Violation Details: 00060111-AP-042839

Date
12/1/2019
Report number
00060111-AP-042839
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about December 1, 2019, Alleged Perpetrator #2 (AP2) failed to follow the care plan for the Alleged Victim (AV) to have a two-person transfer while using a hoyer lift. AP2's actions of not waiting for additional staff to help with the transfer placed AV at a risk for harm. AP2's actions are considered neglect of care which constitutes abuse. The facility failed to provide a safe environment which violates Oregon Administrative Rules.