- Date
- 6/18/2019
- Report number
- 00036322-AP-025519
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The facility allegedly failed to provide safe environment for the Alleged Victim. An investigation determined no facility wrongdoing occurred. Alleged Perpetrator #2 failed to follow the Alleged Victim's care plan. which caused the AV to have a fall with injuries. The failure was that of an unknown individual and this person is responsible for the failure to follow the care plan, which is considered neglect and constitutes abuse. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.