Provider Details - Dina Derli | Licensed Long-Term Care Settings Search

Dina Derli

5568 MURRAY ST SE
Salem, OR 97306

(971) 678-3827

Administrator name: Dina Derli

ID: 525297
Status: Open
Type: Adult Foster Home
Classification: 2
Licensed beds: 5
Accepts Medicaid: Yes
Memory Care: No

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
8/19/2026	RL013815	Re-Licensure	6
8/24/2023	8GGF	Re-Licensure	6
8/9/2022	PON1	Re-Licensure	7

3 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 mental or emotional abuse	Level Level Between And	Type Type Abuse: Verbal/Mental abuse	Actions
	10/29/2017	MV174232B	Failed to protect resident from mental or emotional abuse	3	Abuse: Verbal/Mental abuse

1 record 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 assure a qualified caregiver was present Failed to assure that a qualified caregiver was present Failed to properly plan care Failed to provide safe environment	Level Level Between And	Type Type Licensing Violation
8/24/2023	CALMS - 00047876	Failed to assure a qualified caregiver was present	2	Licensing Violation
8/9/2022	CALMS - 00031395	Failed to assure a qualified caregiver was present	3	Licensing Violation
8/10/2021	CALMS - 00018626	Failed to provide safe environment	2	Licensing Violation
10/1/2020	CALMS - 00007495	Failed to properly plan care	1	Licensing Violation
9/5/2019	CO19472	Failed to provide safe environment	1	Licensing Violation
9/19/2017	CO17546C	Failed to provide safe environment	3	Licensing Violation
9/19/2017	CO17546A	Failed to provide safe environment	2	Licensing Violation
9/19/2017	CO17546B	Failed to assure that a qualified caregiver was present	3	Licensing Violation

8 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 - Dina Derli

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