 27TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 27TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 01/20/2016 ADULT BETHESDA LUTHERAN 3RD WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 3RD WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 09/08/2016 ADULT BETHESDA LUTHERAN 4TH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITIES INC REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 4TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 07/05/2016 ADULT BETHESDA LUTHERAN 55TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 73RD *05 MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 73RD *09 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 79TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 79TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 09/22/2016 ADULT BETHESDA LUTHERAN 86TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 20 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BETHESDA LUTHERAN 86TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 11/02/2016 ADULT BETHESDA LUTHERAN 89TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN 89TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 11/17/2016 ADULT BETHESDA LUTHERAN ALDER WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN ALDER WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 07/28/2016 ADULT BETHESDA LUTHERAN ALSEA WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN ALSEA WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 07/13/2016 ADULT BETHESDA LUTHERAN ANKENY MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITIES INC REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN BIRCHWOOD WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN BROOKWOOD WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITIES INC REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN BROOKWOOD WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN BROOKWOOD WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 03/17/2016 ADULT BETHESDA LUTHERAN CAYUSE WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN CAYUSE WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 09/15/2016 ADULT BETHESDA LUTHERAN CLARK WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN CLARK WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 05/31/2016 ADULT BETHESDA LUTHERAN DOGWOOD WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN DOGWOOD WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 09/20/2016 ADULT BETHESDA LUTHERAN DRAKE WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN GINGER *55 WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN GINGER *85 WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN GINGER *85 WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC 21 of 159 EXPECTATION 01/26/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BETHESDA LUTHERAN KATHRYN WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN KATHRYN WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 05/10/2016 ADULT BETHESDA LUTHERAN LONNY WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN MAIN *11/*13/*15 WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITIES INC REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN MAPLE *03/*05 WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITIES INC REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN MAPLE *07/*09 WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN PACIFIC MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN SIMPSON MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN SIMPSON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 02/17/2017 ADULT BETHESDA LUTHERAN TANAGER WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN TINA WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN TINA WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 05/18/2016 ADULT BETHESDA LUTHERAN VISTA TERRACE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITIES INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BETHESDA LUTHERAN VISTA TERRACE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITIES INC EXPECTATION 09/20/2016 ADULT BETHESDA LUTHERAN WASHINGTON MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING COMMUNITIES INC EXPECTATION REGULATORY ONSITE REVIEW BETTY & GEORGE WILMOT POLK DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - SCOTT EXPECTATION REGULATORY ADULT ONSITE REVIEW BETTY & GEORGE WILMOT POLK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - SCOTT 08/11/2016 ADULT BETTY WALKER 149TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BETTY WALKER 149TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/08/2016 ADULT BEVERLY KRAUS ADMIRAL LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BEVERLY KRAUS ADMIRAL LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/29/2016 ADULT 22 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BOGALE, TIRNGO N 5TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BOHN, DARLA K G STREET JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BOLAN, LESLIE TOWNE JOSEPHINE REMEDIATION DATA WAREHOUSE FOSTER CARE - ADULT BONEBRAKE, MICHELLE DONALD LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT BONEBRAKE, MICHELLE CAMRIN LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BONEBRAKE, MICHELLE HAZELNUT LANE PENDING INCOMPLETE SURVEY FOSTER CARE - M REGULATORY ADULT ONSITE REVIEW BONIFER, VICKI HIGH UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BONNETT, WANDA WARREN POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BONNETT, WANDA WARREN POLK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/27/2016 ADULT BORU, SOLOMON CELEBRITY WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BORU, SOLOMON CELEBRITY WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/17/2016 ADULT BOURNE, ANDREW 157TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW BOURNE, ANDREW 157TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/08/2017 CHILD BOWLES, ANNABELLE S INISHBRIDE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BRACCO, ANDY VAN BUREN LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT BRADLEY & SHANNON STACEY WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - RHODES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BRADLEY & SHANNON STACEY WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - RHODES EXPECTATION 05/10/2016 ADULT BRANDT, DELORES D PRICE KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BRANN, ISABEL M LAUREL JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BRAZILLE, CARMELLA ALBINA MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BREITBACH, PATRICIA S IVY DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW 24 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BRUCE, JULIE & WASHBURNE MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - JEFFREY CHILD WELFARE BRUGH, JULIE A 1ST LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BRUMBELOW, SANDRA HILLYARD MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BRUMBELOW, SANDRA 19TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - & CALEB CHILD WELFARE BRYAN & DEBORAH LABISH MARION PENDING COMPLIANT SURVEY FOSTER CARE - HASLENBACHER REGULATORY ADULT ONSITE REVIEW BRYAN & DEBORAH LABISH MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - HASLENBACHER EXPECTATION 06/27/2016 ADULT BRYAN JOBE 36TH BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BRYAN JOBE 36TH BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/24/2016 ADULT BRYAN ROSS HUBBARD JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BRYANT, SUSAN JEAN SHASTA KLAMATH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BUNCH, AUTUMN GREENGATE WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW BUNCH, AUTUMN GREENGATE WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/14/2016 ADULT BURBANK, PAMELA KINGS VALLEY HWY POLK PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW BURK, CINDY R BALL LINCOLN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BURKA, ELLA SUNRISE WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BURNETT, ROBIN WOODBURY JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW BURNS, JASON GRIFFIN POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW BURROWS, NICOLE HORIZON HILLS JOSEPHINE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE BUSH, MICHAEL MIDWAY MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW BUSH, MICHAEL MIDWAY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/01/2016 CHILD BUTCHER, CRYSTAL MOONBEAM JOSEPHINE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT

26 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type BYRD, LINDA WILDAHL COOS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW BYRD, LINDA WILDAHL COOS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/18/2016 ADULT BYRD, NICHOLE & PALOMA MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - DONALD CHILD WELFARE CADY, SUSAN FALLS CITY POLK DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW CADY, SUSAN FALLS CITY POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/23/2016 CHILD CAMBRIDGE TERRACE 14TH LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - ASSISTED LIVING REGULATORY ADULT ONSITE REVIEW CANDACE NELSON HAZEL MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW CANDACE NELSON HAZEL MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 03/28/2017 ADULT CANDACE RINGLER HAYDEN BRIDGE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CANDACE RINGLER HAYDEN BRIDGE LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/02/2016 ADULT CANNON, SARAH HULT CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CANNON, SARAH HULT CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/17/2016 ADULT CAPERS, DORIS FARGO MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE CAPP, KENNETH & BUENA VISTA JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - DIANE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CARMEN, CLETO HOLLY LINN PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW CAROL JOHNSON LORANE LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CAROL JOHNSON LORANE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/12/2016 ADULT CAROLE & JEFFERY GENTRY JEFFERSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - BOYER EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW CAROLEE & AMANDA BEACON JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - KIME EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CARPENTER, AHREN BEAVER CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW CARPENTER, AHREN BEAVER CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/16/2016 ADULT CARPENTER, ROBERT HART MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - 'MIKE' EXPECTATION REGULATORY ADULT ONSITE REVIEW 27 of 159 As of 10/14/2016

CATHOLIC COMMUNITY ADELL MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 28 of 159 As of 10/14/2016

CATHOLIC COMMUNITY BATTLE CREEK MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY BATTLE CREEK MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 09/06/2016 ADULT

CATHOLIC COMMUNITY CHAN MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY CHAN MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/13/2017 ADULT

CATHOLIC COMMUNITY COLLEGE MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY HWY 99 CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY LINCOLN MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY MARION MARION DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SERVICES EXPECTATION REGULATORY ONSITE REVIEW CATHOLIC COMMUNITY MURDOCK MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY MURDOCK MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 03/10/2016 ADULT

CATHOLIC COMMUNITY SHORTRIDGE LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY SHORTRIDGE LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 05/10/2016 ADULT

CATHOLIC COMMUNITY SILVER LOOP MARION PENDING COMPLIANT SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY WALKER MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY WALKER MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 02/23/2017 ADULT

CATHOLIC COMMUNITY WALLACE POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW 29 of 159 As of 10/14/2016

CATHOLIC COMMUNITY WILSON MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY WINTER MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CATHOLIC COMMUNITY WINTER MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES 04/27/2017 ADULT

CBG HOMES BEECH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW CECILE HORN 5TH LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CECILE HORN 5TH LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/29/2016 ADULT CELINO, CEZAR ALMOND CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CELINO, ZARAH FANDANGO CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CENTER FOR RHINE MULTNOMAH COMPLIANT NEW SITE / INITIAL RESIDENTIAL - CONTINUOUS IMPR REVIEW CHILD CENTER FOR 104TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - CONTINUOUS REGULATORY ADULT IMPROVEMENT INC ONSITE REVIEW CENTER FOR 104TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CONTINUOUS EXPECTATION 03/30/2016 ADULT IMPROVEMENT INC CENTER FOR 151ST MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT IMPROVEMENT INC ONSITE REVIEW CENTER FOR 151ST MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CONTINUOUS EXPECTATION 04/28/2016 ADULT IMPROVEMENT INC CENTER FOR CARUTHERS MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT IMPROVEMENT INC ONSITE REVIEW CENTER FOR CARUTHERS MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CONTINUOUS EXPECTATION 09/20/2016 ADULT IMPROVEMENT INC CENTER FOR DRY CREEK WASCO DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT IMPROVEMENT INC ONSITE REVIEW CENTER FOR DRY CREEK WASCO DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CONTINUOUS EXPECTATION 03/16/2016 ADULT IMPROVEMENT INC CENTER FOR MONTELLO HOOD RIVER DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION REGULATORY ADULT IMPROVEMENT INC ONSITE REVIEW

30 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type CENTER FOR NAEGELI MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD IMPROVEMENT INC ONSITE REVIEW CENTER FOR PARDEE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION EXPECTATION REGULATORY ADULT IMPROVEMENT INC ONSITE REVIEW CENTER FOR PARDEE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CONTINUOUS EXPECTATION 02/04/2016 ADULT IMPROVEMENT INC CENTER FOR RUSSELL MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CONTINUOUS EXPECTATION EXPECTATION REGULATORY CHILD IMPROVEMENT INC ONSITE REVIEW CENTRAL OREGON 11TH DESCHUTES PENDING COMPLIANT SURVEY RESIDENTIAL - COLLECTIVE REGULATORY ADULT ONSITE REVIEW CENTRAL OREGON 11TH DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - COLLECTIVE EXPECTATION 02/24/2016 ADULT CENTRAL OREGON BLUEBIRD DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COLLECTIVE EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CENTRAL OREGON BLUEBIRD DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COLLECTIVE EXPECTATION 02/23/2016 ADULT CENTRAL OREGON DESCHUTES DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING COLLECTIVE EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW CENTRAL OREGON HILL DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COLLECTIVE EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CENTRAL OREGON SHEPHARD DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COLLECTIVE EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CENTRAL OREGON SHEPHARD DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COLLECTIVE EXPECTATION 03/09/2017 ADULT CENTRAL OREGON TOURMALINE DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COLLECTIVE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CENTRAL OREGON TOURMALINE DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COLLECTIVE EXPECTATION 04/26/2016 ADULT CENTRAL OREGON YELLOW RIBBON DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COLLECTIVE EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CENTRAL OREGON YELLOW RIBBON DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COLLECTIVE EXPECTATION 03/08/2017 ADULT CERVANTES, KELSIE & HOWARD JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - THIELE, JUSTIN CHILD CHAFFEE, AARON & 13TH CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - JENNIFER REVIEW CHILD WELFARE CHAFIN, LADONNA D MOUNTAIN HOME LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CHAKO, BESHULE 178TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CHAKO, KEDIR RYAN BENTON PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW 31 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type CHAKO, WONDIMU 144TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE 30TH LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE 30TH LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 04/14/2016 ADULT CHAMBERLIN HOUSE ELM LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE ELM LINN COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 06/30/2016 ADULT CHAMBERLIN HOUSE POWELL LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE POWELL LINN COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 09/28/2016 ADULT CHAMBERLIN HOUSE SALEM LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE SALEM LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 06/09/2016 ADULT CHAMBERLIN HOUSE WAVERLY LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE WAVERLY LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE WAVERLY *1 LINN DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE WAVERLY *1 LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 01/29/2016 ADULT CHAMBERLIN HOUSE WAVERLY *7 LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHAMBERLIN HOUSE WAVERLY *7 LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 01/14/2016 ADULT CHAMBERLIN HOUSE *1 HILL LINN COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW ADULT CHAMBERLIN HOUSE *5 HILL LINN COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW ADULT CHANCEY & AMIE CLOVERLAWN JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - SMALL EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHANDRA WRIGHT ARROWHEAD KLAMATH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW CHANTELES LOVING CENTRAL DOUGLAS PENDING COMPLIANT SURVEY RESIDENTIAL - TOUCH MEMORY CARE REGULATORY ADULT ONSITE REVIEW CHANTELES LOVING CENTRAL DOUGLAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - TOUCH MEMORY CARE EXPECTATION 03/08/2016 ADULT

32 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type CHAVEZ, DONNA J 107TH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CHOICES UNLIMITED HILL CLACKAMAS COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW ADULT CHOICES UNLIMITED MATILDA CLACKAMAS COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW ADULT CHP TILLAMOOK FIVE 12TH TILLAMOOK COMPLIANT NEW SITE / INITIAL RESIDENTIAL - RIVERS REVIEW ADULT CHRIS HALL ESTELLE DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHRIS HALL ESTELLE DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/29/2016 ADULT CHRISTA SHANNON PLEASANT UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHRISTA SHANNON PLEASANT UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/26/2016 ADULT CHRISTIANSEN, MINDY SLAYTON CROOK PENDING INCOMPLETE SURVEY FOSTER CARE - L REGULATORY CHILD ONSITE REVIEW CHRISTINE LOVE DEBORA CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHRISTINE LOVE DEBORA CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/26/2016 ADULT CHRISTOPHER CEDAR FLAT LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ESPINOZA EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CHRISTOPHER CEDAR FLAT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ESPINOZA EXPECTATION 04/28/2016 ADULT CHURCH, GAIL BEACON JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CINDY JOHNSON EUCLID HOOD RIVER DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CINDY JOHNSON EUCLID HOOD RIVER DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/29/2016 ADULT CINDY WATKINS TIMBER RIDGE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY RESPITE ONSITE REVIEW CINDY WATKINS TIMBER RIDGE MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/09/2016 RESPITE CLARA LENGSI & DAVID ALEX MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - SAIMON EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CLARA LENGSI & DAVID ALEX MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - SAIMON EXPECTATION 03/18/2016 ADULT CLARK, JANET PERSHALL DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CLARK, KATHRYN A PECK MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW 33 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type CLARK, SHERRILL F ALTON MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW CLAUDIA & ARLIE AUSTIN KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - SHARP EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CLAUDIA & ARLIE AUSTIN KLAMATH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - SHARP EXPECTATION 11/17/2016 ADULT CLEGG, DOUG & DOTTI HARVEY LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE CLIBURN, JASON MAYER LINN PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CLIBURN, JASON MAYER LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/27/2016 ADULT COAST REHAB SERVICES 10TH CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES 10TH CLATSOP DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/21/2016 ADULT COAST REHAB SERVICES 6TH MULTNOMAH REMEDIATION DATA WAREHOUSE RESIDENTIAL - ADULT COAST REHAB SERVICES ANCHOR CLATSOP PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES ANCHOR *59 CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES AVENUE A CLATSOP DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES AVENUE A CLATSOP DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 11/30/2016 ADULT COAST REHAB SERVICES AVENUE B CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES AVENUE B CLATSOP DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/13/2016 ADULT COAST REHAB SERVICES AVENUE P CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES BURNSIDE MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES BURNSIDE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/23/2016 ADULT COAST REHAB SERVICES CENTER CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES CENTER CLATSOP DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 09/28/2016 ADULT COAST REHAB SERVICES COUNTRY CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES COUNTRY CLATSOP DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/29/2016 ADULT 34 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type COAST REHAB SERVICES DATE CLATSOP DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES FRANCIS CLATSOP DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES FRANCIS CLATSOP DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/25/2016 ADULT COAST REHAB SERVICES HWY 101 CLATSOP DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES HWY 101 CLATSOP DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/01/2016 ADULT COAST REHAB SERVICES LINCOLN CLATSOP DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES LINCOLN CLATSOP DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/03/2016 ADULT COAST REHAB SERVICES SE205TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW COAST REHAB SERVICES WILLOWBROOK MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW COCHRAN, MICHELE 5TH CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW COCHRAN, SANDRA GOODWIN UMATILLA DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LYNN EXPECTATION REGULATORY ADULT ONSITE REVIEW COFFELT, GEOFFRY OAKDALE POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COFFELT, GEOFFRY OAKDALE POLK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/19/2016 ADULT COFFELT, PAULA MILL POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW COLEMAN, CHANDRA BAILEY VIEW LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW COLEMAN, GREG COUGAR BENTON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE COLLINS, KAREN HOO DOO POLK PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW COLLINS, KAREN HOO DOO POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/24/2016 ADULT COLLINS, VERA & STEVE WILLHI LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE COMBS, BROCK HARVARD LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMBS, BROCK HARVARD LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/21/2016 ADULT COMER, DAVID JACKWOOD MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - 35 of 159 REVIEW AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type COMET CONSULTANTS *3 JUNIPER MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LLC REVIEW ADULT COMET CONSULTANTS *8 JUNIPER MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LLC REVIEW ADULT COMMUNITY ACCESS BROGDEN WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 13TH CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 13TH CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES II INC EXPECTATION 05/18/2016 ADULT COMMUNITY ACCESS 141ST MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 141ST MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES II INC EXPECTATION 01/20/2016 ADULT COMMUNITY ACCESS 157TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 185TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 185TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES II INC EXPECTATION 06/22/2016 ADULT COMMUNITY ACCESS 197TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 197TH WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES II INC 09/06/2016 ADULT COMMUNITY ACCESS 5TH COLUMBIA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS 5TH COLUMBIA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES II INC 07/20/2016 ADULT COMMUNITY ACCESS MATZEN COLUMBIA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS MATZEN COLUMBIA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES II INC 07/11/2016 ADULT COMMUNITY ACCESS OAK COLUMBIA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS OAK COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES II INC EXPECTATION 06/01/2016 ADULT COMMUNITY ACCESS ORCHARD COLUMBIA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS ORCHARD COLUMBIA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES II INC 07/28/2016 ADULT COMMUNITY ACCESS QUINCY MAY COLUMBIA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES II INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS QUINCY MAY COLUMBIA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES II INC 12/20/2016 ADULT

36 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type COMMUNITY ACCESS STERLING CT CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - SERVICES II INC REGULATORY ADULT ONSITE REVIEW COMMUNITY ACCESS STERLING CT CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES II INC EXPECTATION 08/11/2016 ADULT COMMUNITY ACCESS WASHINGTON WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SERVICES II INC EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW COMMUNITY ACTION MAROLF TILLAMOOK PENDING INCOMPLETE SURVEY RESIDENTIAL - RESOURCE REGULATORY ADULT ONSITE REVIEW COMMUNITY LIFE HEMLOCK JACKSON PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 104TH WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 12TH ST WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 148TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 186TH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 186TH WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 08/30/2016 ADULT COMMUNITY SERVICES 187TH WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 202ND WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 202ND WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 05/20/2016 ADULT COMMUNITY SERVICES 28TH WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 28TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 05/11/2016 ADULT COMMUNITY SERVICES 8TH *200 SHERMAN PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 8TH *200 SHERMAN COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 11/01/2016 ADULT COMMUNITY SERVICES 8TH *220 SHERMAN DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 8TH *220 SHERMAN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 01/13/2016 ADULT COMMUNITY SERVICES 92ND WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES 92ND WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 08/12/2016 ADULT 37 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type COMMUNITY SERVICES BROAD OAK WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES BROAD OAK WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 09/13/2016 ADULT COMMUNITY SERVICES BURNSIDE MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES BURNSIDE MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 10/26/2016 ADULT COMMUNITY SERVICES CHARLESTON MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES CHARLESTON MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 09/15/2016 ADULT COMMUNITY SERVICES CORNELL WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES CORNELL WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 03/16/2016 ADULT COMMUNITY SERVICES FIR ROAD WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES FIR ROAD WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 02/11/2016 ADULT COMMUNITY SERVICES HOLGATE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES HOLGATE MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 10/25/2016 ADULT COMMUNITY SERVICES MORRISON MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES PRAIRIE TERRACE WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES PRAIRIE TERRACE WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 11/15/2016 ADULT COMMUNITY SERVICES RODNEY MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES SANDRA LN. WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES SANDRA LN. WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 06/14/2016 ADULT COMMUNITY SERVICES SPRUCE WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES SPRUCE WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 06/27/2016 ADULT COMMUNITY SERVICES STURGESS WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SERVICES STURGESS WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 10/27/2016 ADULT 38 of 159 As of 10/14/2016

COMMUNITY SUPPORT MAPLE MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW COMMUNITY SUPPORT MAPLE MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES INC 03/09/2017 ADULT

COMMUNITY SUPPORT MARION MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SERVICES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW COMMUNITY SUPPORT MULTNOMAH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SERVICES INC EXPECTATION REGULATORY ONSITE REVIEW CONFED TRIBES OF OLLALLIE JEFFERSON PENDING INCOMPLETE SURVEY RESIDENTIAL - WARM SPRINGS DBA REGULATORY ADULT HIGH LOOKEE LODGE ONSITE REVIEW CONG, LIN GREEN JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW COOPER HOLLOW ACKERMAN POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL REGULATORY ADULT ONSITE REVIEW COOPER HOLLOW BAKER YAMHILL PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL REGULATORY ADULT ONSITE REVIEW COOPER HOLLOW HILLCREST POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL REGULATORY ADULT ONSITE REVIEW COOPER HOLLOW MARIA POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL REGULATORY ADULT ONSITE REVIEW

39 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type COOPER HOLLOW MASONVILLE YAMHILL PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL REGULATORY ADULT ONSITE REVIEW CORBIN, SHEILA 185TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW CORCORAN, DEBORAH KNIGHT LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW CORCORAN, DEBORAH KNIGHT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/22/2016 ADULT CORCUERA, JULIO ARROWHEAD LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CORCUERA, ROSA & HYACINTH LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - GEORGINA EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CORCUERA, ROSA & HYACINTH LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - GEORGINA 04/20/2016 ADULT CORDER, KATHERINE IMPERIAL CREST CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW CORDER, KATHERINE IMPERIAL CREST CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/07/2016 CHILD CORNELL, ANTHONY CHELAN MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW CORNERSTONE VALLEY GLAZE MEADOW POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CORNERSTONE VALLEY GLAZE MEADOW POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 07/13/2016 ADULT CORNERSTONE VALLEY LAUREL RIDGE POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CORNERSTONE VALLEY WHITE OAK POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW CORNERSTONE VALLEY WHITMAN POLK COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW CHILD CORNERSTONE VALLEY APPLESEED POLK COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW ADULT CORRAL, MARILYN 56TH CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW CORUM, SHEA & INVERNESS MARION PENDING COMPLIANT SURVEY FOSTER CARE - CHRISTINA REGULATORY ADULT ONSITE REVIEW CORUM, SHEA & INVERNESS MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - CHRISTINA EXPECTATION 07/29/2016 ADULT COSTELLO, MELISSA KODIAK WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW COTE, LISA BLUE MOUNTAIN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 40 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type CRAWFORD, JANA & TICHENOR COLUMBIA REMEDIATION DATA WAREHOUSE FOSTER CARE - LEON CHILD WELFARE CRAWFORD, JUDY & 82ND WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - STEVEN CHILD WELFARE CRAWFORD, RHONDA AVALON LINN REMEDIATION DATA WAREHOUSE FOSTER CARE - & JAMES CHILD WELFARE CRISEL, PAM CARTON JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CRISWELL, TERRI & GRAND ISLAND YAMHILL REMEDIATION DATA WAREHOUSE FOSTER CARE - RANDAL CHILD WELFARE CROMER, DAVID & QUINCE LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LESLIE EXPECTATION REGULATORY CHILD ONSITE REVIEW CRONK, PAMELA AUBURN LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW CRONK, PAMELA AUBURN LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/24/2016 CHILD CROWDER, JACQUELINE WESTWOOD POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CROWELL, ESTHER 21ST DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CROWELL, ESTHER 21ST DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 02/11/2016 ADULT CUBIC, DIANNA HWY 212 CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CULLY, ROBERT MADRAS MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CUMBAI, MELLES 132ND MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW CUMBAI, MELLES 132ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/19/2016 ADULT CUNNINGHAM, JAEMIE PEBBLE BEACH LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW CUNNINGHAM, JAEMIE PEBBLE BEACH LANE PENDING COMPLIANT SURVEY FOSTER CARE - & SEAN REGULATORY CHILD ONSITE REVIEW CUNNINGHAM, JAEMIE PEBBLE BEACH LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - & SEAN EXPECTATION 08/01/2016 CHILD CURRY, GLENN DONATELLO CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CURRY, SHANNON & WATAGUA LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHERI CHILD WELFARE CURTIS, TERESA HAZEL GROVE CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW CURTIS, TERESA HAZEL GROVE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/25/2016 CHILD 41 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type CUTTITTA, KELLY 352ND CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW CUTTITTA, KELLY 352ND CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW CUTTITTA, KELLY 352ND CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/13/2016 CHILD DABEL, SHANNON ROLLING HILLS JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DABEL, SHANNON ROLLING HILLS JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/07/2016 ADULT DAHL, JENNIFER JACKSON MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW DAHL, JENNIFER JACKSON MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/21/2016 CHILD DALLAS, DELORIS RUPERT WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW DALRYMPLE, SUSAN COUCH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW DALRYMPLE, SUSAN COUCH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/25/2016 CHILD D'AMBROSIO, LOUISE LAUREL LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW D'AMBROSIO, LOUISE LAUREL LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/21/2016 ADULT D'AMBROSIO, SANDRA CINNAMON LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW D'AMBROSIO, SANDRA CINNAMON LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/18/2016 ADULT DANIELS, CRISTINA 173RD WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW DANIELS, CRISTINA 173RD WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/01/2017 CHILD DANVILLE SERVICES OF 172ND MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF 172ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON LLC EXPECTATION 08/04/2016 ADULT DANVILLE SERVICES OF HOLMAN MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF HOLMAN MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON LLC EXPECTATION 03/08/2017 ADULT DANVILLE SERVICES OF LIBERTY MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - OREGON LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF LIBERTY MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON LLC EXPECTATION 04/19/2017 ADULT 42 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type DANVILLE SERVICES OF LINCOLN MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - OREGON LLC REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF OLYMPIC MARION PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON LLC REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF OLYMPIC MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - OREGON LLC EXPECTATION 03/16/2016 ADULT DANVILLE SERVICES OF PERIMETER WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON LLC REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF ROELLICH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - OREGON LLC REGULATORY ADULT ONSITE REVIEW DANVILLE SERVICES OF ROELLICH WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - OREGON LLC 01/04/2017 ADULT DANVILLE SERVICES OF WASHINGTON MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING OREGON LLC EXPECTATION REGULATORY ONSITE REVIEW DARARTU TONA & AVERY WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ABDURASHID TUSE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT DARARTU ADULT ONSITE REVIEW FOSTER CARE DARARTU TONA & AVERY WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ABDURASHID TUSE - EXPECTATION 10/26/2016 ADULT DARARTU ADULT FOSTER CARE DAVEY, MARY & RON LINCOLN LINCOLN REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE DAVIS, CONNIE MODLIN LINCOLN REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE DAVIS, JAMIE 89TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DAVIS, JAMIE 89TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/01/2016 ADULT DAVIS, LILIA EMERSON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DAVIS, LILIA EMERSON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/14/2016 ADULT DAVIS, REBECCA & JUNE CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - DREW CHILD WELFARE DAYTON, JILL MOUNTAIN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DAYTON, JILL MOUNTAIN RIDGE CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW DAYTON, JILL MOUNTAIN RIDGE CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/19/2016 CHILD DEBIE ESTIL & JESSICA PLYMOUTH BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ELMORE EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DEBIE ESTIL & JESSICA PLYMOUTH BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ELMORE EXPECTATION 04/29/2016 ADULT 43 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type DEBORAH BALDERAS WAVERLY LANE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - DBA DAI SLA REVIEW ADULT DEEM, JASON MAIN UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DEFRANCESCO, LISA BURNETT LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW DEFRANCESCO, LISA BURNETT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/19/2016 CHILD DEL MORAL, EMILIO MORRISON MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DEL MORAL, EMILIO MORRISON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/02/2016 ADULT DEL MORAL, MICHAEL CLINTON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DELA CRUZ, RAQUEL GERANIUM MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DELA CRUZ, RAQUEL GERANIUM MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/19/2016 ADULT DELACRUZ, RAUL DIAMOND LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DELACRUZ, RAUL DIAMOND LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/14/2016 ADULT DELONEY, ANTHONY 63RD MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW DENSON, BERNADINE EVANS MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DENT, GWENDOLYN KLICKITAT MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW DEREJE TESSEMA & CLACKAMAS CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - TIGIST ABEBE REGULATORY ADULT ONSITE REVIEW DEREJE TESSEMA & CLACKAMAS CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - TIGIST ABEBE EXPECTATION 11/03/2016 ADULT DERRY III, JSOEPH JAMES KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DERRY, VERONICA AMBER KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DETTMER, JOLENE DOYLE POINT CURRY DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW DEVENCENZI, MICHELLE LINDA YAMHILL REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE DEVOS, CHELSEA BUCKBOARD MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT

44 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type DILL, SHARI TALL TREE WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DISASA, GUTETA OWEN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DISASA, GUTETA INC 128TH CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT DIXON, ANTHONY 29TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE DIXON, SAUNDRA GAFFIN MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DOBBS, REBECCA DITTERSE MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT DOBBS, REBECCA HEATHER MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW DOBBS, REBECCA HEATHER MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/14/2017 ADULT DOHERTY, CATHERINE CORUM LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DOHERTY, CATHERINE CORUM LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/05/2016 ADULT DOHERTY, CATHERINE WAVERLY LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT DOOLEY, PAULA MAIN WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DORIS GERMAIN & VILLARD LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - JOSEPH STANKUNAS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DORIS GERMAIN & VILLARD LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - JOSEPH STANKUNAS 10/26/2016 ADULT DOUGLAS RESIDENT BROAD *20 DOUGLAS PENDING COMPLIANT SURVEY RESIDENTIAL - TRAINING FACILITIES REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT BROAD *60 DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT BROAD *60 DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING FACILITIES 12/07/2016 ADULT INC DOUGLAS RESIDENT CARNES DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT CARNES DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING FACILITIES 03/09/2016 ADULT INC DOUGLAS RESIDENT CARY DOUGLAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT GALAXY DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW 45 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type DOUGLAS RESIDENT GALAXY DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING FACILITIES 03/22/2016 ADULT INC DOUGLAS RESIDENT GLEN CT DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT GLEN CT DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING FACILITIES 03/30/2017 ADULT INC DOUGLAS RESIDENT KLAMATH DOUGLAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT LANDERS DOUGLAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING FACILITIES EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW DOUGLAS RESIDENT LANDERS DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING FACILITIES 08/18/2016 ADULT INC DOUGLAS RESIDENT RONALD DOUGLAS PENDING INCOMPLETE SURVEY RESIDENTIAL - TRAINING FACILITIES REGULATORY ADULT INC ONSITE REVIEW DOVELL, NICOLE BLACKWELL JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE DOWELL, KELLIE & WILLOWBROOK MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - RONALD CHILD WELFARE DRAGULIN, RODICA GLADSTONE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DUFTON, NORMAN & DALE CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MELODY EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUFTON, NORMAN & DALE CLATSOP DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - MELODY EXPECTATION 09/23/2016 ADULT DUKE, DARLEA COLD SPRINGS LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUKE, DARLEA COLD SPRINGS LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/29/2016 ADULT DUMAS, LEAH ROSELAWN MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE DUNCAN, ETTA KERBY MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 112TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 112TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 12/06/2016 ADULT DUNGARVIN OREGON 119TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 119TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 05/10/2016 ADULT DUNGARVIN OREGON 156TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - LLC REGULATORY ADULT ONSITE REVIEW 46 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type DUNGARVIN OREGON 169TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 169TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 02/16/2017 ADULT DUNGARVIN OREGON 174TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 193RD MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 193RD MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 11/18/2016 ADULT DUNGARVIN OREGON 7TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON 7TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 09/08/2016 ADULT DUNGARVIN OREGON 97TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON ASHLEY CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON ASHLEY CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LLC 12/01/2016 ADULT DUNGARVIN OREGON CONCORD LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON CONCORD LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 03/18/2016 ADULT DUNGARVIN OREGON COSMOLEDO LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON DEAN LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON DEAN LANE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LLC 01/17/2017 ADULT DUNGARVIN OREGON E ST *26 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON E ST *26 LANE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LLC 04/25/2017 ADULT DUNGARVIN OREGON E ST *30 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON E ST *30 LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 03/15/2016 ADULT DUNGARVIN OREGON FOOTHILLS CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON FOOTHILLS CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 02/08/2017 ADULT DUNGARVIN OREGON HERMAN LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 47 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type DUNGARVIN OREGON HERMAN LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 07/20/2016 ADULT DUNGARVIN OREGON HICKORY LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON HICKORY LANE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LLC 02/02/2017 ADULT DUNGARVIN OREGON JEPPESEN ACRES LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON JEPPESEN ACRES LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 08/09/2016 ADULT DUNGARVIN OREGON MULTNOMAH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW DUNGARVIN OREGON PRESCOTT LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON PRESCOTT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 04/06/2016 ADULT DUNGARVIN OREGON RUSKIN LANE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LLC REVIEW ADULT DUNGARVIN OREGON STEPHENS MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON TAYLOR MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON TAYLOR MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LLC 09/15/2016 ADULT DUNGARVIN OREGON WOODEN WAY LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNGARVIN OREGON WOODEN WAY LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - LLC EXPECTATION 10/18/2016 ADULT DUNHAM, SHIRLEY ESTHER JOSEPHINE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT DUNN, GARETT SWAN CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW DUNN, GARETT SWAN CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/21/2016 ADULT EADS, NANCY LAURELWOOD KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED 148TH *4 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED BUSH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED BUSH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES 10/05/2016 ADULT EASTCO DIVERSIFIED COUCH MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW 48 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type EASTCO DIVERSIFIED EVERETT MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED HALSEY *20 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED HALSEY *20 MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 02/24/2016 ADULT EASTCO DIVERSIFIED HALSEY *40/*50 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED HALSEY *40/*50 MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 03/02/2016 ADULT EASTCO DIVERSIFIED MALL MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW EASTCO DIVERSIFIED MULTNOMAH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SERVICES EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW EDENS SMITH, GLADYS ELLIOTT CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC 172ND WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC 197TH WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC 206TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC 206TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 04/12/2016 ADULT EDWARDS CENTER INC BONNIE BRAE WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC BONNIE BRAE WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/12/2016 ADULT EDWARDS CENTER INC CANDICE CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC CENTURY WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC CENTURY WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/25/2017 ADULT EDWARDS CENTER INC EAST CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC EAST CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 07/06/2016 ADULT EDWARDS CENTER INC EDWARDS WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC OAK WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW 49 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type EDWARDS CENTER INC OAK GROVE CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC PHEASANT WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC PHEASANT WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/09/2016 ADULT EDWARDS CENTER INC RISLEY CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC ROSA WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC ROSA WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 09/06/2016 ADULT EDWARDS CENTER INC ROUNDTREE CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC ROUNDTREE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/23/2016 ADULT EDWARDS CENTER INC SHAW WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC SHAW WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 05/05/2016 ADULT EDWARDS CENTER INC TORBANK CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC TORBANK *06/*08 CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW EDWARDS CENTER INC TORBANK *06/*08 CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/22/2017 ADULT EDWARDS, SANDRA MAPLE CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE EISENBLATTER, 146TH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - MARSHA REGULATORY ADULT ONSITE REVIEW EISENBLATTER, 146TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - MARSHA EXPECTATION 11/07/2016 ADULT EISMA, BRANDON BUSH JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ELLIOTT, KATHRYN TUSCARORA DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ELLIOTT, KATHRYN TUSCARORA DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/22/2016 ADULT ELLIS, CHRISTINA 172ND MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW ELLIS, CHRISTINA 172ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/07/2016 ADULT ELLIS, PAULA HARRISON MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW 50 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ELLYN HAMILTON RIDGEWAY JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW ELLYN HAMILTON RIDGEWAY JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/23/2016 ADULT ELY, TAMMY SWIFT MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ELYSIAN PURSUIT ACKERMAN POLK COMPLIANT NEW SITE / INITIAL RESIDENTIAL - REVIEW ADULT ELYSIAN PURSUIT INC CARIBOU POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW ELYSIAN PURSUIT INC DAVIS POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW EMBAYE, YOSIEF MARINE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW EMERITUS BROOKDALE 17TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - SELLWOOD REGULATORY ADULT ONSITE REVIEW EMERITUS SENIOR 6TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - ASSISTED LIVING REGULATORY ADULT ONSITE REVIEW EMLER, KEN MAYFAIR JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW ENCABO, RACHELLE ELAINE WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW ENGDAHL, JENNI GLEN POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ERNEST, BRIAN GROVER LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW ESPINOZA, JENNIFER CEDAR FLAT LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ESPINOZA, JENNIFER CEDAR FLAT LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/10/2016 ADULT ESPINOZA, SIMONE OSAGE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MARY EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ESPINOZA, SIMONE OSAGE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - MARY 11/04/2016 ADULT ESQUIVEL, JOSEPH 30TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ESTES, BEVERLY BAKER YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW EVANS, BRITTNEY PINE LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 51 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type FELEMA, DURETI MAIN MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/30/2016 RESPITE FELEMA, MOTI 168TH MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT FELTON, DEANNA DIDION UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FERSCHWEILER, ST LOUIS MARION PENDING COMPLIANT SURVEY FOSTER CARE - ROBERT L REGULATORY CHILD ONSITE REVIEW FERSCHWEILER, ST LOUIS MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ROBERT L EXPECTATION 07/13/2016 CHILD FIGUEROA, JOSEFINA IDAHO MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FISHER, MARIE & BEAVER CREEK MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - BRUCE CHILD WELFARE FISHER, PATRICK IRONWOOD LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT FITE GWYNN, SHARON PATTERSON KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FITZGERALD, JULIANN BENNETT LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FLEMING, DANIEL & BRENT DOUGLAS PENDING COMPLIANT SURVEY FOSTER CARE - ANGELA REGULATORY ADULT ONSITE REVIEW FLEMING, DANIEL & BRENT DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - ANGELA 12/02/2016 ADULT FLEMING, MATTHEW KIMBERLY CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW FLEMING, MATTHEW KIMBERLY CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/01/2016 CHILD FLEMING, TAMARA 25TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW FLETCHER, DEBORAH WINDSONG HOOD RIVER DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW FLETCHER, DEBORAH WINDSONG HOOD RIVER DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/06/2016 ADULT FLORES ROSAS, ELADIN SPRINGBROOK JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FLORES ROSAS, TRACY RANCHO LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW FLORES ROSAS, TRACY RANCHO LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/22/2016 ADULT FLORES, ALBA SUSSEX CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW FLORES, ALBA SUSSEX CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/17/2016 ADULT 53 of 159 As of 10/14/2016

54 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type FRANZEN, MELISSA DAYS CREEK CUTT DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - OFF EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW FRANZEN, MELISSA DAYS CREEK CUTT DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - OFF 08/11/2016 CHILD FRASIER, DANNY BORGES CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FRASIER, DANNY BORGES CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/01/2016 ADULT FRAZIER, DONYA 98TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD FRAZIER, FELICITAS KATHY MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW FRAZIER, FELICITAS KATHY MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/11/2016 ADULT FRED & RUTH RICH CURRANT UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW FRED & RUTH RICH CURRANT UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/01/2016 ADULT FREEMAN, RANDY BARKLOW COOS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FRENCH, BETTY GILBERT DOUGLAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FRENCH, DEBRA CARIBOU WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FREY, CATHERINE 115TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW FREY, CATHERINE 115TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/21/2016 CHILD FREY, GORDON PENINSULAR MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW FRONAPEL, DAVID & LAYCOCK CREEK GRANT DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MARLOU EXPECTATION REGULATORY ADULT ONSITE REVIEW FRONAPEL, DAVID & LAYCOCK CREEK GRANT COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - MARLOU 10/25/2016 ADULT FRY, KATHLEEN FIRWOOD LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW FULLER, GERALDINE 7TH LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW FULTZ, DEREK AINSWORTH MULTNOMAH PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW FULTZ, MARILYN 142ND MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 55 of 159 As of 10/14/2016

GAMBLE, TYESIS & COUCH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - GARY CHILD WELFARE GARCIA DIAZ, PEDRO ALDER MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GARCIA DIAZ, PEDRO ALDER MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/07/2016 ADULT GARCIA DIAZ, PEDRO MAIN MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GARCIA DIAZ, PEDRO MAIN MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/01/2016 ADULT GARCIA DIAZ, PEDRO PACIFIC MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT GARCIA, DELMY ALEX MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW GARCIA, DELMY ALEX MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/08/2016 CHILD GARMIRE, PAMELA SILVER CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GATES, ALICIA 27TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GATES, ALICIA 27TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/11/2016 ADULT GATEW, SEWUBALEM JAY WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GATEWAY ASSISTED CLOVERLEAF LANE REMEDIATION DATA WAREHOUSE RESIDENTIAL - LIVING ADULT GEBRE, BERHANU KNOTT MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GEBRE, BERHANU KNOTT MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - 56 of 159 EXPECTATION 06/05/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type GEBREEGZIABHER, WYGANT MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - FREHIWOT EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GEBREHIWOT, MLK MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - ALEMSEGED REGULATORY ADULT ONSITE REVIEW GEBREKRISTOS, LEAKE 107TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GEBRESLASSIE, AZEB 154TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GEBRESLASSIE, AZEB 154TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/17/2016 ADULT GEBRESLASSIE, GESSESE 178TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GEBRESLASSIE, GESSESE 178TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/31/2016 ADULT GEBREYESUS, TESHALE HALSEY MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GELAGAY, TADELE 134TH *3 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GELAGAY, TADELE 134TH *3 MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/14/2016 ADULT GELGELU, DEMETI 79TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GELGELU, EPHEREM A 5TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GELGELU, SOLOMON 12TH WASHINGTON PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW GEMECHU, HELEN DUNBAR MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT GEMEDA, TULEDROS ODESSA MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT GEMEDA, ZENIT PARK MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GENEREUX, JILL KODIAK LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GERISSO, BURKA 9TH YAMHILL PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GERISSO, BURKA 9TH YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 03/09/2017 ADULT GESSESSE, AMBACHEW MADISON MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GESSESSE, AYELE 132ND MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 57 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type GESSESSE, TELDA 112TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GESSESSE, TEWODROS DOGWOOD CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GHASEDI, KAMBIZ FORSYTHE CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GHASEDI, KAMBIZ FORSYTHE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/09/2016 ADULT GHASEDI, PAYMON CAUFIELD CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GHASEDI, PAYMON CAUFIELD CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/15/2016 ADULT GHASEDI, SASAN WHITE CLOUD CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GIBSON, CONNIE LORI MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GIBSON, DANA MARYS RIVER BENTON PENDING INCOMPLETE SURVEY FOSTER CARE - ESTATES REGULATORY ADULT ONSITE REVIEW GIBSON, TAMRA BURNSIDE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GIBSON, TAMRA BURNSIDE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/26/2016 ADULT GIDEY, TEDROS SISKIYOU MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GIDEY, TEDROS SISKIYOU MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/12/2016 ADULT GIFTED HANDS 153RD MULTNOMAH COMPLIANT NEW SITE / INITIAL RESIDENTIAL - RESIDENTIAL SVC REVIEW ADULT GILLEM, NANCY FRIENDLY ACRES LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GILLEM, NANCY FRIENDLY ACRES LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/03/2016 ADULT GILLETTE, THEODORE HUCKLEBERRY MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GILLETTE, THEODORE HUCKLEBERRY MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/30/2016 ADULT GINDER, DON ANNIE LANE MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW GINYA LOCKWOOD - G SUNSHINE KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - & C FOSTER CARE EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GINYA LOCKWOOD - G SUNSHINE KLAMATH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - & C FOSTER CARE 10/26/2016 ADULT

58 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type GIRARDIN, VICKI 8TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GLEGELU, DURETI 79TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GLEGELU, DURETI 79TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/15/2017 ADULT GODDARD, LORI & ARBERRY POLK REMEDIATION DATA WAREHOUSE FOSTER CARE - DAVID CHILD WELFARE GODSBY, TODD PACIFIC HWY JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW GOGENOLA, DIANIA DAGGETT DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GOGENOLA, DIANIA DAGGETT DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/30/2016 ADULT GOLDSMITH, PAMELA & WINSTON CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - STEVEN CHILD WELFARE GOLDSTEIN, HARRISON YAMHILL COMPLIANT NEW SITE / INITIAL FOSTER CARE - CHRISTOPHER REVIEW ADULT GOLDSTEIN, PATRICIA HANDLEY WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GOLDSTEIN, PATRICIA HANDLEY WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/09/2016 ADULT GOMALO, TESFAYE HAPPY MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GONZALEZ, LILLIAN DOUBLE TREE DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GONZALO MONJE - G & DALTON LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - D ADULT FOSTER HOME EXPECTATION EXPECTATION REGULATORY ADULT II ONSITE REVIEW GONZALO MONJE - G & DALTON LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - D ADULT FOSTER HOME EXPECTATION 11/17/2016 ADULT II GOSCHIE, CHARLOTTE MARCUM LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE GOTUR, RODICA & LIVIU HWY 212 CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW GOTUR, RODICA & LIVIU HWY 212 CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/01/2016 ADULT GRANADOS, FELISIA JANUS LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GRANGER, TOM & JUNIPER CANYON CROOK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - DONNA EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GRANNO, CAROL CANDLEWOOD MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW GRANTS PASS ASSISTED BRIDGE JOSEPHINE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LIVING LLC 59 of 159 REVIEW AsADULT of 10/14/2016

GRAY, LAURIE ROSEWOOD POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GRAY, LAURIE ROSEWOOD POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/27/2016 ADULT GREEN, SANDRA P R ST LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW GREENE, MARTHA BIRCHWOOD DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GREENE, MARTHA BIRCHWOOD DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/21/2016 ADULT GREENFIELD, GLOUCESTER CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - JACQUELINE REGULATORY REVIEW CHILD ONSITE REVIEW GREER, ANGELA CHURCH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW GREER, ANGELA CHURCH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/13/2016 CHILD GREER, RICHARD CHURCH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GREER, RICHARD CHURCH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/03/2016 ADULT GREGG WOOCK CRYSTAL LAKE BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GREGG WOOCK CRYSTAL LAKE BENTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/18/2016 ADULT GREGORY, REBECCA HILLCREST POLK DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW GREGORY, REBECCA HILLCREST POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/28/2016 CHILD GRENIA, DEBRENA 120TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW GRENIA, DEBRENA 120TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/11/2016 CHILD GRENZ, MONICA & JEFFERSON LINN REMEDIATION DATA WAREHOUSE FOSTER CARE - TRAVIS CHILD WELFARE

60 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type GRESMAK, JESSICA MARION LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GRESMAK, JESSICA MARION LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/21/2016 ADULT GRETCHEN MCDANIEL VIOLET LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - & MARI ENCALADA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GRETCHEN MCDANIEL VIOLET LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - & MARI ENCALADA EXPECTATION 02/08/2016 ADULT GRIFFIN, JERRY DIVISION MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW GRIFFIN, LUCILLE & BRIDGE JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MICHAEL EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GRIFFIN, TRICIA FARMINGTON WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GRIFFIN, TRICIA FARMINGTON WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/10/2016 ADULT GRIFFITH 24 HR CARE LEXIE MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LLC REVIEW ADULT GROH, CLAUDIA & PAUL OAK YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GROH, CLAUDIA & PAUL OAK YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/19/2016 ADULT GUEDON, DENISE RAMONA MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GUEDON, DENISE RAMONA MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/01/2016 ADULT GUEDON, DENISE RAMONA MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT GUILMETTE, SCOTT FAIRVIEW WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GUILMETTE, SCOTT FAIRVIEW WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/21/2016 ADULT GWALTNEY, ROW RIVER LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - JACQUELINE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GWALTNEY, ROW RIVER LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - JACQUELINE 12/30/2016 ADULT GWINN, DIANA FARGO MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW GWINN, DIANA FARGO MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/27/2016 ADULT HAGER, KENDRA & LEONARD JOSEPHINE REMEDIATION DATA WAREHOUSE FOSTER CARE - RONALD CHILD WELFARE HAHN, MARIBEL I STREET MALHEUR DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW HAHN, MARIBEL I STREET MALHEUR DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - 61 of 159 EXPECTATION 10/12/2016 AsCHILD of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HAILE, FREHIWOT FAILING MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW HAILE, FREHIWOT FAILING MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/09/2016 ADULT HAILEY, LARRY CORRAL YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HALES, APRIL ADELINE JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HALINA MYERS RICHLAND BENTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW HALINA MYERS RICHLAND BENTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/18/2016 ADULT HALL, DOUGLAS BORDERS COOS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HAMPTON, CHERISSE & MCDONALD WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - DANIEL CHILD WELFARE HAMPTON, OMA & 10TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - JOHN JR CHILD HANKWITZ, DEBBIE ORCHARD LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HANKWITZ, DEBRA & ORCHARD LINN COMPLIANT NEW SITE / INITIAL FOSTER CARE - DONALD REVIEW ADULT HANSON, JANET ROGERS LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HANSON, JANET ROGERS LINN COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/03/2016 ADULT HANSON, KRISTA SEDONA WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW HANSON, KRISTA SEDONA WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/24/2016 ADULT HARMONY HOUSING CORNELL WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HARMONY HOUSING CORNELL WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 01/24/2017 ADULT HARMONY HOUSING DONCASTER CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW HARMONY HOUSING LONGACRE WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HARMONY HOUSING LONGACRE WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 10/07/2016 ADULT HARMONY HOUSING WASHINGTON WASHINGTON COMPLIANT NEW SITE / INITIAL RESIDENTIAL - INC REVIEW ADULT HARN, EVELYN 15TH MALHEUR PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 62 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HARNAR, MARIE MILLER HOOD RIVER PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HAROLD THOMPSON - MARION LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - THOMPSON ADULT EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT FOSTER HOME ONSITE REVIEW HAROLD THOMPSON - MARION LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - THOMPSON ADULT EXPECTATION 08/15/2016 ADULT FOSTER HOME HARP, SHANNON CARIBOU DESCHUTES PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HARP, SHANNON CARIBOU DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/05/2016 ADULT HARPER, PAUL & FORT HILL YAMHILL REMEDIATION DATA WAREHOUSE FOSTER CARE - LOUISE CHILD WELFARE HARR, LAURA GRAHAM LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HARRELL, E J & MOORE CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - THERESA CHILD WELFARE HARRINGTON, ARROWHEAD KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - JEANETTE REGULATORY ADULT ONSITE REVIEW HARRIS, AUBREY DALE KANE KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HARRIS, MICHAEL PEAVINE YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HARRIS, MICHAEL PEAVINE YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 03/02/2017 ADULT HART, WILLIAM HILLYARD MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW HART, WILLIAM HILLYARD MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/11/2016 CHILD HARTLINE, CHRISTY NEW HOPE JOSEPHINE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW HARTMANN, CHRISTINE 16TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - & DAVID CHILD WELFARE HARVEST HOMES INC ROBERTS MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HARVEST HOMES INC ROBERTS MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 04/12/2016 ADULT HARVEY, POLLY DOYLE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HASTINGS, JILL & HOWE LANE PENDING COMPLIANT SURVEY FOSTER CARE - MATTHEW REGULATORY ADULT ONSITE REVIEW HASTINGS, JILL & HOWE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - MATTHEW EXPECTATION 08/15/2016 ADULT

63 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HATFIELD, NANCY & NEUGEBAUER WASHINGTON PENDING COMPLIANT SURVEY FOSTER CARE - DON REGULATORY ADULT ONSITE REVIEW HATFIELD, NANCY & NEUGEBAUER WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - DON EXPECTATION 12/01/2016 ADULT HATHAWAY, KATHLEEN THAITIAN JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HAUSER, CYNTHIA PEAR DOUGLAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC 165TH WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC 172ND WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC 195TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC 195TH WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 03/01/2017 ADULT HAVEN CENTER LLC BARCELONA WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC BARCELONA WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/24/2017 ADULT HAVEN CENTER LLC DAVIS WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC DAVIS WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 03/07/2017 ADULT HAVEN CENTER LLC HART WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC HART WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 12/13/2016 ADULT HAVEN CENTER LLC SCOTTIE WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC SCOTTIE WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/16/2016 ADULT HAVEN CENTER LLC SINGLETREE WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HAVEN CENTER LLC SINGLETREE WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 07/27/2016 ADULT HAWTHORNE, KATRINA 23RD MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HAYDEN, MANDY JUNIPER KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HAYDEN, PAMELA WILLIAM KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 64 of 159 As of 10/14/2016

HEISE, JEFF SUNDANCE POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HENDERSON, DEBBIE STAGE COOS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HENDERSON, DEBBIE STAGE COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/09/2016 ADULT HENDRICKSON 27TH BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESIDENTIAL INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HENDRICKSON 27TH BENTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - RESIDENTIAL INC EXPECTATION 10/20/2016 ADULT HENDRICKSON 29TH BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESIDENTIAL INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HENDRICKSON 29TH BENTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - RESIDENTIAL INC EXPECTATION 09/29/2016 ADULT HENDRICKSON WALNUT BENTON PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL INC REGULATORY ADULT ONSITE REVIEW HENDRICKSON, NANCY POTLATCH COOS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - & RUSSELL EXPECTATION REGULATORY ADULT ONSITE REVIEW 65 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HENDRICKSON, NANCY POTLATCH COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - & RUSSELL EXPECTATION 07/13/2016 ADULT HENLEY, MARY MAPLE LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW HENLEY, MARY MAPLE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/05/2016 CHILD HENNING, WARD POWERLINE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HENNING, WARD POWERLINE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/03/2016 ADULT HERGENREDER, SHERRY 15TH DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW HERGENREDER, SHERRY 15TH DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/15/2016 ADULT HERIBERTA LUGO & RUBY LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - BONITA LANE EXPECTATION REGULATORY ADULT ONSITE REVIEW HERIBERTA LUGO & RUBY LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - BONITA LANE EXPECTATION 10/21/2016 ADULT HETRICK, KIMBERLY XERO DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HIGGASON, HOLLY MOUNTAINEER DESCHUTES REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE HILDAH AND KAY'S LLC 18TH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HILDAH AND KAY'S LLC 18TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 07/29/2016 ADULT HILFIKER, KRISTEN BURNSIDE MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW HILFIKER, KRISTEN BURNSIDE MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/08/2016 ADULT HILL, DIANE 4TH WALLOWA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HILL, DIANE 4TH WALLOWA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/17/2016 ADULT HILL, DOROTHY TERRY LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW HILL, GARY GREGORY MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HILL, MARY & CHARLES SQUIRE LINN DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW HILL, MARY & CHARLES SQUIRE LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/22/2016 ADULT HILL, RUTH TERRY LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 66 of 159 As of 10/14/2016

67 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HOME LIFE INC 12TH BENTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC 25TH BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC 29TH BENTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC 29TH BENTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/22/2016 ADULT HOME LIFE INC BENTON BENTON PENDING COMPLIANT SURVEY SUPPORTED LIVING REGULATORY ONSITE REVIEW HOME LIFE INC CRYSTAL LAKE BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC CRYSTAL LAKE BENTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 07/12/2016 ADULT HOME LIFE INC DIVISION *10 BENTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC DIVISION *75 BENTON PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HOME LIFE INC DIVISION *75 BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/14/2016 ADULT HOME LIFE INC FILLMORE BENTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC FILLMORE BENTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 06/08/2016 ADULT HOME LIFE INC HAYES BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOME LIFE INC HAYES BENTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/25/2017 ADULT HOOD RIVER SHELT 14TH HOOD RIVER DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - WKSHP INC DBA EXPECTATION REGULATORY ADULT OPPORTUNITY CON ONSITE REVIEW HOOD RIVER SHELT EUGENE HOOD RIVER DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - WKSHP INC DBA EXPECTATION EXPECTATION REGULATORY ADULT OPPORTUNITY CON ONSITE REVIEW HOOD RIVER SHELT EUGENE HOOD RIVER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - WKSHP INC DBA EXPECTATION 11/28/2016 ADULT OPPORTUNITY CON HOOD RIVER SHELT KROPP HOOD RIVER DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - WKSHP INC DBA EXPECTATION EXPECTATION REGULATORY ADULT OPPORTUNITY CON ONSITE REVIEW HOOD RIVER SHELT KROPP HOOD RIVER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - WKSHP INC DBA EXPECTATION 05/18/2016 ADULT OPPORTUNITY CON HOOD RIVER SHELT NEVADA WASCO DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - WKSHP INC DBA EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT OPPORTUNITY CON ONSITE REVIEW

68 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HOOD RIVER SHELT NEVADA WASCO DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - WKSHP INC DBA EXPECTATION 02/04/2016 ADULT OPPORTUNITY CON HOOD RIVER SHELT SHERMAN HOOD RIVER DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - WKSHP INC DBA EXPECTATION REGULATORY ADULT OPPORTUNITY CON ONSITE REVIEW HOOD RIVER SHELT SHERMAN HOOD RIVER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - WKSHP INC DBA EXPECTATION 10/12/2016 ADULT OPPORTUNITY CON HOOF, LINDA 32ND MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW HOOF, LINDA 32ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/28/2016 CHILD HOPKINS, REBECCA WATER MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOPKINS, REBECCA WATER MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/15/2016 ADULT HOPSON, TONY 10TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HORIZON PROJECT *0 ELZORA UMATILLA COMPLIANT NEW SITE / INITIAL RESIDENTIAL - REVIEW ADULT HORIZON PROJECT *5 ELZORA UMATILLA COMPLIANT NEW SITE / INITIAL RESIDENTIAL - REVIEW ADULT HORIZON PROJECT INC 21ST UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 21ST UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/01/2016 ADULT HORIZON PROJECT INC 2ND UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 2ND UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/12/2017 ADULT HORIZON PROJECT INC 40TH UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 40TH UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 08/02/2016 ADULT HORIZON PROJECT INC 4TH UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 4TH UMATILLA PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 4TH UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 08/04/2016 ADULT HORIZON PROJECT INC 5TH UMATILLA PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 5TH *5/*7 UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 5TH *5/*7 UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - 69 of 159 EXPECTATION 03/02/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HORIZON PROJECT INC 7TH UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC 7TH UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 12/05/2016 ADULT HORIZON PROJECT INC COUNTY UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC COUNTY UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/13/2017 ADULT HORIZON PROJECT INC LAMB UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC LAMB UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/01/2016 ADULT HORIZON PROJECT INC MADRONA *1 UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC MADRONA *1 UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 10/26/2016 ADULT HORIZON PROJECT INC MADRONA *2 UMATILLA PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC MADRONA *2 UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 10/26/2016 ADULT HORIZON PROJECT INC MARSHALL UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC MARSHALL UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 12/07/2016 ADULT HORIZON PROJECT INC MILL UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC MILL UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/21/2017 ADULT HORIZON PROJECT INC PERKINS UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC PERKINS UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 08/02/2016 ADULT HORIZON PROJECT INC THORNE UMATILLA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HORIZON PROJECT INC THORNE UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/23/2017 ADULT HORIZON PROJECT INC UMATILLA UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW HORNBECK, THERESA HIGHLAND JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HOU TANG CAMELLIA LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOU TANG CAMELLIA LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/30/2016 ADULT 70 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HOUGHTON, DONNA CHARLES YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HOUSER, LINDA KALI MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOUSER, LINDA KALI MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/22/2016 ADULT HOVIS, JOSEPH JANES JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOWELL, PAUL & 8625 AUMSVILLE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MARCIA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HOWELL, PAUL & 8625 AUMSVILLE MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - MARCIA 12/21/2016 ADULT HUDDLESTON, PHILLIP 94TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - & LINDA CHILD WELFARE HUDSON, LAURENCE DEER PARK MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW HUDSON, MICHAEL HUDSON HAVEN LLC YAMHILL COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT HUFF, DANIELLE DIVISION MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HUFFMAN, TERRY MCKINNON CURRY PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HUITT, MELODY 10TH UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HUITT, MELODY 10TH UNION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/12/2016 ADULT HULL, REBECCA 26TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE HUMMINGBIRD CARE *5 WILLAMETTE LANE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - HOME LLC REVIEW ADULT HUMMINGBIRD CARE FULLER LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - HOME LLC REGULATORY ADULT ONSITE REVIEW HUMMINGBIRD CARE PRAIRIE LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - HOME LLC REGULATORY ADULT ONSITE REVIEW HUMMINGBIRD CARE *7 WILLAMETTE LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - HOME LLC REGULATORY ADULT ONSITE REVIEW HUMMINGBIRD CARE ZINFANDEL LANE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - HOME LLC REVIEW ADULT HUNT, MARTHA ADAMS MALHEUR DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HURTADO, DANA SIDWALTER FLATS MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE HUTCHESON, RANDALL MAPLE WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 71 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type HUTCHESON, RANDALL MAPLE WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/27/2017 ADULT HUTCHESON, SUSAN 17TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HUTCHINGS, TAMARA HWY 201 MALHEUR DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HVAL, WENDY SACRAMENTO MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW HVAL, WENDY SACRAMENTO MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/25/2016 ADULT HYATT, ROBERT PARKVIEW CURRY PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW HYATT, ROBERT VISTA CURRY PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW HYDE, TERRY BRIDGE JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW IFENUK, TINA 134TH CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW IFENUK, TINA 134TH CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/08/2016 ADULT ILIAS, ISIS MADISON UMATILLA PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW ILIE NICOLOF, DARYKA 115TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ILIE NICOLOF, DARYKA 115TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/08/2016 ADULT ILIE NICOLOF, ROMEO 115TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ILIE NICOLOF, ROMEO 115TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/21/2016 ADULT IMEL, YVETTE & BURBANK TILLAMOOK COMPLIANT NEW SITE / INITIAL FOSTER CARE - VERNON REVIEW ADULT IMLAY, DAWN HAIG MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW IMLAY, DAWN HAIG MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/19/2016 ADULT INDEPENDENT KLAMATH KLAMATH COMPLIANT NEW SITE / INITIAL RESIDENTIAL - COMMUNITY LIVING REVIEW ADULT INDEPENDENT RIVERSIDE KLAMATH PENDING COMPLIANT NEW SITE / INITIAL RESIDENTIAL - COMMUNITY LIVING REGULATORY REVIEW ADULT ONSITE REVIEW INDEPENDENT CARMEL LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - ENVIRONMENTS INC REGULATORY ADULT ONSITE REVIEW

72 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type INDEPENDENT COBURG LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ENVIRONMENTS INC EXPECTATION REGULATORY ADULT ONSITE REVIEW INDEPENDENT COBURG LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ENVIRONMENTS INC EXPECTATION 08/04/2016 ADULT INDEPENDENT DAPPLE WAY LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ENVIRONMENTS INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW INDEPENDENT DAPPLE WAY LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ENVIRONMENTS INC EXPECTATION 01/06/2016 ADULT INDEPENDENT ERIN WAY/SNELLING LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ENVIRONMENTS INC EXPECTATION REGULATORY ADULT ONSITE REVIEW INDEPENDENT ERIN WAY/SNELLING LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ENVIRONMENTS INC EXPECTATION 09/13/2016 ADULT INDEPENDENT EXMOOR LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ENVIRONMENTS INC EXPECTATION REGULATORY ADULT ONSITE REVIEW INDEPENDENT EXMOOR LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ENVIRONMENTS INC EXPECTATION 05/03/2016 ADULT INDEPENDENT MARTINGALE LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ENVIRONMENTS INC EXPECTATION REGULATORY ADULT ONSITE REVIEW INDEPENDENT MARTINGALE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ENVIRONMENTS INC EXPECTATION 08/09/2016 ADULT INDEPENDENT QUEBEC LANE PENDING COMPLIANT SURVEY RESIDENTIAL - ENVIRONMENTS INC REGULATORY ADULT ONSITE REVIEW INDEPENDENT QUEBEC LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ENVIRONMENTS INC EXPECTATION 04/13/2016 ADULT INDEPENDENT TOMAHAWK LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ENVIRONMENTS INC EXPECTATION REGULATORY ADULT ONSITE REVIEW INGLES, DAVID 28TH LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW INGLES, DAVID 28TH LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/30/2016 ADULT INGLES, DAVID 6TH LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW INGRAM, TAMIRA GLOUCESTER CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW INSPIRE CAREGIVING 72ND LANE PENDING INCOMPLETE SURVEY FOSTER CARE - LLC REGULATORY ADULT ONSITE REVIEW INTEGRATED DBA IS 20TH MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - LIVING REGULATORY ADULT ONSITE REVIEW INTEGRATED DBA IS 49TH MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - LIVING REGULATORY ADULT ONSITE REVIEW INTEGRATED DBA IS FISHER MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - LIVING REGULATORY ADULT ONSITE REVIEW 73 of 159 As of 10/14/2016

JAMES 'RICK' ROSE - 5TH CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ROSES ADULT FOSTER EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT CARE LLC ONSITE REVIEW JAMES 'RICK' ROSE - 5TH CLATSOP DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ROSES ADULT FOSTER EXPECTATION 06/17/2016 ADULT CARE LLC JAMMEH, LAMIN ALDERBROOK LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW 74 of 159 As of 10/14/2016

JENKINS, LONNIE 14TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW JENSEN, DOUGLAS & LEWELLYN MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - LEANNARUTH CHILD WELFARE JESSMER, BARBARA LAMB UMATILLA DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW JESSMER, BARBARA LAMB UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/26/2016 ADULT JILLO, SHAGITU ANTIGUA CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW JOACHIM, TIMOTHY MARNA CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE JOANNE FUHRMAN & WARREN POLK PENDING COMPLIANT SURVEY FOSTER CARE - ZELLEE ALLEN REGULATORY ADULT ONSITE REVIEW JOANNE FUHRMAN & WARREN POLK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - ZELLEE ALLEN 04/25/2016 ADULT JOBINA RICHARDS - IRVINGTON LANE PENDING COMPLIANT SURVEY FOSTER CARE - JOBINA'S ADULT REGULATORY ADULT FOSTER HOME ONSITE REVIEW JOBINA RICHARDS - IRVINGTON LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - JOBINA'S ADULT 10/10/2016 ADULT FOSTER HOME JOHNS, ELIZABETH 43RD WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW JOHNSON, AMANDA WAGON MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW JOHNSON, BARBARA PROGRESS UNION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW JOHNSON, BARBARA PROGRESS UNION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/21/2016 ADULT

75 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type JONES, LISA JUNTURA *5 MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW JONES, REBEKAH & SISKIYOU JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - RICKY CHILD JONES, SHAWN WHEELER LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW JONES, VICKIE & TUMALA MOUNTIAN CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - RONALD CHILD WELFARE JONNA NOON & STACEY ELYSIUM LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LEWIS EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW JOVNNA DELANGE HARBECK JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW JOVNNA DELANGE HARBECK JOSEPHINE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/30/2016 ADULT JOY ANDERSON ALDER COLUMBIA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW JOY ANDERSON ALDER COLUMBIA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/07/2016 ADULT JOY CONLEY - CONLEY ALEX MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - AFH EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW JOY CONLEY - CONLEY ALEX MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - AFH 10/07/2016 ADULT JUAN F. RUIZ IVORY MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW JUAN F. RUIZ IVORY MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/18/2016 ADULT JULIE CLIMENSON 152ND MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW JULIE CLIMENSON 152ND MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 04/20/2016 CHILD KABTHIMER, NIGIST 120TH UNKNOWN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KABTHIMER, NIGIST 120TH UNKNOWN COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/16/2016 ADULT KALHAR, MORGAN ALTA VERDE MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KALHAR, MORGAN ALTA VERDE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/13/2016 ADULT KAMBA, JEAN MARIE GOSHAWK WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KANCHARLA, CEDAR *97 CLATSOP DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - KRUPARAO EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KANCHARLA, CEDAR *97 CLATSOP COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - KRUPARAO 04/07/2017 ADULT 77 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type KANCHARLA, CEDAR *95 CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - NAGAMANI EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KARA HIRANO & LORNE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - KEELAN DENNIS EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KARA HIRANO & LORNE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - KEELAN DENNIS 11/29/2016 ADULT KARIKER, STEPHEN MADRONA MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KASSA, ENANA E 27TH CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KASSA, YEWUBDAR FERNRIDGE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KASSA, YEWUBDAR WEBSTER CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - ADULT KATHMAN, CRYSTAL 4TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KEBEDE, SEMHAR OREGON MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT KELLAMS, MICHAELA 25TH CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW KELLEY, LORI L & CORONADO MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - LEONARD CHILD WELFARE KELLOGG, MELEA & LIBERTY LINN REMEDIATION DATA WAREHOUSE FOSTER CARE - DAVID CHILD KELLY, KRISTI & PATRICK MCCORMICK TILLAMOOK PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KELLY, KRISTI & PATRICK MCCORMICK TILLAMOOK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 04/12/2016 ADULT KENNEDY, DANIEL & NEW HOPE JOSEPHINE PENDING COMPLIANT SURVEY FOSTER CARE - MARION REGULATORY ADULT ONSITE REVIEW KERN, JASON GRIMM DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KHAZALI, ABDUL PIONEER WASHINGTON PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW KHAZALI, ABDUL PIONEER WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/04/2016 CHILD KIDANEMARIAM, GOING MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - SEGED EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KIDANEMARIAM, GOING MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - SEGED EXPECTATION 06/22/2016 ADULT KIME, HEATHER MONUMENT JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW

78 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type KNIGHT, GIANNA STELLA MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE KNOX, ADRIENNE & 125TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - GRIFFIN, JERRY CHILD KOCUREK, DAVID AMBER KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KOCUREK, GINGER BARTLETT KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KOMBA, GLORIOSA CALIFORNIA KLAMATH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD KORENE ALEXANDER & HOWARD JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LINSY SIMEONA EXPECTATION REGULATORY ADULT ONSITE REVIEW KORENE ALEXANDER & HOWARD JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - LINSY SIMEONA 01/25/2016 ADULT KOTEY, DORA BLUE HERON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW KOTEY, DORA BLUE HERON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/15/2016 CHILD KOZA, CINDY ELDERBERRY LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW KOZELL, MICHELLE MAIN YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW KOZELL, MICHELLE MAIN YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/07/2017 CHILD KRASNESKI, STEPHANIE GRANT LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW KRENZ, TRAVIS RIVER LINN DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW KRENZ, TRAVIS RIVER LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/18/2016 ADULT KRIEGER, ELAINE MCCABE CHAPEL YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW KRIEGER, ELAINE MCCABE CHAPEL YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/13/2016 ADULT KUDNA, CARRIE SWINGWOOD MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW KUEBLER, KRISTAL SHILOH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW KULALA, MEKURIA SHAVER MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW KULALA, MEKURIA SHAVER MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/20/2016 ADULT KUYKENDALL, DANNY PIONEER DOUGLAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW 80 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type LAKE, KYMBERLEE & CHASE MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - JAMES CHILD WELFARE LAKE, MARY KATHLEE & ANTLER DESCHUTES REMEDIATION DATA WAREHOUSE FOSTER CARE - MICHAEL CHILD WELFARE LALANGAN, SOCORRO MULTNOMAH MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT LAMBERT JR, ROBERT 175TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW LAMBERT JR, ROBERT 175TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/11/2016 CHILD LAMBERT, CYNTHIA 16TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW LAMBERT, CYNTHIA 16TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/13/2016 CHILD LANET DUNIGAN - MILL CREEK MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - PAINTED BREEZE ADULT EXPECTATION REGULATORY ADULT FOSTER HOME ONSITE REVIEW LANET DUNIGAN - MILL CREEK MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - PAINTED BREEZE ADULT EXPECTATION 05/18/2016 ADULT FOSTER HOME LARRY, ANNIE ANKENY MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW LARRY, ANNIE ANKENY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/06/2016 CHILD LARRY, ANNIE DIVISION MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD LAURELHURST STARK MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - OPERATIONS LLC REGULATORY ADULT ONSITE REVIEW LAUTZ, MAUREEN G DENNIS KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LAWLER, MICHELLE PEACH JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW LAWLER, MICHELLE PEACH JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/12/2016 ADULT LAY, GARY VOGT LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE LE CHEVALLIER, GRACE 86TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - M EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LE CHEVALLIER, GRACE 86TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - M EXPECTATION 08/03/2016 ADULT LEAH, ELIZA VISTA MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LEE, JESIKA E ST LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LEE, PAMELA ABEGG JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 81 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type LEEN, LEA M ELK JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW LEMARI, MATHLYN HERTEL MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LEMARI, MATHLYN HERTEL MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/08/2016 ADULT LEMCKE, HEIDI REBEL HILL GRANT PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LEMONT, JERRY HOLLEY LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LEMUEL INC GROUP 3RD LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HOMES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LEMUEL INC GROUP GRANT LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HOMES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LEMUEL INC GROUP MAIN LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HOMES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LENO, LISA HARRITT POLK REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE LENTZ, CINDIE HWY 99 S UNKNOWN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW LENTZ, MICHELA KENADY LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW LEO JOHNSON & JOHN SUMMER LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - STEWART EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LEO JOHNSON & JOHN SUMMER LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - STEWART EXPECTATION 12/12/2016 ADULT LEOPARD, JODI 5TH LINN PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LEOPARD, JODI 5TH LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/29/2016 ADULT LESLIE PALFREY - HART POPLAR DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - & HOME LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LEWIS, DEBRA EMPRESS LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LEWIS, DEBRA EMPRESS LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/01/2016 ADULT LEWIS, EVELYN 15TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE LEWIS, SHEILA BARNUM CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LIBAN, ELMI 116TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 82 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type LIBAN, ELMI 116TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/25/2016 ADULT LIBAN, IBRAHIM SPRING TIME MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIBAN, IBRAHIM SPRING TIME MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/20/2016 ADULT LIEBIG, PATRICIA HYDE PARK JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LILLEY, GRETCHEN FOSTER MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LILLEY, GRETCHEN FOSTER MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/23/2016 ADULT LIME, BRANDON NORWOOD BENTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LINSDAY, NOAH CHRISTIE JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW LINSDAY, NOAH KAMERIN SPRINGS JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD LIPATOV, DMITRY MARTINGALE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIPATOV, DMITRY MARTINGALE LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/16/2016 ADULT LIVING OPPORTUNITIES AUBURN WAY JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIVING OPPORTUNITIES AUBURN WAY JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 08/23/2016 ADULT LIVING OPPORTUNITIES BLUE HERON JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIVING OPPORTUNITIES GOLF VIEW JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIVING OPPORTUNITIES GOLF VIEW JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 08/23/2016 ADULT LIVING OPPORTUNITIES JACKSON JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW LIVING OPPORTUNITIES PEACH JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIVING OPPORTUNITIES PEACH JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 06/21/2016 ADULT LIVING OPPORTUNITIES ROBERTS JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LIVING OPPORTUNITIES ROBERTS JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 01/11/2017 ADULT LOCKWOOD, MARY HARTELL JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 83 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type LOMBOS, JAMIE 62ND MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LOMBOS, MARY 54TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LOMBOS, MARY 54TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/07/2016 ADULT LONG DAMERON, DAMERON YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - KRISTAN EXPECTATION REGULATORY CHILD ONSITE REVIEW LONG DAMERON, DAMERON YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - KRISTAN 07/14/2016 CHILD LORD, DELANI & 180TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - DARREN EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LORD, DELANI & 180TH WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - DARREN 03/30/2017 ADULT LORI KRZMARZICK CANYON DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LORI KRZMARZICK CANYON DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/28/2016 ADULT LORI SIAS - HIDDEN DUGAN LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - HORIZONS HOME LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LORI SIAS - HIDDEN DUGAN LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - HORIZONS HOME LLC EXPECTATION 12/22/2016 ADULT LOUIE, MARY GOOSE LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LOUIE, MARY GOOSE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/13/2016 ADULT LOUIE, MOHAMMAD ELIZABETH LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - REZA EXPECTATION REGULATORY ADULT ONSITE REVIEW LOUIE, MOHAMMAD ELIZABETH LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - REZA EXPECTATION 10/26/2016 ADULT LOUIE, PILAR ZINFANDEL LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LOUIE, PILAR ZINFANDEL LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/13/2016 ADULT LOVERDE, NANETTE WASHINGTON KLAMATH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LOVERDE, NANETTE WASHINGTON KLAMATH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/22/2016 ADULT LOVERDE, NANETTE HIGH KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LOVING, ELIZABETH TIMBER CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW LUNA, ANGELENA FRONT KLAMATH REMEDIATION DATA WAREHOUSE FOSTER CARE - ADULT 84 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type LUNA, THOMAS & BRISTOL KLAMATH COMPLIANT NEW SITE / INITIAL FOSTER CARE - BEATRICE REVIEW CHILD WELFARE LUSBY, DOROTHY 13TH CLATSOP PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW LYMAN, JAMES JR. & SWEET CHERRY POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MALINDA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LYMAN, JAMES JR. & SWEET CHERRY POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - MALINDA EXPECTATION 09/27/2016 ADULT LYNETTE BENDER BARNES DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW LYNETTE BENDER BARNES DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/23/2016 ADULT MAC DONALD MULT COUCH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - RES REGULATORY ADULT ONSITE REVIEW MACAULAY, BOBBI RIMROCK DESCHUTES REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD MACBETH, BRENDA QUINCY DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MACDONALD, ROBERT SMITH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MAGUIRE, LESLIE 39TH LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MAGUIRE, LESLIE 39TH LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/20/2016 ADULT MAHVESH GHASEDI CEDAR FLAT LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MAHVESH GHASEDI CEDAR FLAT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/13/2016 ADULT MAJA PEREZ ORTIZ E STREET LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MAJA PEREZ ORTIZ E STREET LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 04/21/2016 ADULT MAKOKO, AMINA 197TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MAKOKO, AMINA 197TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/26/2016 ADULT MALDONADO, JUNEAU MARION PENDING COMPLIANT SURVEY FOSTER CARE - CONSTANCE REGULATORY CHILD ONSITE REVIEW MALDONADO, JUNEAU MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - CONSTANCE EXPECTATION 05/04/2016 CHILD MANCILLAS, RUBEN RIDINGS CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MANGUINO, ROLANDO 63RD MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 85 of 159 As of 10/14/2016

MARTINELLI, KATHY IDLEMAN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MARTINEZ, PHILLIP MCGILCHRIST MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MARTINEZ, PHILLIP MCGILCHRIST MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/01/2016 ADULT MASON, SHAWN & TERI COLUMBINE LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - LYNN CHILD WELFARE MASTERSON, SIMONETI HOFFMAN POLK DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW MASTERSON, SIMONETI HOFFMAN POLK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/10/2016 ADULT MATHEWS, LAMESHIA R FLAVEL MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MAY, KAREN MARINE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MAY, PATRICIA & SPRINGBROOK JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - DANIEL CHILD WELFARE MCALPIN, STEVEN D COUNTRY MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 86 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type MCCALL II, RONALD BAVARIAN MARION PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MCCALL II, RONALD BEACH LINCOLN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MCCALL II, RONALD BEACH LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/11/2016 ADULT MCCALLUM, SALLY & DIVISION BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - JOSHUA EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MCCALLUM, SALLY & DIVISION BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - JOSHUA EXPECTATION 07/22/2016 ADULT MCCARVER, CAMEO POWELL MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW MCCORMICK, LISA SNOWBRUSH DESCHUTES COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT MCDONALD, SHIRLEY FLANDERS MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MCDONALD, TAMARA RESORT BAKER DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MCDONALD, TAMARA RESORT BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/22/2016 ADULT MCDONALD, TIMOTHY LOCHAVEN LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE MCGEE, SHELDON SPRING UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MCGILL, MELISSA MCLEAN UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MCGIRR, MECHELLE RUNNION UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MCKENZIE, MICHELLE RIVERDALE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MCKENZIE, MICHELLE RIVERDALE MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/10/2016 ADULT MCKEON GIBSON, CHURCH POLK PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - MAREN REGULATORY REVIEW CHILD ONSITE REVIEW MCKINNEY, JULEA ARMSTRONG LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE MCLYMAN, ROBERT TERRY LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MEADOWS COURTYARD GARDEN MEADOW CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW MEAZA, MERGIYANESH 171ST MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT

87 of 159 As of 10/14/2016

MELISSA & JONAS CONCORD CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - LAMBERT - LAMBERT'S EXPECTATION 08/01/2016 ADULT CARE HOME

MELLISSA MIRANDA - KINCAID LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LEGACY HOUSE EXPECTATION EXPECTATION REGULATORY ADULT SUPPORTED LIVING LLC ONSITE REVIEW

MELLISSA MIRANDA - KINCAID LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - LEGACY HOUSE EXPECTATION 03/14/2016 ADULT SUPPORTED LIVING LLC

MENTOR OREGON 118TH MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW MENTOR OREGON ALDER MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW MENTOR OREGON TROOST DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW MENTOR OREGON TROOST DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 01/19/2017 ADULT 88 of 159 As of 10/14/2016

MIKE MERRILL REGINA LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MIKE MERRILL REGINA LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/07/2016 ADULT MILLER, DIANA ANKRUM MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW MILLER, DIANA ANKRUM MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/17/2016 ADULT MILLER, WAKARA BARGER LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MILLS, SHANNON & 13TH TILLAMOOK REMEDIATION DATA WAREHOUSE FOSTER CARE - LESTER CHILD WELFARE MILWAUKIE CARE REDWOOD CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - CENTER REGULATORY ADULT ONSITE REVIEW MINDA, EMABET 18TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MINDA, EMABET 18TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - 89 of 159 EXPECTATION 07/15/2016 AsADULT of 10/14/2016

MITCHKA MORADI - KIRKWOOD CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - LAUGH OUT LOUD EXPECTATION 10/18/2016 ADULT ADILT FOSTER CARE, LLC

MITZEL, CINDY SUNNYSIDE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW MITZEL, CINDY SUNNYSIDE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/29/2016 CHILD MOBLEY, GARY FREMONT MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW 90 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type MOBLEY, SYLVIA FREMONT MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MOE, LOLITA 74TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MOE, LOLITA 74TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/28/2016 ADULT MOHAMED, OSMAN HELPING HAND AFH MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - LLC REVIEW ADULT MONJE, DORA MONJE SILVER LEA LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MONJE, DORA MONJE SILVER LEA LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/10/2016 ADULT MONTAGUE, RACHEL ONE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW MONTGOMERY, SHAMROCK MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LEQUATA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MONTGOMERY, SHAMROCK MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - LEQUATA EXPECTATION 07/07/2016 ADULT MONTGOMERY, BALDWIN MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - WILLIAM EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MONTGOMERY, BALDWIN MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - WILLIAM EXPECTATION 08/15/2016 ADULT MOODY, LISA & THURSTON LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - DOUGLAS CHILD WELFARE MORGAN, DIANE 880 N 12TH BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MORGAN, DIANE 880 N 12TH BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/11/2016 ADULT MORGAN, ROBERT REDSTONE MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MORRIS, EUGENE BRAHMAN UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MORRIS, EUGENE BRAHMAN UMATILLA COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/03/2016 ADULT MORRIS, KRISTI PAUL SMITH MORROW DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW MORRIS, KRISTI PAUL SMITH MORROW DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/13/2016 ADULT MORRISON, JEAN KINCAID LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MORSE, TERRI ASH POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MOSLEY, MAUREEN GREEN ACRES LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 91 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type MOSLEY, MAUREEN GREEN ACRES LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/11/2016 ADULT MOTT, RITA 7TH MULTNOMAH PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW MULUGETA, 164TH MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - HAYMANOT REVIEW ADULT MULUGETA, RUSSELL MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - HAYMANOT REGULATORY ADULT ONSITE REVIEW MURPHREE, KORTNI 19TH BENTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MUSACHIA, SARA CARE MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW MUSHLITZ, JOHN INSELY MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW MUSHLITZ, JOHN INSELY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/11/2016 CHILD MV ADVANCEMENTS BROOKS YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MV ADVANCEMENTS JOHNSTONE *33 YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MV ADVANCEMENTS JOHNSTONE *33 YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/26/2016 ADULT MV ADVANCEMENTS JOHNSTONE *57 YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW MV ADVANCEMENTS JOHNSTONE *57 YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/21/2016 ADULT MV ADVANCEMENTS VALLEY EDGE *7 YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MV ADVANCEMENTS VALLEY EDGE *7 YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/25/2016 ADULT MV ADVANCEMENTS VALLEY EDGE *9 YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW MV ADVANCEMENTS VALLEY EDGE *9 YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 09/29/2016 ADULT MV ADVANCEMENTS YAMHILL YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW MVOM, BRIGITTE SHAROAKS WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW MWAKAKONYOLE, MALLORY KLAMATH PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - PETER REGULATORY REVIEW ADULT ONSITE REVIEW MWALONGO, NOLASCO RADCLIFFE KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 92 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type MWALONGO, NOLASCO RADCLIFFE KLAMATH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/11/2016 ADULT MYERS, CHRISTOPHER INDIAN DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW NADEAU, KARIANNE RAYMOND MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT NARDOS ATNAFU & FREEMAN WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - LULY DENNISA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NARDOS ATNAFU & FREEMAN WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - LULY DENNISA 12/05/2016 ADULT NASH, D ANN 31ST JEFFERSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW NASH, D ANN 7TH ST DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW NASH, D ANN 7TH ST DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/01/2016 ADULT NASH, D ANN SMITH ROCK JEFFERSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW NASON, LISA SARATOGA MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW NASON, LISA SARATOGA MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/20/2016 ADULT NATIONAL MENTOR 112TH *31/*33/*35 MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR 116TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR 3RD CURRY DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR 3RD CURRY COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES LLC 04/05/2017 ADULT NATIONAL MENTOR 5TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR 5TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES LLC EXPECTATION 08/10/2016 ADULT NATIONAL MENTOR 6TH CURRY DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR 6TH CURRY COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES LLC 12/07/2016 ADULT NATIONAL MENTOR 9TH CURRY DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR 9TH CURRY COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES LLC 04/06/2017 ADULT NATIONAL MENTOR ALMEDA KLAMATH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW 93 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type NATIONAL MENTOR CARLSON KLAMATH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR CROOK CURRY DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR CROOK CURRY DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES LLC EXPECTATION 12/08/2016 ADULT NATIONAL MENTOR DORIS MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR DORIS MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES LLC EXPECTATION 06/07/2016 ADULT NATIONAL MENTOR EASY CURRY PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR EASY CURRY DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR EASY CURRY COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES LLC 04/05/2017 ADULT NATIONAL MENTOR HOPE KLAMATH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR LOGAN KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR LOGAN KLAMATH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES LLC EXPECTATION 03/30/2016 ADULT NATIONAL MENTOR MULTNOMAH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING SERVICES LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW NATIONAL MENTOR PATTERSON KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR PINE MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR PIONEER CURRY PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR STURDIVANT KLAMATH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR SUMMERS KLAMATH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR VILLA KLAMATH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES LLC REGULATORY ADULT ONSITE REVIEW NATIONAL MENTOR WHITE KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NAVA, JOSE R OAKDALE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW 94 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type NAVA, JOSE R OAKDALE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/11/2016 CHILD NEAL, JAMES A MARCIA MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW NEAL, JAMES A MARCIA MARION DOES NOT MEET DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION EXPECTATION 07/14/2016 CHILD NEHF, DARLA J WILLIAMS JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW NEHF, DARLA J WILLIAMS JOSEPHINE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/15/2016 CHILD NELMARK, MARY & EVERGREEN LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CHARLES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NELMARK, MARY & EVERGREEN LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - CHARLES EXPECTATION 10/28/2016 ADULT NELSON, DEANNA LOUIS LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW NELSON, DEANNA LOUIS LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/14/2016 ADULT NELSON, JUDITH & BOBBY BRUCE CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - NELSON,WILLIAM CHILD WELFARE NEMEC, DEBRA HOME NOW LLC CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT NEW DAY ENTERPRISES 16TH UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY ENTERPRISES GLACIER UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY ENTERPRISES GLACIER UNION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 08/23/2016 ADULT NEW DAY ENTERPRISES PINE UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY ENTERPRISES PINE UNION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/27/2017 ADULT NEW DAY ENTERPRISES UNION UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW NEW DAY ENTERPRISES WASHINGTON *19 UNION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY ENTERPRISES WASHINGTON *19 UNION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/25/2017 ADULT NEW DAY ENTERPRISES WASHINGTON *21 UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY ENTERPRISES WASHINGTON *21 UNION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/07/2017 ADULT NEW DAY NORTHWEST 162ND WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY NORTHWEST 162ND WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC 95 of 159 EXPECTATION 08/30/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type NEW DAY NORTHWEST LANDING WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEW DAY NORTHWEST LANDING WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 08/10/2016 ADULT NEWLIFE ADULT 95TH WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - FOSTER HOME INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NEWLIFE ADULT 95TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - FOSTER HOME INC EXPECTATION 02/25/2016 ADULT NICKLES-DE TEMPLE, DEERBRUSH CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - FLORENCE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NICKLES-DE TEMPLE, DEERBRUSH CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - FLORENCE EXPECTATION 12/07/2016 ADULT NIMA, JILL & TSERING 23RD MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW NIMA, JILL & TSERING 23RD MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/12/2016 ADULT NIRSCHL, JEFFREY 4TH UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NIRSCHL, JEFFREY 4TH UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/04/2016 ADULT NISBET, RUTH KENT JEFFERSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW NODLAND, PAM GREEN FORREST DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW NODLAND, PAM GREEN FORREST DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/06/2016 ADULT NOLTE, LINDA & CARL BUTLER DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NOLTE, LINDA & CARL BUTLER DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 03/24/2016 ADULT NORDBY, ROBERT VERNELDA CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW NORTHWEST ADAMS DOUGLAS PENDING INCOMPLETE SURVEY FOSTER CARE - CAREHOMES INC REGULATORY ADULT ONSITE REVIEW NUREYE, MULUWORK HULL CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW NURUS ADULT FOSTER PENNSYLVANIA MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - HOME REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH 42ND CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH 42ND CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - MGMT SERVICES EXPECTATION 05/12/2016 ADULT

96 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type NW MENTAL HEALTH BEVINGTON CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH BEVINGTON CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - MGMT SERVICES EXPECTATION 04/07/2016 ADULT NW MENTAL HEALTH FURNBERG CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH GAFFNEY CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH GAFFNEY CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - MGMT SERVICES 11/03/2016 ADULT NW MENTAL HEALTH LAZY RIVER CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH MAPLE CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH RISLEY CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - MGMT SERVICES REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH RISLEY CLACKAMAS PENDING INCOMPLETE SURVEY RESIDENTIAL - MGMT SERVICES REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH RISLEY *3 CLACKAMAS PENDING COMPLIANT SURVEY RESIDENTIAL - MGMT SERVICES REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH RISLEY *3 CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - MGMT SERVICES 01/24/2017 ADULT NW MENTAL HEALTH RISLEY TRI-PLEX CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH TOLIVER CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - MGMT SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW NW MENTAL HEALTH WARNER LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - MGMT SERVICES REGULATORY ADULT ONSITE REVIEW OANA, CAMELIA JASMINE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW OBRIEN, SAMANTHA BENNETT LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW OCBAMICHAEL, FREMONT MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - MEBRAHTOM REGULATORY ADULT ONSITE REVIEW ODELL, BRIAN FAWN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ODELL, SONDRA PENTICTON MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW ODELL, SONDRA PENTICTON MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/01/2016 ADULT 97 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type OLIVAS, LISA & JESSIE PARNELL LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE OLLENDORF, LEANN ANTLES UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW OLLENDORF, LEANN ANTLES UNION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/16/2016 CHILD OLSON, JACENDA SCARLET CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW OMDAHL, FRANCESCA 2ND LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW OPPORTUNITY 11TH DESCHUTES PENDING COMPLIANT SURVEY RESIDENTIAL - FOUNDATION CENTRAL REGULATORY ADULT OR ONSITE REVIEW OPPORTUNITY 11TH DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION 02/27/2017 ADULT OR OPPORTUNITY 25TH DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION REGULATORY ADULT OR ONSITE REVIEW OPPORTUNITY 25TH DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION 02/28/2017 ADULT OR OPPORTUNITY 9TH DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION REGULATORY ADULT OR ONSITE REVIEW OPPORTUNITY DOGWOOD DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION REGULATORY ADULT OR ONSITE REVIEW OPPORTUNITY DOGWOOD DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - FOUNDATION CENTRAL 03/22/2017 ADULT OR OPPORTUNITY EVERGREEN DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION REGULATORY ADULT OR ONSITE REVIEW OPPORTUNITY EVERGREEN DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION 07/19/2016 ADULT OR OPPORTUNITY INDIAN DESCHUTES PENDING COMPLIANT SURVEY RESIDENTIAL - FOUNDATION CENTRAL REGULATORY ADULT OR ONSITE REVIEW OPPORTUNITY JEFFERSON DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING FOUNDATION CENTRAL EXPECTATION REGULATORY OR ONSITE REVIEW OPPORTUNITY QUINCE DESCHUTES PENDING COMPLIANT SURVEY RESIDENTIAL - FOUNDATION CENTRAL REGULATORY CHILD OR ONSITE REVIEW OPPORTUNITY QUINCE DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION 06/07/2016 CHILD OR OPPORTUNITY VETERANS WAY DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION EXPECTATION REGULATORY ADULT OR ONSITE REVIEW

98 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type OPPORTUNITY VETERANS WAY DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - FOUNDATION CENTRAL EXPECTATION 03/21/2017 ADULT OR ORCHARD, MELISSA RAIL ROAD COOS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ORCHARD, MELISSA RAIL ROAD COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/11/2016 ADULT OREGON MENNONITE 18TH YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE 18TH 209 YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE 20TH YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE CYPRESS YAMHILL PENDING INCOMPLETE SURVEY RESIDENTIAL - RES SERVICES REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE ELMWOOD YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE HARVEST YAMHILL PENDING INCOMPLETE SURVEY RESIDENTIAL - RES SERVICES REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE MORGAN *20 YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE MORGAN *20 YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - RES SERVICES 04/12/2017 ADULT OREGON MENNONITE MORGAN *38 YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE POPPY HILLS YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE POPPY HILLS YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - RES SERVICES EXPECTATION 03/23/2016 ADULT OREGON MENNONITE SEVEN MILE LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE SEVEN MILE LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - RES SERVICES EXPECTATION 02/25/2016 ADULT OREGON MENNONITE SHIRLEY ANN YAMHILL PENDING COMPLIANT SURVEY RESIDENTIAL - RES SERVICES REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE SHIRLEY ANN YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - RES SERVICES 10/11/2016 ADULT OREGON MENNONITE SHORTRIDGE LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE SHORTRIDGE LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - RES SERVICES REGULATORY ADULT ONSITE REVIEW

99 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type OREGON MENNONITE THIRD ST YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RES SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON MENNONITE THIRD ST YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - RES SERVICES 10/26/2016 ADULT OREGON SUPPORTED ALMADEN LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - LIVING PROGRAM REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED ALMADEN LANE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM 12/21/2016 ADULT OREGON SUPPORTED ARCADIA LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED FERNDALE LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED FERNDALE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 10/26/2016 ADULT OREGON SUPPORTED FRIENDLY LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED FRIENDLY LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 11/23/2016 ADULT OREGON SUPPORTED INGLEWOOD LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED INGLEWOOD LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 03/18/2016 ADULT OREGON SUPPORTED KELLY LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - LIVING PROGRAM REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED LANE LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING LIVING PROGRAM EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW OREGON SUPPORTED LUND LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED LUND LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 07/15/2016 ADULT OREGON SUPPORTED LYNNBROOK LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED LYNNBROOK LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 09/28/2016 ADULT OREGON SUPPORTED NICHOLAS LANE PENDING COMPLIANT SURVEY RESIDENTIAL - LIVING PROGRAM REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED POLK LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED POLK LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 09/07/2016 ADULT OREGON SUPPORTED RIVER RD LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION REGULATORY ADULT ONSITE REVIEW

100 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type OREGON SUPPORTED SANDY LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED SANDY LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 11/02/2016 ADULT OREGON SUPPORTED SUNNY LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED SUNNY LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 11/04/2016 ADULT OREGON SUPPORTED T STREET LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED T STREET LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 10/31/2016 ADULT OREGON SUPPORTED TAYLOR *30 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED TAYLOR *60 LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING PROGRAM EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OREGON SUPPORTED TAYLOR *60 LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING PROGRAM EXPECTATION 04/19/2016 ADULT ORTIZ, FILIPINA S ELIZABETH COLUMBIA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW OSBORN, DENISE 16TH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW OSBORN, DENISE 16TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/09/2016 ADULT OSILLA LIM, MICHIGAN *16 MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ADORACION EXPECTATION REGULATORY ADULT ONSITE REVIEW OSILLA LIM, MICHIGAN *20 MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - ADORACION REGULATORY ADULT ONSITE REVIEW OTTOSEN, JUDITH 11TH UMATILLA REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE OUT AND ABOUT JACQUELIN WASHINGTON PENDING INCOMPLETE SURVEY RESIDENTIAL - RESPITE REGULATORY ADULT ONSITE REVIEW OUT AND ABOUT 172ND WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESPITE SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW OUT AND ABOUT 172ND WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - RESPITE SERVICES 01/13/2016 ADULT OWEN, PATRICIA RAILROAD UNION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW PADEN, KATHLEEN & PADEN MARION REMEDIATION DATA WAREHOUSE FOSTER CARE - RON CHILD WELFARE PADRTA, CONNIE & HWY 26 CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CRAIG EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PADRTA, CONNIE & HWY 26 CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - CRAIG 101 of 159 EXPECTATION 12/12/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PAGUI, FIDELIE MADELINE WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PALMER, ROSE ROSE DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PALMER, TED & WARTHEN LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - MONAHAN, MOLLY CHILD WELFARE PARKER, ROBERTA FLAVEL MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PARLETTE, BRENDA & 192ND WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - GARY CHILD WELFARE PARNELL, KAREN AJAX JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PARRA, ELVIRA PARSONS LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PARRA, ELVIRA PARSONS LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/31/2016 ADULT PARSONS, BRYAN INWOOD MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW PARTNERSHIPS IN *2 PINE POLK COMPLIANT NEW SITE / INITIAL RESIDENTIAL - COMMUNITY LIVING REVIEW ADULT PARTNERSHIPS IN *4 PINE POLK COMPLIANT NEW SITE / INITIAL RESIDENTIAL - COMMUNITY LIVING REVIEW ADULT PARTNERSHIPS IN RUTH JACKSON COMPLIANT NEW SITE / INITIAL RESIDENTIAL - COMMUNITY LIVING REVIEW ADULT PARTNERSHIPS IN 12TH POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN 12TH POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/21/2017 ADULT INC PARTNERSHIPS IN 44TH MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN 44TH MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 12/29/2016 ADULT INC PARTNERSHIPS IN 48TH POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN 62ND COURT MARION PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN ACKER POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN ACKER POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 01/27/2016 ADULT INC PARTNERSHIPS IN ANGLER JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW 102 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PARTNERSHIPS IN ATWATER POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN AZALEA JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN AZALEA JOSEPHINE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/28/2016 ADULT INC PARTNERSHIPS IN BAXTER MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN BAXTER MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 08/23/2016 ADULT INC PARTNERSHIPS IN BRENNER POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN BRIDGE JOSEPHINE PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN BRISTOL JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN BRISTOL JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/29/2016 ADULT INC PARTNERSHIPS IN BROWNING MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN CHIPPEWA MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN CHIPPEWA MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 04/21/2016 ADULT INC PARTNERSHIPS IN COLOMA MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN DALKE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN DALKE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 01/18/2017 ADULT INC PARTNERSHIPS IN ECOLS POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN ECOLS POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 06/13/2016 ADULT INC PARTNERSHIPS IN EDWINA JACKSON PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY CHILD INC ONSITE REVIEW PARTNERSHIPS IN FELTON MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW 103 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PARTNERSHIPS IN FIR DELL MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN FIR DELL MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 06/29/2016 ADULT INC PARTNERSHIPS IN GARDENIA MARION PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN GRAND POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN GRAND POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 04/05/2017 ADULT INC PARTNERSHIPS IN GUN CLUB POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN GWINN POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN HALL JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN HALL JOSEPHINE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 07/13/2016 ADULT INC PARTNERSHIPS IN HAYTER POLK PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN HAYTER POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/14/2017 ADULT INC PARTNERSHIPS IN JO CREEK JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN JOAN MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN JOAN *59 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN JOSEPHINE POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY INC ONSITE REVIEW PARTNERSHIPS IN JUNIPER POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN JUNIPER POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 07/20/2016 ADULT INC PARTNERSHIPS IN KURT POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN KURT POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/24/2016 ADULT INC 104 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PARTNERSHIPS IN LANE POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY INC ONSITE REVIEW PARTNERSHIPS IN MANNING MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MANNING MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 10/05/2016 ADULT INC PARTNERSHIPS IN MARIGOLD MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MARION POLK DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING COMMUNITY LIVING EXPECTATION REGULATORY INC ONSITE REVIEW PARTNERSHIPS IN MARION JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MARION JOSEPHINE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 01/09/2017 ADULT INC PARTNERSHIPS IN MILTON MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MONMOUTH POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MONMOUTH POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 11/30/2016 ADULT INC PARTNERSHIPS IN MOONSTONE MARION PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MOONSTONE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 02/21/2017 ADULT INC PARTNERSHIPS IN MUNKERS MARION PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN MUNKERS MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING 02/02/2016 ADULT INC PARTNERSHIPS IN NORTHERN HEIGHTS MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN O'NEIL MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN ORIOLE JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN PIONEER LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN POLK POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY INC ONSITE REVIEW 105 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PARTNERSHIPS IN RUTH JACKSON PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY CHILD INC ONSITE REVIEW PARTNERSHIPS IN STADIUM POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN STATE *48 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN STATE *48 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 05/10/2016 ADULT INC PARTNERSHIPS IN STATE *50 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN STATE *50 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 05/10/2016 ADULT INC PARTNERSHIPS IN SUMMERWIND MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN VEAZIE POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN VERANDA MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN VERANDA *51 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN VERANDA *51 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/17/2016 ADULT INC PARTNERSHIPS IN WEST VISTA MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY LIVING EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN WEST VISTA MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 03/16/2017 ADULT INC PARTNERSHIPS IN WISTERIA POLK PENDING COMPLIANT SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN WISTERIA POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 04/18/2017 ADULT INC PARTNERSHIPS IN WORMWOOD MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY LIVING REGULATORY ADULT INC ONSITE REVIEW PARTNERSHIPS IN WORMWOOD MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY LIVING EXPECTATION 02/01/2017 ADULT INC PATHWAY ENTERPRISES BOES JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES BOES JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 08/22/2016 ADULT 106 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PATHWAY ENTERPRISES BON BON JACKSON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES BON BON JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 03/14/2017 ADULT PATHWAY ENTERPRISES COMICE JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES COMICE JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 12/01/2016 ADULT PATHWAY ENTERPRISES EAST HILLS JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES HYBISCUS JACKSON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES KEENE JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES KEENE JACKSON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 11/30/2016 ADULT PATHWAY ENTERPRISES RIDGEWAY JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PATHWAY ENTERPRISES RIDGEWAY JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 06/22/2016 ADULT PEARL BUCK CENTER LANE LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING INC EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW PECOT, ARWYN ROGER TILLAMOOK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PECYNA, KIMBERLY & WILLAMINA CREEK YAMHILL COMPLIANT NEW SITE / INITIAL FOSTER CARE - JEFFREY REVIEW ADULT PEDERSEN, AARON & 6TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - JOEL CHILD WELFARE PEDERSON, AARON & 14TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - JOEL CHILD WELFARE PENICK, TOYIA GENEVA JEFFERSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PEOPLES-JACKSON, ALTAMONT KLAMATH PENDING COMPLIANT SURVEY FOSTER CARE - MARYETTA REGULATORY ADULT ONSITE REVIEW PEOPLES-JACKSON, ALTAMONT KLAMATH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - MARYETTA 11/28/2016 ADULT PEREZ, ALEXANDER FRONTAGE WASCO COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT PEREZ, ANDREA CYPRESS YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PEREZ, FRANCISCO MAIN YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW PEREZ, JORGE CHRISTENSEN YAMHILL COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT 107 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PERLMAN, MARY 44TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PERRY, TILDA A 136TH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW PERRY, TILDA A 136TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/12/2016 CHILD PERRYMAN, SHERLYN BIRDSDALE MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE PERSONALIZED CHINQUAPIN BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INDEPENDENCE INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PERSONALIZED HIGHLAND BENTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INDEPENDENCE INC EXPECTATION REGULATORY ADULT ONSITE REVIEW PERSONALIZED HIGHLAND BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INDEPENDENCE INC EXPECTATION 05/12/2016 ADULT PERSONALIZED LYNWOOD BENTON PENDING INCOMPLETE SURVEY RESIDENTIAL - INDEPENDENCE INC REGULATORY ADULT ONSITE REVIEW PETERS, JOSHUA BACKTON KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETERS, LINDA STAYTON MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETERS, SARAH CANBY WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETERSEN, JENNIFER RIVERSIDE JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETERSEN, JENNIFER SHADY OAKS JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETERSON, GUNNAR HUCKLEBERRY DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETERSON, LORETTA CAROLINA MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW PETROFF, DARLENE 10TH WASCO DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PETROFF, DARLENE 10TH WASCO COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/06/2016 ADULT PHILLIPI, EUNICE 317TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PHILLIPI, EUNICE 317TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/29/2016 ADULT PHILLIPI, NIKI 191ST WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PHILLIPI, NIKI 191ST WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION108 of 159 03/01/2017 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PHILLIPS, MICHELLE & RAYMOND MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - DAVID CHILD WELFARE PHIPPS, KAREN & CHERRY HEIGHTS WASCO REMEDIATION DATA WAREHOUSE FOSTER CARE - JEFFREY CHILD WELFARE PIERCE, PATRICIA & WOODVILLE JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - LUKE SR CHILD WELFARE PINJAGIC, NEDZAD 168TH AVE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PINJAGIC, NEDZAD 168TH AVE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/13/2016 ADULT PINJAGIC, TRACI 23RD MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PINKERTON, ROSEANN BURNSIDE MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - R REGULATORY CHILD ONSITE REVIEW PINKERTON, ROSEANN BURNSIDE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - R EXPECTATION 02/01/2016 CHILD PINNACLE SATINWOOD BENTON PENDING INCOMPLETE SURVEY RESIDENTIAL - DEVELOPMENTAL CARE REGULATORY ADULT ONSITE REVIEW POINTER, BRANDI LOGAN YAMHILL REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE POLYAKOVA, TATYANA HAIGHT MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE PORTER, DOMINGA BOSTON LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTER, DOMINGA BOSTON LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/07/2016 ADULT PORTLAND METRO RES 103RD MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES 103RD MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/12/2016 ADULT PORTLAND METRO RES 111TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES 111TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES 04/11/2017 ADULT PORTLAND METRO RES 139TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES 171ST MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES 171ST MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/19/2016 ADULT PORTLAND METRO RES 81ST MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES 81ST MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES 11/01/2016 ADULT PORTLAND METRO RES GRANT MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW 109 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type PORTLAND METRO RES GRANT MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/05/2016 ADULT PORTLAND METRO RES KNIGHT MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES KNIGHT MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/12/2016 ADULT PORTLAND METRO RES MADISON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES MADISON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/19/2016 ADULT PORTLAND METRO RES NANCY MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES OVERLAND MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES OVERLAND MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES 11/22/2016 ADULT PORTLAND METRO RES POWELL MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES POWELL MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - SERVICES 05/02/2017 ADULT PORTLAND METRO RES PRESCOTT MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES SALMON *01 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES SALMON *01 MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 04/05/2016 ADULT PORTLAND METRO RES SALMON *41 MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW PORTLAND METRO RES SALMON *41 MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - SERVICES EXPECTATION 07/26/2016 ADULT PORTLAND METRO RES SCHILLER MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - SERVICES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW POSTLEWAIT, MARILYN BARLOW CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW POSTLEWAIT, MARILYN BARLOW CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/07/2016 ADULT POTTER, JANICE LAMB UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW POWERS, KAREN 19TH BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PRAIRIE HOUSE MORSON DESCHUTES PENDING INCOMPLETE SURVEY RESIDENTIAL - ASSISTED LIVING REGULATORY ADULT ONSITE REVIEW PRAIRIE, DIANE & NEAHKAHNIE MARION REMEDIATION DATA WAREHOUSE FOSTER CARE - BOGER, TERENCE 110 of 159 CHILDAs ofWELFARE 10/14/2016

PREWITT, SANDRA HAYTER POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PREWITT, SANDRA HAYTER POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/11/2016 ADULT PRICE, PAULA HWY 101 CURRY REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE PRICE, TIMOTHY LAKE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW PRIDDY, YOLANDA FERRY LINN COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT PROF THERAPEUTIC 36TH MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY NETWK EXPECTATION REGULATORY CHILD ONSITE REVIEW PROF THERAPEUTIC 36TH MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY NETWK EXPECTATION 03/30/2016 CHILD PROF THERAPEUTIC BETH MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - COMMUNITY NETWK REGULATORY ADULT ONSITE REVIEW PROF THERAPEUTIC CELEEN MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY NETWK EXPECTATION REGULATORY ADULT ONSITE REVIEW PROF THERAPEUTIC KAFIR MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY NETWK EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PROF THERAPEUTIC KAFIR MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY NETWK EXPECTATION 01/26/2017 ADULT PROF THERAPEUTIC WINDGATE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY NETWK EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW PROF THERAPEUTIC WINDGATE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY NETWK EXPECTATION 03/22/2017 ADULT PROF THERAPEUTIC WOODLAWN MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - COMMUNITY NETWK EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW PROF THERAPEUTIC WOODLAWN MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - COMMUNITY NETWK EXPECTATION 04/11/2017 CHILD PROVIDENCE MAIN MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - BENEDICTINE ORCHARD EXPECTATION EXPECTATION REGULATORY ADULT HOUSE ONSITE REVIEW PROVIDENCE MAIN MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - BENEDICTINE ORCHARD 04/14/2016 ADULT HOUSE PUHA, CLAUDIA FLAVEL MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD QUERIDO, HECEL 127TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW 111 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type QUERIDO, HECEL 127TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/25/2016 CHILD QUICHO, STACEY RUSS CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW RADUTIU, LULIANA 136TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW RADUTIU, OTILIA & 137TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - FLORIN EXPECTATION REGULATORY ADULT ONSITE REVIEW RADUTIU, OTILIA & 137TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - FLORIN EXPECTATION 09/16/2016 ADULT RAEANN & PAT LAFORD JASMINE JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RAEANN & PAT LAFORD JASMINE JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/07/2016 ADULT RAICHART, MICHAEL & 22ND WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - KAREN CHILD WELFARE RAIN KING PROPERTIES LIBERTY MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RAIN KING PROPERTIES LIBERTY MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 12/09/2016 ADULT RAINBOW ADULT 118TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RAINBOW ADULT 118TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING EXPECTATION 10/25/2016 ADULT RAINBOW ADULT 76TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RAINBOW ADULT BELMONT MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING EXPECTATION REGULATORY ADULT ONSITE REVIEW RAINBOW ADULT BELMONT MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - LIVING 04/12/2017 ADULT RAINBOW ADULT MULTNOMAH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING LIVING EXPECTATION REGULATORY ONSITE REVIEW RAINBOW ADULT STEPHENS MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING EXPECTATION REGULATORY ADULT ONSITE REVIEW RAINBOW ADULT STEPHENS MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING EXPECTATION 02/16/2016 ADULT RAINBOW ADULT TIBBETTS MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - LIVING EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RAINBOW ADULT TIBBETTS MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - LIVING EXPECTATION 02/10/2016 ADULT RAMOS SALOMON, SALOMON JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - JULIA EXPECTATION REGULATORY CHILD ONSITE REVIEW RANKINS, ROSALIE NOBLE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 112 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RARICK, CUC & LILLIAN MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CLIFFORD EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RARICK, CUC & LILLIAN MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - CLIFFORD EXPECTATION 06/28/2016 ADULT RASGO, JOVEN 6TH TILLAMOOK COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT RASMUSSEN, MARTHA WILLOW BEND JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - & ERIC CHILD WELFARE RAY, SARAH 17TH MALHEUR DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RAY, SARAH RAILROAD MALHEUR PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RAY, SARAH SUNSET MALHEUR DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW READ, CAROLYN & ROSWELL CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - GERALD CHILD WELFARE REASONER, CRYSTAL GLOVERDALE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW REASONER, CRYSTAL GLOVERDALE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/02/2016 CHILD REDLINGER, REBECCA RUSSET LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW REDLINGER, REBECCA RUSSET LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/31/2016 ADULT REDMOND, BYRON 157TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW REED, DALE LONDON LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW REED, ROBIN LYNN 134TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW REED, ROBIN LYNN 134TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/30/2016 ADULT REEL, COSETTA HWY 20 LINCOLN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW REEL, COSETTA SWAN LINCOLN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW REEVES, CLINTON & DEAL LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - BELLA CHILD WELFARE REEVES, LORI & HWY 66 KLAMATH REMEDIATION DATA WAREHOUSE FOSTER CARE - GORDON CHILD WELFARE REGASA, DEJENE 12TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW REGASA, DEJENE 12TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/08/2016 ADULT 113 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type REGASSA, SAMSON CYPRESS CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW REGASSA, SAMSON CYPRESS CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/03/2016 ADULT REGASSA, SAMSON LAMPHIER CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW REIS, JULIE KIMERON MARION PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW REIS, JULIE KIMERON MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/25/2016 ADULT REMICK, DEANNA ORCHARD COLUMBIA REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE RENAISSANCE INC KLAMATH MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RENAISSANCE INC KLAMATH MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/20/2016 ADULT RENEW CONSULTING 11TH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING 168TH WASHINGTON PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING 38TH LINN DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING 38TH LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 01/05/2017 ADULT RENEW CONSULTING 6TH LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING ALETHEA YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING ALETHEA YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 09/07/2016 ADULT RENEW CONSULTING B ST LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING BRIDLE HILLS WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING CEDAR LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW RENEW CONSULTING CEDAR LANE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 11/09/2016 CHILD RENEW CONSULTING CHICKADEE MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING CHURCHMAN YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY SCRUTINY CHILD ONSITE REVIEW 114 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RENEW CONSULTING CHURCHMAN YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 09/08/2016 CHILD RENEW CONSULTING LEE LINCOLN PENDING COMPLIANT SURVEY RESIDENTIAL - INC REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING MANZANITA YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING MANZANITA YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 08/16/2016 ADULT RENEW CONSULTING NEPTUNE LINCOLN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING NEPTUNE LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 02/16/2016 ADULT RENEW CONSULTING OAR LINCOLN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING OAR LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 02/10/2016 ADULT RENEW CONSULTING OXBOW LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING POST LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING POST LINN COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - INC 09/14/2016 ADULT RENEW CONSULTING ROBBINS WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING SOUTH POINT LINCOLN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING SOUTH POINT LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 04/13/2016 ADULT RENEW CONSULTING SPRUCE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING SPRUCE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 05/25/2016 ADULT RENEW CONSULTING SYLVIA MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENEW CONSULTING SYLVIA MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - INC EXPECTATION 03/15/2016 ADULT RENEW CONSULTING WASHINGTON LINN DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INC EXPECTATION REGULATORY ADULT ONSITE REVIEW RENNELLS, JEANNE QUEEN CLATSOP DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RENNELLS, JEANNE QUEEN CLATSOP DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/15/2016 ADULT RESIDE RESIDENTIAL HOYT MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - CARE REGULATORY ADULT ONSITE REVIEW 115 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RESIDE RESIDENTIAL POWELL *29 MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - CARE REGULATORY ADULT ONSITE REVIEW RESIDE RESIDENTIAL POWELL *39 MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - CARE REGULATORY ADULT ONSITE REVIEW RESIDE RESIDENTIAL STEPHENS MULTNOMAH COMPLIANT NEW SITE / INITIAL RESIDENTIAL - CARE REVIEW ADULT REVAS NEW SIMPSON MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - BEGINNINGS CARE REVIEW ADULT REVAS NEW HEARTH MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - BEGINNINGS CARE REGULATORY ADULT HOME ONSITE REVIEW REVA'S NEW 24TH MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - BEGINNINGS CARE EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT HOME INC. ONSITE REVIEW REVA'S NEW 24TH MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - BEGINNINGS CARE 05/05/2016 ADULT HOME INC. RHODES, CHERIE YOHN YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RHODES, MELANIE COURT BAKER DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RHODES, MELANIE COURT BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/25/2016 ADULT RHODES, RANDY WITCH HAZEL WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RHODES, RANDY WITCH HAZEL WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/19/2016 ADULT RHONDA MORGAN EVERGREEN KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RHONDA MORGAN EVERGREEN KLAMATH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/30/2016 ADULT RIAL DE RAMIREZ BARRY KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - SLIKKER, DESIREE REGULATORY ADULT ONSITE REVIEW RICE, SUSAN 36TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RICHARD KIRK SUNNY POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RICHARD KIRK SUNNY POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/04/2016 ADULT RICHEY, LAURA SHAVER MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RIDENOUR, LARRY MARCIA MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW RIDGEVIEW JACK RES GOLFVIEW JACKSON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - A41 EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 116 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RIGGINS, SANDRA BENNETT LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RIGGINS, SANDRA BENNETT LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/08/2016 ADULT RILEY, PAMELA PINE LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RILEY, PAMELA PINE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/20/2016 ADULT RISE INC 10TH UMATILLA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC 10TH UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/07/2016 ADULT RISE INC 20TH UNION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW RISE INC 20TH UNION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/22/2017 CHILD RISE INC 30TH LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RISE INC 6TH *02/*04 UNION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC 6TH *02/*04 UNION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 11/09/2016 ADULT RISE INC 6TH *46 UMATILLA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC ACKERMAN POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC ANDERSON LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY CHILD ONSITE REVIEW RISE INC AQUARIUS *7 UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC AQUARIUS *8 UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC AQUARIUS *8 UNION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/28/2016 ADULT RISE INC BLACKHAWK TRAIL UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC BOSTON LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC BOSTON LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/03/2017 ADULT RISE INC CEDAR POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW 117 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RISE INC DEBBIE MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC DEBBIE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 04/26/2016 ADULT RISE INC DONOHOE LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RISE INC JEFFERSON LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RISE INC LANE MARION PENDING COMPLIANT SURVEY SUPPORTED LIVING REGULATORY ONSITE REVIEW RISE INC MARSHALL UMATILLA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC ONTARIO HEIGHTS MALHEUR DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC ONTARIO HEIGHTS MALHEUR COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/19/2017 ADULT RISE INC PRINCESS MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC RANDALL WAY POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RISE INC RANDALL WAY POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 07/19/2016 ADULT RISE INC ROUNDUP LANE PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RISE INC RUNNION UMATILLA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC SCOOT POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC VALLEY RD UNION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RISE INC VALLEY RD UNION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/26/2017 ADULT RISE INC DEBBIE MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - REVIEW ADULT RISTEEN, MARLADEEN VALLEY UNION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RIVERA, WAYNE CLARKSMITH LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RIVERA, WAYNE IRONWOOD LINN DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERA, WAYNE IRONWOOD LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - 118 of 159 EXPECTATION 08/16/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RIVERS AND ROADS SILVERSTONE MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESIDENTIAL EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERS, JOAN STONE CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE RIVERSIDE TRAINING 21ST COLUMBIA DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTER INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING 21ST COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTER INC EXPECTATION 06/07/2016 ADULT RIVERSIDE TRAINING 6TH COLUMBIA PENDING COMPLIANT SURVEY RESIDENTIAL - CENTER INC REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING 6TH COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTER INC EXPECTATION 03/31/2016 ADULT RIVERSIDE TRAINING CHERRYWOOD COLUMBIA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTER INC EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING CHERRYWOOD COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTER INC EXPECTATION 03/24/2016 ADULT RIVERSIDE TRAINING COLUMBIA COLUMBIA DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING CENTER INC EXPECTATION REGULATORY ONSITE REVIEW RIVERSIDE TRAINING COLUMBIA COLUMBIA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTER INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING COLUMBIA COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTER INC EXPECTATION 03/03/2016 ADULT RIVERSIDE TRAINING EVERGREEN COLUMBIA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTER INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING EVERGREEN COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTER INC EXPECTATION 10/20/2016 ADULT RIVERSIDE TRAINING MATZEN COLUMBIA DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTER INC EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING SUNSET COLUMBIA DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CENTER INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RIVERSIDE TRAINING SUNSET COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CENTER INC EXPECTATION 04/06/2016 ADULT ROBERSON, KATHERINE ENDICOTT MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE ROBERT C. & ROBERT H. HILL YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - TOEPEL EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROBERT C. & ROBERT H. HILL YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - TOEPEL 12/01/2016 ADULT ROBERT DARR HUCKLEBERRY CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROBERT DARR HUCKLEBERRY CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/15/2016 ADULT ROBERT NOBLE TILLSTROM CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 119 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ROBERT NOBLE TILLSTROM CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/07/2016 ADULT ROBERTA & MICHAEL HOPI DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - SMITH EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROBERTSON, SUSAN FALLEN LEAF JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD ROBIN & DAVID STARR CREEK BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - THOMSON EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROBIN & DAVID STARR CREEK BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - THOMSON EXPECTATION 03/01/2016 ADULT ROBIN RHODES 6TH YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROBIN RHODES 6TH YAMHILL COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/03/2016 ADULT ROBINSON, ALICIA SENECA LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW ROBSON, MARGARET JEROME PRAIRIE JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RODERICK WALKER - SUMMERFIELD MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - WALKER SUPPORT EXPECTATION EXPECTATION REGULATORY ADULT SERVICES INC. ONSITE REVIEW RODERICK WALKER - SUMMERFIELD MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - WALKER SUPPORT EXPECTATION 02/11/2016 ADULT SERVICES INC. RODGERS, JENNIFER FIRCREST LINCOLN REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE RODRIGUEZ, MA 5TH JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - FELISCA EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RODRIGUEZ, MA 5TH JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - FELISCA EXPECTATION 10/10/2016 ADULT RODRIGUEZ, ROSYANNE WOLF MARION PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW ROGERS, MARCIA DAVIS LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ROGERS, MARY 114TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROGERS, MARY 114TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/02/2016 ADULT ROJAS, ROSALINDA TIOGA MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD RON WILSON CENTER 12TH POLK PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER ACKERMAN POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER ACKERMAN POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - 120 of 159 EXPECTATION 09/14/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RON WILSON CENTER ASHCREEK POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER ASHCREEK POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/15/2017 ADULT RON WILSON CENTER CLAY POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER DALKE POLK PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER DALKE POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER DALKE POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/04/2016 ADULT RON WILSON CENTER DALKE POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/04/2016 ADULT RON WILSON CENTER GWINN POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER GWINN POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/03/2016 ADULT RON WILSON CENTER IVY POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER IVY POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 07/06/2016 ADULT RON WILSON CENTER MAIN POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER MAIN POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/09/2016 ADULT RON WILSON CENTER MONMOUTH POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER MONMOUTH POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 04/04/2017 ADULT RON WILSON CENTER POLK POLK PENDING INCOMPLETE SURVEY SUPPORTED LIVING REGULATORY ONSITE REVIEW RON WILSON CENTER WALNUT POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER WALNUT POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/29/2017 ADULT RON WILSON CENTER WARREN POLK DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER WILLOW POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RON WILSON CENTER WILLOW POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 06/24/2016 ADULT ROSA FARAH VENTURA LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 121 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type ROSA FARAH VENTURA LANE DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/03/2016 ADULT ROSEBORO, NICHOLAS CUSTOM LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROSEBORO, NICHOLAS CUSTOM LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/29/2016 ADULT ROSENCRANS, TERRI 174TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROSENCRANS, TERRI 174TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/09/2016 ADULT ROSENTHAL, DENISE 239TH MULTNOMAH PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW ROUSE PEKSEV, 135TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MONICA EXPECTATION REGULATORY ADULT ONSITE REVIEW ROXANE DUNN BAKER JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROYSE MCCARVER, CENTER MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CAMEO EXPECTATION REGULATORY ADULT ONSITE REVIEW ROYSE, KANDI EUGENE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ROYSE, RANDY 131ST MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ROYSE, RANDY 131ST MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/13/2016 ADULT RUITTA, ANITA L 2ND CLATSOP PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW RUNGRAWE WALL WAYSIDE LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RUNGRAWE WALL WAYSIDE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/07/2016 ADULT RUNION, JEREMIAH KOONS MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW RUNION, SUSAN FAIRVIEW YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW RUNION, SUSAN FAIRVIEW YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/23/2017 CHILD RUNYAN, CAROLYN SANTIAM TERRACE LINN DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RUNYAN, CAROLYN SANTIAM TERRACE LINN COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 08/18/2016 ADULT RUSSELL MILROY SUNNYSIDE CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 122 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type RUSSELL MILROY SUNNYSIDE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/28/2016 ADULT RUSSELL, TONI ROGUE RIVER JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RUSSELL, TONI ROGUE RIVER JACKSON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/29/2016 ADULT RUSSO, NICOLE STONEHAM JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RUSTY & MARY HEATHER DOUGLAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - BARRON EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RUSTY & MARY HEATHER DOUGLAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - BARRON EXPECTATION 03/08/2016 ADULT RUUEMAU, TERESA 122ND MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RUUEMAU, TERESA 122ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/18/2016 ADULT RYAN, JACOB CRYSTAL CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT RYAN, JENNIFER 992 WINDSONG HOOD RIVER DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW RYAN, JENNIFER 992 WINDSONG HOOD RIVER COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 12/29/2016 ADULT RYAN, LAURI WINSLOW CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW RYAN, LAURI WINSLOW CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RYAN, PATRICK HOLLY CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW RYAN, TERRY WINDSONG HOOD RIVER DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW RYNEVICH, KATHLEEN WONDERVIEW MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SABA TIRUNEH QUEEN WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SABA TIRUNEH QUEEN WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/18/2016 ADULT SABA, DEKABO 157TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SACU 74TH MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU 74TH MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/25/2017 ADULT

123 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SACU CADE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU CADE MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/30/2016 ADULT SACU DISCOVERY *25 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW SACU DISCOVERY *25 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/19/2016 CHILD SACU DISCOVERY *45 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU DISCOVERY *45 MARION DOES NOT MEET DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION EXPECTATION 04/28/2016 ADULT SACU FORSYTHIA LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU GATH RD MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU HALSEY MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU HAWTHORN MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU HAWTHORN MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/23/2017 ADULT SACU INA CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU INA CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/18/2016 ADULT SACU JODY LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU JODY LINN COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/20/2017 ADULT SACU MADISON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU MADISON MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/07/2016 ADULT SACU OAK LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU OAK LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/18/2016 ADULT SACU RIVER LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU WIERICH LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU WIERICH LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - 124 of 159 EXPECTATION 04/28/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SACU WILLIAMS *0 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU WILLIAMS *0 MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/08/2016 ADULT SACU WILLIAMS *4 MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU WILLIAMS *6 MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SACU WILLIAMS *6 MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/08/2016 ADULT SADO, MIMI PARKER WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SADO, MIMI PARKER WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/14/2016 ADULT SADO, MIMI & JARA, WINDFLOWER MARION COMPLIANT NEW SITE / INITIAL FOSTER CARE - NEFISA REVIEW ADULT SADO, YADI WILSON MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SAECHAO, FARM & KAO MAIN MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE SAFECARE RESIDENTIAL MARION LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW SAFECARE RESIDENTIAL STORMY LINN PENDING INCOMPLETE SURVEY RESIDENTIAL - SERVICES REGULATORY ADULT ONSITE REVIEW SAGUCIO, MARY ANN OGDEN MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SAGUCIO, MARY ANN OGDEN MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/07/2016 ADULT SAIED MORADI SWAN CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SAIED MORADI SWAN CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/21/2016 ADULT SALAGEAN, SERGIU 3RD YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SALAGEAN, SERGIU 3RD YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/11/2016 ADULT SALANG, DIANA CURTIS WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW SALYERS, LARISA 90TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE SALYERS, LARISA 90TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SAMSON BERISO 22ND WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 125 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SAMSON BERISO 22ND WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/13/2016 ADULT SAMUEL, ATAKLTI GLISAN MULTNOMAH PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW SANCHEZ-LARRIBA, EVERGREEN TILLAMOOK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ADALBERTO EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SANCHEZ-LARRIBA, EVERGREEN TILLAMOOK COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - ADALBERTO 03/16/2017 ADULT SANDERS, CAROLE PRINCESS WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SANDHU, NASIR 9TH MALHEUR PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SANTANA, SHANNON MISTLETOE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SANTANA, SHANNON MISTLETOE MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/26/2016 ADULT SARA & COLE LAMBERT- CONWAY CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - C & S ADULT FOSTER EXPECTATION EXPECTATION REGULATORY ADULT CARE ONSITE REVIEW SARA & COLE LAMBERT- CONWAY CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - C & S ADULT FOSTER EXPECTATION 08/03/2016 ADULT CARE SARA KAMPRATH - I L ANGIE MARIE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - COMMUNITY LLC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SARA KAMPRATH - I L ANGIE MARIE MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - COMMUNITY LLC 06/01/2016 ADULT SARAH & CELSO OLIVA LINFIELD MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SARAH & CELSO OLIVA LINFIELD MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/05/2016 ADULT SASA, DIANE MILL WASCO PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SAULSBURY, KRISTIN A STREET JEFFERSON COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT SAVANG, RAQUEL ROSEFINCH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW SAVANG, RAQUEL ROSEFINCH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/04/2016 CHILD SCALISE, JAY 282ND MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SCALISE, JAY 282ND MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/12/2016 ADULT SCANTLIN, LA ANNETTE LAMB UMATILLA DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SCANTLIN, LA ANNETTE LAMB UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - 126 of 159 EXPECTATION 10/26/2016 AsADULT of 10/14/2016

SCOTT & NICOLE RYAN GAS LAMP LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - LIVING CHOICES FOSTER EXPECTATION 12/13/2016 ADULT CARE, LLC

SCOTT, CHERYL 144TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW SCOTT, CHERYL 144TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/01/2017 CHILD SCOTT, GEORGE MULTNOMAH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SCOTT, MARQUI MORGAN MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SCOTT, MARQUI MORGAN MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/20/2016 ADULT SCOTT, SAMUEL MAIN LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 127 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SEARLES, SUZANN ADAMS JEFFERSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW SEKIYA, DAVID STAYTON MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SELIG HARDT, TERESA LOWELL KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SERNOFFSKY, JAMES SUMMIT PLACE LLC LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT SHADRIN, ANASTASIA NEEDY MARION PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SHADRIN, ANASTASIA NEEDY MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 01/11/2016 ADULT SHANGRI LA CORP 11TH LANE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - REVIEW ADULT SHANGRI LA CORP FRIENDSHIP POLK REMEDIATION DATA WAREHOUSE RESIDENTIAL - ADULT SHANGRI-LA 13TH MARION PENDING COMPLIANT SURVEY RESIDENTIAL - CORPORATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA 1ST *81 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA 1ST *81 LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 02/07/2017 ADULT SHANGRI-LA 1ST *83 LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA 1ST 1567 LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA AVERY LINCOLN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA AVERY LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 10/13/2016 ADULT SHANGRI-LA BIG CREEK LINCOLN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA BIG CREEK LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 01/27/2016 ADULT SHANGRI-LA CHELAN *6*7 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA CHELAN *67 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA CHELAN *67 MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - CORPORATION 01/19/2017 ADULT SHANGRI-LA CHELAN *7*7 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA CHELAN *7*7 MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - CORPORATION 128 of 159 02/01/2017 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SHANGRI-LA DAKOTA *21 MARION PENDING COMPLIANT SURVEY RESIDENTIAL - CORPORATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA DAKOTA *31 MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA GARLOCK MARION PENDING COMPLIANT SURVEY RESIDENTIAL - CORPORATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA GARLOCK MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 03/04/2016 ADULT SHANGRI-LA HAMMEL MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA HAMMEL MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 12/28/2016 ADULT SHANGRI-LA ILER STREET LINCOLN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA ILER STREET LINCOLN DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 11/29/2016 ADULT SHANGRI-LA JANICE *45 MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA JANICE *45 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 10/20/2016 ADULT SHANGRI-LA JANICE *65 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA JANICE *65 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 11/22/2016 ADULT SHANGRI-LA JODELLE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA JODELLE MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 01/17/2017 ADULT SHANGRI-LA LANE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING CORPORATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW SHANGRI-LA LIBERTY MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA LIBERTY MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 10/12/2016 ADULT SHANGRI-LA MARILYN MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA MARION MARION PENDING COMPLIANT SURVEY SUPPORTED LIVING CORPORATION REGULATORY ONSITE REVIEW SHANGRI-LA MARSHALL MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA MARSHALL MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 10/05/2016 ADULT

129 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SHANGRI-LA PARK MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA SALEM HEIGHTS MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA SPRUCE LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA SPRUCE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 03/01/2016 ADULT SHANGRI-LA STATE *30 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA STATE *30 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CORPORATION EXPECTATION 09/27/2016 ADULT SHANGRI-LA STATE*50 MARION PENDING COMPLIANT SURVEY RESIDENTIAL - CORPORATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA VISTA *60 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA VISTA *60 MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - CORPORATION 04/26/2017 ADULT SHANGRI-LA WHITESELL MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - CORPORATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA WINDSOR ISLAND MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CORPORATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SHANGRI-LA WINDSOR ISLAND MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - CORPORATION 03/02/2017 ADULT SHEILA DERRICK & 29TH LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - DONALD HENDERSON - EXPECTATION EXPECTATION REGULATORY ADULT BEYOND COMFORT ONSITE REVIEW FOSTER HOME SHEILA DERRICK & 29TH LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - DONALD HENDERSON - 10/14/2016 ADULT BEYOND COMFORT FOSTER HOME SHEILA VALENTINE LAUNCHPAD BAKER DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SHEILA VALENTINE LAUNCHPAD BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/19/2016 ADULT SHELDON HALCUMB - HILLSIDE CURRY DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - HALCUMB'S HAVEN EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ADULT FOSTER CARE ONSITE REVIEW SHEPHERD, RITA VINYARD MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SHERI & SARA FIXLER - MILL CREEK LINCOLN PENDING INCOMPLETE SURVEY FOSTER CARE - HUMMINGBIRD BAY REGULATORY ADULT ONSITE REVIEW SHERWOOD, ANGELA HAROLD MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 130 of 159 As of 10/14/2016

SMITH, ANGELAN MCMULLIN DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SMITH, BERNADETTE CAPE ARAGO COOS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SMITH, BERNADETTE CAPE ARAGO COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/19/2016 ADULT SMITH, DENAE GABBERT MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD SMITH, JENNIFER CRYSTAL MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW SMITH, KATHERINE CHARLES CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SMITH, KATHERINE CHARLES CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/06/2016 ADULT SMITH, LESTER & POPLAR COLUMBIA REMEDIATION DATA WAREHOUSE FOSTER CARE - THERESA CHILD WELFARE SMITH, LORENA BURGHARDT CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SMITH, PEGGYSUE 68TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE SMITH, ROBIN PRESCOTT MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SMITH, ROBIN PRESCOTT MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/03/2016 ADULT SMITH, SARA & ROCKYFORD YAMHILL REMEDIATION DATA WAREHOUSE FOSTER CARE - MORGAN 132 of 159 CHILDAs ofWELFARE 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SMITH, SEAN HOMEDALE KLAMATH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SMITH, SHANTEL DEBRA LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW SNYDER, DEANA OAK RIDGE YAMHILL DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW SNYDER, DEANA OAK RIDGE YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/13/2016 CHILD SOLOMON EZERA - MADISON CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - EZRA'S ADULT FOSTER REGULATORY ADULT HOME LLC ONSITE REVIEW SOLOMON EZERA - MADISON CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - EZRA'S ADULT FOSTER 10/31/2016 ADULT HOME LLC SONNENBURG, CHERRIL MULTNOMAH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - M REGULATORY CHILD ONSITE REVIEW SONNENBURG, CHERRIL MULTNOMAH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - M EXPECTATION 12/27/2016 CHILD SOUTH COAST 14TH COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HORIZONS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTH COAST 8TH COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HORIZONS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTH COAST 8TH COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - HORIZONS EXPECTATION 01/20/2016 ADULT SOUTH COAST 9TH COOS PENDING INCOMPLETE SURVEY RESIDENTIAL - HORIZONS REGULATORY ADULT ONSITE REVIEW SOUTH COAST GARFIELD COOS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING HEIGHTENED SURVEY RESIDENTIAL - HORIZONS EXPECTATION EXPECTATION EXPECTATION REGULATORY SCRUTINY ADULT ONSITE REVIEW SOUTH COAST GARFIELD COOS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HORIZONS 03/15/2017 ADULT SOUTHERN OREGON ANIQUE JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON ANIQUE JOSEPHINE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - ASPIRE 10/12/2016 ADULT SOUTHERN OREGON BIRCH JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON BIRCH JOSEPHINE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - ASPIRE 10/13/2016 ADULT SOUTHERN OREGON CANAL JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON CANAL JOSEPHINE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - ASPIRE REVIEW ADULT SOUTHERN OREGON EVANS JOSEPHINE COMPLIANT NEW SITE / INITIAL RESIDENTIAL - ASPIRE REVIEW ADULT

133 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SOUTHERN OREGON GAFFNEY JOSEPHINE PENDING COMPLIANT SURVEY RESIDENTIAL - ASPIRE REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON JOSEPHINE JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING ASPIRE EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW SOUTHERN OREGON KRONER JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON KRONER JOSEPHINE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - ASPIRE 01/10/2017 ADULT SOUTHERN OREGON LAKEVIEW *69 JACKSON DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON LAKEVIEW *69 JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ASPIRE EXPECTATION 02/03/2016 ADULT SOUTHERN OREGON LASSEN JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON LASSEN JOSEPHINE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - ASPIRE 05/31/2016 ADULT SOUTHERN OREGON LINDA LEE JOSEPHINE PENDING COMPLIANT SURVEY RESIDENTIAL - ASPIRE REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON LINDA LEE JOSEPHINE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - ASPIRE 05/31/2016 ADULT SOUTHERN OREGON OREGON AVE JOSEPHINE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON OREGON AVE JOSEPHINE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ASPIRE EXPECTATION 07/13/2016 ADULT SOUTHERN OREGON RJ JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON WAGNER MEADOWS JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ASPIRE EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SOUTHERN OREGON WAGNER MEADOWS JOSEPHINE COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - ASPIRE 01/10/2017 ADULT SOZA, ANTHONY APPLETREE LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SPARKS, MICHELLE MEADOW FLOWER BENTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW SPARKS, MICHELLE MEADOW FLOWER BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/14/2016 CHILD SPECIALIZED TRAINING 132ND MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - & RESIDENTIAL REGULATORY ADULT ONSITE REVIEW SPECIALIZED TRAINING 132ND MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - & RESIDENTIAL EXPECTATION 03/14/2017 ADULT

SPENCER, JOHN & 89TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CARLEEN CHILD

134 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SPENCER, KANDY MINDA LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW SPENCER, KANDY MINDA LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/03/2016 CHILD SPRUCE VILLA INC WHITE OAK MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SPRUCE VILLA INC WHITE OAK MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 09/01/2016 ADULT SPURLOCK, JOHN BISHOP CROOK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW STABILIZATION AND CHARLES YAMHILL DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CRISIS UNIT EXPECTATION REGULATORY ADULT ONSITE REVIEW STABILIZATION AND CHARLES YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - CRISIS UNIT EXPECTATION 03/01/2016 ADULT STABILIZATION AND DEAN LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CRISIS UNIT EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STABILIZATION AND DEAN LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CRISIS UNIT EXPECTATION 11/15/2016 ADULT STABILIZATION AND FOWLER MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CRISIS UNIT EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STABILIZATION AND JAMES YAMHILL DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CRISIS UNIT EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STABILIZATION AND JAMES YAMHILL DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - CRISIS UNIT EXPECTATION 08/23/2016 ADULT STABILIZATION AND QUAIL MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - CRISIS UNIT EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAPLETON, TONYA LOTUS DESCHUTES PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW STAPLETON, TONYA LOTUS DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/08/2016 ADULT STAR OF HOPE ASH COOS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE ASH COOS PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW STAR OF HOPE CAMMANN COOS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE CAMMANN COOS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 12/06/2016 ADULT STAR OF HOPE COMPASS CIRCLE COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE COMPASS CIRCLE COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/21/2016 ADULT

135 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type STAR OF HOPE LOMBARD COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE MONROE COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE MONROE COOS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 05/26/2016 ADULT STAR OF HOPE NEWMARK COOS PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW STAR OF HOPE VIRGINIA *17 COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE VIRGINIA *17 COOS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 01/25/2017 ADULT STAR OF HOPE VIRGINIA *63 COOS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STAR OF HOPE VIRGINIA *63 COOS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 03/16/2017 ADULT STEELE, MARY & ERIC EVERGREEN COOS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STEELE, MARY & ERIC EVERGREEN COOS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/15/2016 ADULT STEP FORWARD MAIN *2 GRANT DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ACTIVITIES INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STEP FORWARD MAIN *2 GRANT DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ACTIVITIES INC EXPECTATION 05/04/2016 ADULT STEP FORWARD MAIN *6 GRANT DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ACTIVITIES INC EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STEP FORWARD MAIN *6 GRANT DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - ACTIVITIES INC EXPECTATION 05/05/2016 ADULT STEP FORWARD PARK BAKER DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ACTIVITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW STEP FORWARD PARK BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ACTIVITIES INC EXPECTATION 07/14/2016 ADULT STEP FORWARD PLUM *00 BAKER PENDING INCOMPLETE SURVEY RESIDENTIAL - ACTIVITIES INC REGULATORY ADULT ONSITE REVIEW STEP FORWARD PLUM *00 BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ACTIVITIES INC EXPECTATION 07/13/2016 ADULT STEP FORWARD PLUM *30 BAKER DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ACTIVITIES INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STEP FORWARD PLUM *30 BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ACTIVITIES INC EXPECTATION 07/13/2016 ADULT STEP FORWARD RIVER PARK BAKER DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - ACTIVITIES INC EXPECTATION REGULATORY ADULT ONSITE REVIEW STEP FORWARD RIVER PARK BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - ACTIVITIES INC EXPECTATION 07/12/2016 ADULT 136 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type STEPHANIE SMITH 59TH DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STEPHENS, LANITA GLADSTONE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW STEPHENSON, BONANZA MARION PENDING INCOMPLETE SURVEY FOSTER CARE - CHRISTOPHER REGULATORY ADULT ONSITE REVIEW STEPPING STONE 24 ROYALTY MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - HOURS HOME REGULATORY ADULT ONSITE REVIEW STEVE YOUNG & LAURA LARSON LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - STANLEY - S & L ADULT EXPECTATION EXPECTATION REGULATORY ADULT FOSTER CARE ONSITE REVIEW STEVE YOUNG & LAURA LARSON LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - STANLEY - S & L ADULT EXPECTATION 08/23/2016 ADULT FOSTER CARE STEVEN JARVIS - LAKE CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - STEVE'S CARE HOME EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STEVEN JARVIS - LAKE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - STEVE'S CARE HOME EXPECTATION 07/13/2016 ADULT STEWART, JOHN MILES LANE PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW STEWART, KRISTOPHER WILLAMETTE LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW STEWART, KRISTOPHER WILLAMETTE LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/16/2016 ADULT STEWART, TODD RIVER LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW STIFF, COREY & LISA YAMHILL YAMHILL PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW STIFF, COREY & LISA YAMHILL YAMHILL DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/18/2016 ADULT STINER, REBECCA WARRINGTON LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STINER, REBECCA WARRINGTON LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/29/2016 ADULT STOBERT, PATRICIA CHEROKEE DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW STOFFEL, LISA & ERIN SAN RAFAEL MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE STOKES, GWEN 36TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW STOKES, WILLIAM & 12TH MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ROSEMARY EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STOKES, WILLIAM & 12TH MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - ROSEMARY 137 of 159 08/22/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type STONEYBROOKE 205TH MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - RESIDENTIAL SERVICES REGULATORY ADULT LLC ONSITE REVIEW STONEYBROOKE BOBBY BRUCE CLACKAMAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESIDENTIAL SERVICES EXPECTATION EXPECTATION REGULATORY ADULT LLC ONSITE REVIEW STONEYBROOKE BOBBY BRUCE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - RESIDENTIAL SERVICES EXPECTATION 06/16/2016 ADULT LLC STONEYBROOKE COMPTON CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESIDENTIAL SERVICES EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT LLC ONSITE REVIEW STONEYBROOKE COMPTON CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - RESIDENTIAL SERVICES EXPECTATION 07/20/2016 ADULT LLC STONEYBROOKE ORIENT CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - RESIDENTIAL SERVICES EXPECTATION REGULATORY ADULT LLC ONSITE REVIEW STONEYBROOKE ORIENT CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - RESIDENTIAL SERVICES EXPECTATION 06/30/2016 ADULT LLC STOREY, ANGELEA WILLOWBROOK MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STRAUS, WILLIAM & GIRARD MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - MALDONADO, CHILD WELFARE ARNALDO STRICKLIN, SHELBY LAMOINE DESCHUTES COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT STRONG, DARNELL CONGRESS MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW STRONG, DARNELL CONGRESS MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/28/2016 ADULT STURM, NANCY THOMPSON JACKSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW SUCAMELE, PAM JUNIPER LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUCAMELE, PAM JUNIPER LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/02/2016 ADULT SULLIVAN, MARY & WASHINGTON LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - DAVID EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SULLIVAN, MARY & WASHINGTON LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - DAVID 10/12/2016 ADULT SULTESSA, JAJABO 142ND MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW SUMMERLIN, BRANDON SCENIC LINN PENDING INCOMPLETE SURVEY FOSTER CARE - K REGULATORY CHILD ONSITE REVIEW SUMMERLIN, THOMAS LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CHANDELLE EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 138 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SUMMERLIN, THOMAS LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - CHANDELLE EXPECTATION 07/11/2016 ADULT SUMMERLIN, MOUNTAIN VIEW BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CHANDELLE EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUMMERLIN, MOUNTAIN VIEW BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - CHANDELLE EXPECTATION 05/19/2016 ADULT SUMMERLIN, MORRISON LINN COMPLIANT NEW SITE / INITIAL FOSTER CARE - CHANDELLE & BRYAN REVIEW ADULT SUMPTER, RAYMON & JERSEY MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - BOBBY CHILD WELFARE SUNNY MANOR INC D STREET MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY MANOR INC D STREET MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 03/14/2016 ADULT SUNNY OAKS INC ARIZONA POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC CLAY POLK PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC COURT POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC DENMARK MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC DENMARK MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 11/23/2016 ADULT SUNNY OAKS INC FERN POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC FERN POLK COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/08/2017 ADULT SUNNY OAKS INC OAKHILL MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC RICKEY MARION PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC RICKEY MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/27/2016 ADULT SUNNY OAKS INC ROZILLA MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC ROZILLA MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 11/30/2016 ADULT SUNNY OAKS INC RUGE POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUNNY OAKS INC RUGE POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/07/2016 ADULT SUNNY OAKS INC WILARK POLK DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW 139 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type SUNNY OAKS INC WILARK POLK COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/23/2017 ADULT SUNRISE BRIDGE CORP PARKSIDE MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW SUPPORTED ARCADIA LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INDEPENDENCE EXPECTATION EXPECTATION REGULATORY ADULT SERVICES ONSITE REVIEW SUPPORTED CALVIN *1 LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INDEPENDENCE EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT SERVICES ONSITE REVIEW SUPPORTED CALVIN *5 LANE DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INDEPENDENCE EXPECTATION REGULATORY ADULT SERVICES ONSITE REVIEW SUPPORTED DARLENE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - INDEPENDENCE EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT SERVICES ONSITE REVIEW SUSAN MORIN AVALON KLAMATH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUSAN MORIN AVALON KLAMATH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 10/07/2016 ADULT SUSI, VILMA MARIAN CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SUSI, VILMA MARIAN CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/26/2016 ADULT SUTTER, JAMIE PENINSULA JEFFERSON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW SUTTER, RYAN COLLEGE POLK DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW SUTTER, RYAN COLLEGE POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/08/2016 ADULT SUTTER, RYAN THE SUTTER FOSTER POLK PENDING INCOMPLETE SURVEY FOSTER CARE - HOME LLC REGULATORY ADULT ONSITE REVIEW SUTTON, CHRISTINA & JEANS LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - GILLIAM, ABRAM CHILD WELFARE SUTTON, SHIRLEEN ROSE MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SUTTON, SHIRLEEN ROSE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/16/2016 ADULT SWANSON, CHERRIE HALSEY MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW SWANSON, CHERRIE HALSEY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/14/2016 ADULT SWEET, SHEARON ANKENY MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW SWING, BRENDA 5TH COOS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 140 of 159 As of 10/14/2016

TAMARA RADFORD PRUETT JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW TAMMIE BENSON GREEN BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TAMMIE BENSON GREEN BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/25/2016 ADULT TANDEM NORTHWEST 13TH MARION PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST 13TH MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 09/01/2016 ADULT TANDEM NORTHWEST DENNIS MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST DENNIS MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/26/2017 ADULT TANDEM NORTHWEST GARDEN CT MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST GARDEN CT MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 12/01/2016 ADULT TANDEM NORTHWEST JONES RD MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST JONES RD MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 07/26/2016 ADULT TANDEM NORTHWEST LAURINE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST MANBRIN MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 141 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type TANDEM NORTHWEST NATALIE MARION PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST SHORELINE *10 MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST SHORELINE *10 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/16/2016 ADULT TANDEM NORTHWEST SHORELINE *85 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST SHORELINE *85 MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 05/11/2016 ADULT TANDEM NORTHWEST TREE LANE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TANDEM NORTHWEST TREE LANE MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/02/2017 ADULT TANDEM NORTHWEST JUNTURA MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - REVIEW ADULT TANEOUS, CHARLES S GREEN HOUSE WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TANYA & KEVIN DEE CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - HAMELL EXPECTATION REGULATORY ADULT ONSITE REVIEW TANYA & KEVIN DEE CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - HAMELL EXPECTATION 10/12/2016 ADULT TARCAU, JOHN CEDAR MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TARCAU, RODICA CLINTON MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TARDY, ONNIE CARUTHERS MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TARDY, ONNIE CARUTHERS MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/09/2016 ADULT TARR, JOHNATHAN 49TH LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TARTER, HOONANILEIAL 352ND CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW TAYLOR, BRIAN MORGAN JOSEPHINE PENDING Incomplete SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TAYLOR, DANA & HAMPTON CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - DEWEY CHILD WELFARE TAYLOR, JESSICA GREGORY MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW TAYLOR, JESSICA GREGORY MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/03/2017 ADULT

142 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type TAYLOR, MATT DELLWOOD JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW TAYLOR, SELENA & 54TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - GREGORY CHILD TAYLOR, VIVIAN COOK MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW CHILD WELFARE TCHIVANDJA, PAKISS 9TH MULTNOMAH PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW TEAL, KATHLEEN ELLENDALE POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TEAL, KATHLEEN ELLENDALE POLK DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/20/2016 ADULT TEAL, ROBERT COURT UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TEDLA, LAILA BURNSIDE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TEDROS, LEMLEM ROSE MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TEFERA, WONDWESEN SUNNYSIDE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TEKLE, YEMISRACH MULTNOMAH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TEKLEMARIAM, 131ST CLACKAMAS COMPLIANT NEW SITE / INITIAL FOSTER CARE - NARDOS REVIEW ADULT TEKLU, GOYTOM 151ST MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TEMESGEN BERISO - 121ST *10 WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - VISION OF HOPE LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW TEMESGEN BERISO - 121ST *10 WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - VISION OF HOPE LLC EXPECTATION 02/17/2017 ADULT TEMESGEN BERISO - 121ST *60 WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - VISION OF HOPE LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW TEMESGEN BERISO - 121ST *60 WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - VISION OF HOPE LLC EXPECTATION 04/29/2016 ADULT TERESA RIPPLE THOMAS WASHINGTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TERESA RIPPLE THOMAS WASHINGTON DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/17/2016 ADULT TERESITA BRUGMAN - 179TH WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ALESSANDRA ADULT EXPECTATION REGULATORY ADULT FOSTER HOME LLC ONSITE REVIEW TERESITA BRUGMAN - 179TH WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - ALESSANDRA ADULT EXPECTATION 05/13/2016 ADULT FOSTER HOME LLC 143 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type TEREZIJA EDGERLY PARK LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TEREZIJA EDGERLY PARK LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/29/2016 ADULT THANGARAJAH, ALYNDALE LANE PENDING INCOMPLETE SURVEY FOSTER CARE - KAMALRAJ REGULATORY ADULT ONSITE REVIEW THANGARAJAH, SAVILLE LANE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - KAMALRAJ EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW THANGARAJAH, SAVILLE LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - KAMALRAJ 11/28/2016 ADULT THANGARASA, VIJAY ALYNDALE LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW THE HOLBROOK HOUSE 72ND LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW THOMAS JOHNSON - EUCLID HOOD RIVER PENDING INCOMPLETE SURVEY FOSTER CARE - TOM'S ADULT FOSTER REGULATORY ADULT HOME ONSITE REVIEW THOMAS JOHNSON - EUCLID HOOD RIVER COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - TOM'S ADULT FOSTER 09/23/2016 ADULT HOME THOMAS KRAUS BATTLE MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW THOMAS KRAUS BATTLE MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/17/2016 ADULT THOMAS SLY O'CONNOR MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW THOMAS SLY O'CONNOR MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/19/2016 ADULT THOMAS, SANDRA LLOYD WASCO PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW THOMAS, TIMOTHY INDIGO MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW THOMPSON, JAMES GLEN CREEK POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW THOMPSON, JIMMY TILLAMOOK MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW THOMPSON, LINDA 87TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW THOMPSON, LINDA 87TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/19/2016 ADULT THOMPSON, MATTHEW SALEM HEIGHTS MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW THOMPSON, MATTHEW SALEM HEIGHTS MARION COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 144 of 159 12/13/2016 AsADULT of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type THOMPSON, MICHELLE 54TH WASCO REMEDIATION DATA WAREHOUSE FOSTER CARE - & JOSHUA CHILD WELFARE TIMS, NORVETA EUGENE MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW TIMS, NORVETA EUGENE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/09/2016 ADULT TIMS, SIMONE CRAMER MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TIPTON, LINDA CLIFF BAKER DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TIPTON, LINDA CLIFF BAKER DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/13/2016 ADULT TIRUNEH, SABA ORCHARD WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD TODD, BRIAN & EMERSON CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - MICHELLE CHILD WELFARE TODD, RANDI 145TH CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE TOLENTINO, CAMERON BRANDI JACKSON COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT TONA, DARARTU AVERY WASHINGTON PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW TONA, DARARTU & BRANDON YAMHILL COMPLIANT NEW SITE / INITIAL FOSTER CARE - MARGITO REVIEW ADULT TOWELL, IRA SEAVEY LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT TRACEY ASHBY FOSTER SUMAC WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - CARE EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TRACEY ASHBY FOSTER SUMAC WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - CARE 09/16/2016 ADULT TRACI LORE CONIFER MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TRACI LORE CONIFER MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/05/2016 ADULT TRACY VERMILYEA OHIO LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TRACY VERMILYEA OHIO LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/27/2016 ADULT TRAIN, CHERYL L LAKE LINN PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW TRANER, EMMA 80TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW TRAXLER, TANYA & BEAVER CREEK TILLAMOOK REMEDIATION DATA WAREHOUSE FOSTER CARE - BRIAN CHILD WELFARE TREANOR, CHARLEEN 442ND CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW 145 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type TRENT, MARTIN G BINGTREE MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TROGDON, PAMELA K 41ST DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW TRU COLLABORATIONS 13TH MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - LLC REVIEW ADULT TRUDY LOVINS - LOVINS ADLER UNION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - FOSTER CARE LLC EXPECTATION REGULATORY ADULT ONSITE REVIEW TRUJILLO, CHARLOTTE 191 STRINGER GAP JOSEPHINE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW TRUJILLO, CHARLOTTE 191 STRINGER GAP JOSEPHINE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/19/2016 ADULT TRUJILLO, ELEANOR TRINITY JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TRUJILLO, NIDDAH STRINGER JOSEPHINE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TRUMPOUR, MELISSA SUMMIT DOUGLAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TRUMPOUR, MELISSA SUMMIT DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 07/06/2016 ADULT TSEGAYE, GIRMA 129TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW TSEGAYE, GIRMA 129TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/20/2016 ADULT TSEHAITU KIROS OLD PORTLAND COLUMBIA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - ROAD EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TSEHAITU KIROS OLD PORTLAND COLUMBIA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - ROAD EXPECTATION 04/25/2016 ADULT TUCKER, ANGELA ROYAL MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW TUCKER, ANGELA ROYAL MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/01/2016 ADULT TUDORACHE, EMILIA RHONE MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TUDORACHE, EMILIA RHONE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/31/2016 ADULT TUDORACHE, FLOARE 148TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TUFA, ABU B SACRAMENTO MULTNOMAH COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT TULU, NAGAWO MAIN MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW

146 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type TURKINGTON, REBECCA ROBERTS WALLOWA PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TURKINGTON, REBECCA ROBERTS WALLOWA DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/28/2016 ADULT TURNER WILLIAMS, 7TH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - TRACY T EXPECTATION REGULATORY CHILD ONSITE REVIEW TURNER WILLIAMS, 7TH MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - TRACY T EXPECTATION 09/20/2016 CHILD TURNER, ANGELA 7TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW TURNER, EDITH 184TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TURNER, PROVINE & 13TH MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - VANESSA CHILD TURNER, TINA JARRET MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW TURNER, TINA JARRET MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/29/2016 CHILD TUSSE, BENYAM IRONWOOD POLK PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TUSSE, DURETI 39TH MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TUSSE, KADRI SORETI MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TUSSE, RADIYA MARTINI WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW TYLER, RENAY SUMMERCREST MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW ULYATT, DORIS HOMESTEAD DESCHUTES PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ULYATT, DORIS HOMESTEAD DESCHUTES DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/08/2016 ADULT UMPQUA HOMES BALLF DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES BALLF DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 02/16/2017 ADULT UMPQUA HOMES CHERRY DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES ELIZABETH DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES ELIZABETH DOUGLAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - HANDICAPPED EXPECTATION 05/05/2016 ADULT 147 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type UMPQUA HOMES GARY DOUGLAS PENDING COMPLIANT SURVEY RESIDENTIAL - HANDICAPPED REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES GARY DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 10/06/2016 ADULT UMPQUA HOMES HOMEWOOD DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES HOMEWOOD DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 07/21/2016 ADULT UMPQUA HOMES JAY *7 DOUGLAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES JAY *7 DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 07/01/2016 ADULT UMPQUA HOMES JAY *9 DOUGLAS PENDING INCOMPLETE SURVEY RESIDENTIAL - HANDICAPPED REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES JAY *9 DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 07/01/2016 ADULT UMPQUA HOMES JERRY DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES JERRY DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 10/13/2016 ADULT UMPQUA HOMES KEASEY DOUGLAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES KEASEY DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 03/02/2017 ADULT UMPQUA HOMES LEMANS DOUGLAS DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES LEMANS DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 10/27/2016 ADULT UMPQUA HOMES OLD MELROSE DOUGLAS DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - HANDICAPPED EXPECTATION REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES ORIOLE DOUGLAS PENDING COMPLIANT SURVEY RESIDENTIAL - HANDICAPPED REGULATORY ADULT ONSITE REVIEW UMPQUA HOMES ORIOLE DOUGLAS COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - HANDICAPPED 05/19/2016 ADULT UNDERWOOD-SCOTT, ANDREWS DESCHUTES DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MYRNA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UNDERWOOD-SCOTT, ANDREWS DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - MYRNA EXPECTATION 11/30/2016 ADULT UNITED CEREBRAL CLACKAMAS MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING PALSY ASSOC OF OR & EXPECTATION REGULATORY SW WA INC ONSITE REVIEW UNITED CEREBRAL MULTNOMAH MULTNOMAH PENDING COMPLIANT SURVEY SUPPORTED LIVING PALSY ASSOC OF OR & REGULATORY SW WA INC ONSITE REVIEW UP AND OUT INC 106TH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 148 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type UP AND OUT INC 106TH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/26/2016 ADULT UP AND OUT INC 141ST MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UP AND OUT INC BEECH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW UP AND OUT INC BEECH MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 05/17/2016 ADULT UP AND OUT INC EVERETT MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW UP AND OUT INC EVERETT MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 11/16/2016 ADULT UP AND OUT INC FLEMING TERRACE CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UP AND OUT INC GLISAN *1-*3 MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UP AND OUT INC GLISAN *1-*3 MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 01/27/2017 ADULT UP AND OUT INC GLISAN *5-*7 MULTNOMAH PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW UP AND OUT INC GLISAN *5-*7 MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 01/27/2017 ADULT UP AND OUT INC GLISAN *7-*9 MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UP AND OUT INC GLISAN *7-*9 MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/07/2017 ADULT UP AND OUT INC MULTNOMAH MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING EXPECTATION REGULATORY ONSITE REVIEW UPDIKE, GAYE BROOKS MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW UPSHAW, TIMOTHY VANCOUVER MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW UPSHAW, TIMOTHY VANCOUVER MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/11/2016 CHILD UPTON, SHEILA & EVERS LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - SCOTT CHILD WELFARE UTZINGER, JANE MAPLE DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW UTZINGER, JANE MAPLE DESCHUTES COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 11/16/2016 ADULT VALDEZ, EDWARD B ALTAMONT KLAMATH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW VALDEZ, EDWARD B ALTAMONT KLAMATH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/25/2016 CHILD 149 of 159 As of 10/14/2016

VALLEY VIEW CARE VALLEY VIEW GRANT PENDING INCOMPLETE SURVEY RESIDENTIAL - CENTERES DBA VALLEY REGULATORY ADULT VIEW ASSISTED LIVING ONSITE REVIEW

VALOR ASSOCIATES LLC COOLIDGE MARION PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW VALOR ASSOCIATES LLC COOLIDGE MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 04/13/2017 ADULT VALOR ASSOCIATES LLC PARRISH GAP MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW VALOR ASSOCIATES LLC PARRISH GAP MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 08/25/2016 ADULT VAN ARSDALL, KELSO CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - SUMMER REGULATORY ADULT ONSITE REVIEW VAN CLEAVE, DEBRA 33RD DESCHUTES PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW VAN, LAVON KERBY MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW VAN, LAVON KERBY MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/14/2016 ADULT VANCANNON, REBECCA LEON WASHINGTON REMEDIATION DATA WAREHOUSE FOSTER CARE - & DENNIS CHILD VANCE, SHONNA MOBILE JACKSON REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE VANDERPOOL, TERESA SHADY PINE CLATSOP PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW VARNER, DORIS CASA RIO MALHEUR PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW VAROZZA, DELISA & WALTON LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - VAROZZA,VINCENT CHILD WELFARE 150 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type VASILASH, ANNA CRYSTAL SPRINGS MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW VASILASH, ANNA CRYSTAL SPRINGS MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 09/19/2016 ADULT VELARDE, HEATHER GRASSLAND LANE DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW VELTON & JUNE LEE UPPER RIVER JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW VILLA, MARGARITA OREGON MARION REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE VINEYARD, MOLLI & ARATA MALHEUR REMEDIATION DATA WAREHOUSE FOSTER CARE - CHAD CHILD VINJE, KATHERINE A AUGUSTA LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW VINJE, KATHERINE A AUGUSTA LANE COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 09/13/2016 CHILD VONEYNERN TATE, PARKSIDE CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - EILEEN REGULATORY ADULT ONSITE REVIEW VORHAUER, APRIL THIRD UMATILLA PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW VORHAUER, APRIL THIRD UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/26/2016 ADULT WADDLE, KIMBERLY PARKTREE CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW WADDLE, KIMBERLY PARKTREE CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 06/28/2016 ADULT WADESSO, RUTH THIESSEN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WAGES, MARLA UPPER CAMP CREEK LANE DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WAGES, MARLA UPPER CAMP CREEK LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/14/2016 ADULT WAGNER, GARY MADISON MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WAGNER, GARY MADISON MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/24/2016 ADULT WAKJIRA, TIYA 153RD MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WALKER HILL, JAYME HENDRICKS LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW WALKER SUPPORT 19TH MARION COMPLIANT NEW SITE / INITIAL RESIDENTIAL - SERVICES REVIEW ADULT WALKER SUPPORT GREENHOUSE WASHINGTON COMPLIANT NEW SITE / INITIAL RESIDENTIAL - SERVICES REVIEW ADULT 151 of 159 As of 10/14/2016

WASHINGTON, WILLIE GANTENBEIN MULTNOMAH REMEDIATION DATA WAREHOUSE FOSTER CARE - & BERTHA CHILD WELFARE WATERS, KEVIN MISSOURI MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WATKINS, CINDY TIMBER MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WATTS, ILENE FLORER JOSEPHINE DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 152 of 159 As of 10/14/2016

WECKER, MARYHELEN OAK LEAF *45 MARION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW WECKER, MARYHELEN OAK LEAF *45 MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/22/2016 ADULT WECKER, MARYJO OAK LEAF *55 MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WECKER, MARYJO OAK LEAF *55 MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 12/23/2016 ADULT WEIBOLD, THOMAS TRANQUILITY CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WEISHAAR, SUSAN KELSO CLACKAMAS PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW WEISHAAR, SUSAN KELSO CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 11/16/2016 CHILD WELCH, KAY BANNER LANE PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WELCH, KAY BANNER LANE DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/11/2016 ADULT WELLIVER, REYNA HILL CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE WELLS, SHERLYN & RICK PARVIN LINCOLN REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE WENDY PHILLIPS PIONEER UNION DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW WENDY PHILLIPS PIONEER UNION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/18/2016 ADULT WEST, DEBRAH FARRIS LINN DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WEST, DEBRAH FARRIS LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 07/26/2016 ADULT WEST, MICHAEL BURNETT YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WESTERN IDAHO 3RD MALHEUR DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING CO INC EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WESTERN IDAHO 3RD MALHEUR COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING CO INC 04/18/2017 ADULT WESTERN IDAHO NADINE MALHEUR DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - TRAINING CO INC EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 153 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type WESTERN IDAHO NADINE MALHEUR COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - TRAINING CO INC 04/18/2017 ADULT WESTLAKE, TAMERA & HWY 39 KLAMATH REMEDIATION DATA WAREHOUSE FOSTER CARE - DENNIS CHILD WELFARE WESTSIDE COMMUNITY 86TH MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOCUS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WESTSIDE COMMUNITY 86TH MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - FOCUS 08/16/2016 ADULT WESTSIDE COMMUNITY CLACKAMAS MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING FOCUS EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW WESTSIDE COMMUNITY MULTNOMAH MULTNOMAH DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING FOCUS EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW WESTSIDE COMMUNITY VANCOUVER MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOCUS EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WESTSIDE COMMUNITY VANCOUVER MULTNOMAH COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - FOCUS 11/17/2016 ADULT WESTSIDE COMMUNITY WASHINGTON MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING FOCUS EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW WESTSIDE COMMUNITY YAMHILL MULTNOMAH DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - FOCUS EXPECTATION REGULATORY ADULT ONSITE REVIEW WESTSIDE COMMUNITY YAMHILL MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - FOCUS EXPECTATION 08/29/2016 ADULT WHELCHEL, LINDA & LAURELWOOD CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - THOMAS CHILD WELFARE WHITE, RAYMOND ROOSEVELT LANE COMPLIANT NEW SITE / INITIAL FOSTER CARE - REVIEW ADULT WHITE, VICTOVIA 203RD WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WHITEMAN, NAVAHO DESCHUTES DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - MARCHELLE EXPECTATION REGULATORY ADULT ONSITE REVIEW WHITESIDE, GLENDA M THREE MILE YAMHILL PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WHITSELL, CHERYEL A CHEROKEE LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WHITTINGTON, KAREN BROWNSBORO JACKSON PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW CHILD ONSITE REVIEW WHITTINGTON, OAK LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - PATRICIA EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WHITTINGTON, OAK LINN DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - PATRICIA EXPECTATION 08/31/2016 ADULT WIBBING, CORRINNA & 222ND CLACKAMAS REMEDIATION DATA WAREHOUSE FOSTER CARE - WIBBING,ROBERT CHILD WELFARE WIDNER SPALDING, NORTH GRAPE COOS REMEDIATION DATA WAREHOUSE FOSTER CARE - PAULINE & SPALDING, CHILD DALE 154 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type WISHMAN, RACHEL HOLLADAY WASHINGTON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY CHILD ONSITE REVIEW WISHMAN, RACHEL HOLLADAY WASHINGTON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 01/22/2016 CHILD WITT, CONRAD & WITT LINN REMEDIATION DATA WAREHOUSE FOSTER CARE - BARBARA CHILD WELFARE WODESSO, DAWIT 92ND CLACKAMAS DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW WODESSO, DAWIT 92ND CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 05/12/2016 ADULT WOLCOTT, MICHELLE & TIMONEY COLUMBIA DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - JAMES EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WOLCOTT, MICHELLE & TIMONEY COLUMBIA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - JAMES EXPECTATION 03/16/2016 ADULT WOLDU, ABEBE 141ST MULTNOMAH DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WOLDU, ABEBE 141ST MULTNOMAH DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 03/07/2016 ADULT WOLF, CINDY MT ANGEL HWY MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WOLF, TANDY WINDJAMMER WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WONDWESEN TEFERA RICHMOND CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WONDWESEN TEFERA RICHMOND CLACKAMAS DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/15/2016 ADULT WOOD, MARTIN STERLING JACKSON DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION REGULATORY ADULT ONSITE REVIEW WOOD, MARTIN STERLING JACKSON DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 02/23/2016 ADULT WOOD, WANDA & RAY DERRI DESCHUTES DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WOOD, WANDA & RAY DERRI DESCHUTES DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 04/05/2016 ADULT WOODRING, BRIAN BUCHANAN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC 18TH MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW WORK UNLIMITED INC 62ND MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC 62ND MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/04/2016 ADULT WORK UNLIMITED INC ALEXANDER BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW 156 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type WORK UNLIMITED INC ALEXANDER BENTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 02/14/2017 ADULT WORK UNLIMITED INC CAROLINE POLK DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW WORK UNLIMITED INC CAROLINE POLK DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 10/13/2016 CHILD WORK UNLIMITED INC EDWARDS POLK PENDING INCOMPLETE SURVEY RESIDENTIAL - REGULATORY CHILD ONSITE REVIEW WORK UNLIMITED INC FLAG STONE MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY CHILD ONSITE REVIEW WORK UNLIMITED INC HILLVIEW MARION DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC HILLVIEW MARION DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/20/2016 ADULT WORK UNLIMITED INC LEONARD BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC LEONARD BENTON COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 04/18/2017 ADULT WORK UNLIMITED INC LINDEN BENTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC LINDEN BENTON DOES NOT MEET REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 01/05/2016 ADULT WORK UNLIMITED INC MARION BENTON DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY SUPPORTED LIVING EXPECTATION EXPECTATION EXPECTATION REGULATORY ONSITE REVIEW WORK UNLIMITED INC MOSSWOOD MARION PENDING COMPLIANT SURVEY RESIDENTIAL - REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC MOSSWOOD MARION COMPLIANT COMPLIANT ON-SITE REVIEW RESIDENTIAL - 08/10/2016 ADULT WORK UNLIMITED INC SENECA MARION DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION REGULATORY ADULT ONSITE REVIEW WORK UNLIMITED INC SENECA MARION DOES NOT MEET COMPLIANT REMEDIATION ON-SITE REVIEW RESIDENTIAL - EXPECTATION 02/09/2017 ADULT WORK UNLIMITED INC TANOAK MARION DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY RESIDENTIAL - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW WYNWOOD OF MT STARK MULTNOMAH PENDING INCOMPLETE SURVEY RESIDENTIAL - HOOD BROOKDALE REGULATORY ADULT ONSITE REVIEW YADETO, GURMU 164TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW YBARRA, JERAMY HEMLOCK CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW YBARRA, JERAMY CON BATTIN CLACKAMAS PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW 157 of 159 As of 10/14/2016

Respect & DD HCBS Provider Status Legal / Corporate Control of Freedom from Privacy (including Choice of Furnishing & Residency Name Setting Name County Integration Choices Schedule Coercion/ locking door) Roommate Decorating Access to Food Visitors Agreement Current Status Information Source HCBS Setting Type YEMANE BERHAN, AINSWORTH MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - DEREGE REGULATORY ADULT ONSITE REVIEW YEMANE BERHANE, SKIDMORE MULTNOMAH PENDING COMPLIANT SURVEY FOSTER CARE - GEBI REGULATORY ADULT ONSITE REVIEW YEMANE BERHANE, SKIDMORE MULTNOMAH DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - GEBI EXPECTATION 07/28/2016 ADULT YENESEW MEKONENE CYPRESS CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET ` DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW YENESEW MEKONENE CYPRESS CLACKAMAS COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 04/28/2016 ADULT YOHANNES, YONATHON JOHANSEN CLACKAMAS PENDING COMPLIANT NEW SITE / INITIAL FOSTER CARE - REGULATORY REVIEW ADULT ONSITE REVIEW YOUNGER, DAMIAN OREGON LANE REMEDIATION DATA WAREHOUSE FOSTER CARE - ADULT YUSUF, JEWHARA ROSE MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ZACHARY DEVORE CHERYL UMATILLA PENDING COMPLIANT SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ZACHARY DEVORE CHERYL UMATILLA DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 10/21/2016 ADULT ZACHERY JONES HARRISON LINN DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ZACHERY JONES HARRISON LINN DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 05/26/2016 ADULT ZAMBRANO, MARICELY IRONWOOD MARION PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY CHILD ONSITE REVIEW ZAMORA, CLAUDIA 184TH WASHINGTON PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ZAMORA, CLAUDIA BONNIE BRAE WASHINGTON DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ZAMORA, CLAUDIA BONNIE BRAE WASHINGTON COMPLIANT COMPLIANT ON-SITE REVIEW FOSTER CARE - 06/22/2016 ADULT ZAMORA, DINORA COLUMBIA YAMHILL REMEDIATION DATA WAREHOUSE FOSTER CARE - CHILD WELFARE ZEEDYK, NOEL SHAMROCK LANE PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ZELEKE, MARTHA 160TH MULTNOMAH PENDING INCOMPLETE SURVEY FOSTER CARE - REGULATORY ADULT ONSITE REVIEW ZEMENAY ALEMU PARKVIEW CLACKAMAS DOES NOT MEET DOES NOT MEET DOES NOT MEET DOES NOT MEET PENDING REMEDIATION SURVEY FOSTER CARE - EXPECTATION EXPECTATION EXPECTATION EXPECTATION REGULATORY ADULT ONSITE REVIEW ZEMENAY ALEMU PARKVIEW CLACKAMAS DOES NOT MEET REMEDIATION ON-SITE REVIEW FOSTER CARE - EXPECTATION 08/08/2016 ADULT

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