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Date
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6/26/2020
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Report Number
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00090997-AP-068472
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Allegation
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Failed to provide safe environment
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Type
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Licensing Violation
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Level
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2 - Minor harm or potential for moderate harm
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Description
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AP1 neglected AV as defined in OAR 411-020-0002 (1) (b) (A)(i) by failing to provide supervision of safety, resulting in AV being physically restrained to have h/h blood sugar level checked and then given insulin against h/h will.
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Rule(s) Violated
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411-054-0025(1)(b)
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Result
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Substantiated
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Findings
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Alleged Perpetrator 2 (AP2) physically restrained Alleged Victim (AV) by holding AV's hands and arms down when AP2 checked AV's blood sugar level and then AP2 gave AV's insulin to AV when he/she declined. AP2 caused AV to become distressed and also caused AV to bruise on his/her hand. AP2's actions is considered wrongful restraint which is considered abuse. The facility failed to provide a safe environment for AV which violated Oregon Administrative Rules.