Provider Details - Silupevaelei Fotualii | Licensed Long-Term Care Settings Search

Silupevaelei Fotualii

3215 DELTA WATERS RD
Medford, OR 97504

(541) 245-8650

Administrator name: FOTUALII SILUPEVAELEI

ID: 522312
Status: Open
Type: Adult Foster Home
Classification: 3
Licensed beds: 5
Accepts Medicaid: No
Memory Care: No

Owner: Silupevaelei Fotualii

3215 DELTA WATERS RD
Medford, 97504

(541) 245-8650

Owner since: 12/2/2010

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

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Learn more about Adult Foster Home classifications

This tab displays five years of inspection history. For inspection information older than five years, please visit ODHS Records Request .
To learn more about inspections see: Provider Information

Records that are highlighted and show the icon, occurred under the current provider owner.

Inspections
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
11/14/2024	RL001299	Re-Licensure	12
11/7/2023	J51H	Re-Licensure	6
11/18/2022	S6UL	Validation	3
12/1/2021	KM7V	Re-Licensure	1

4 records found

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Abuse violations
Date Date From To	Report number Report number	Allegation Allegation Failed to protect resident from involuntary seclusion Failed to protect resident from rough treatment Failed to protect resident from verbal abuse Failed to provide service	Level Level Between And	Type Type Abuse: Neglect Abuse: Physical Abuse Abuse: Restraints Abuse: Verbal/Mental abuse
11/21/2018	MS181193	Failed to protect resident from involuntary seclusion	3	Abuse: Restraints
8/9/2016	MS166993	Failed to provide service	3	Abuse: Neglect
3/27/2015	MS150719	Failed to provide service	2	Abuse: Neglect
3/27/2015	MS150719B	Failed to protect resident from verbal abuse	2	Abuse: Verbal/Mental abuse
3/27/2015	MS150719C	Failed to protect resident from rough treatment	2	Abuse: Physical Abuse

5 records found

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Licensing violations
Date Date From To	Report number Report number	Allegation Allegation Failed to have medication available Failed to make facility or resident records accessible Failed to properly secure or store medication Failed to protect resident from mental or emotional abuse Failed to provide a safe medication administration system Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Licensing Violation
11/7/2023	CALMS - 00050358	Failed to provide a safe medication administration system	2	Licensing Violation
11/18/2022	CALMS - 00034970	Failed to provide safe environment	2	Licensing Violation
8/29/2017	CO17406B	Failed to properly secure or store medication	2	Licensing Violation
8/29/2017	CO17406A	Failed to have medication available	2	Licensing Violation
8/1/2017	CO17332	Failed to make facility or resident records accessible	2	Licensing Violation
3/27/2015	MS150719A	Failed to provide service	2	Licensing Violation
6/17/2011	MS117260	Failed to protect resident from mental or emotional abuse	2	Licensing Violation

7 records found

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Regulatory actions
	Sanction Sanction	Allegation Allegation	Type Type	Effective date Effective date From To	End date End date From To	Actions
No Results Found

0 records found

Provider Details - Silupevaelei Fotualii

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