Violation Details: 00080886-AP-059944

Records Request Print
Date
4/23/2020
Report number
00080886-AP-059944
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0028(2)
Findings
Witness 1 (W1) is care planned for around the clock one on one care due to undesirable and aggressive behavior. On or about April 23, 2020, Alleged Perpetrator 2 (AP2) was the assigned one on one caregiver for W1. AP2 left the area and went to the medication room. When AP2 returned W1 had moved to a table and was sitting next to Alleged Victim (AV). AP2 left the area again and went to the medication room. AV touched W1's arm and W1 repeatedly hit AV. AP2 failed to follow W1's care plan which is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.