Violation Details: 00087215-AP-065382

Records Request Print
Date
6/6/2020
Report number
00087215-AP-065382
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
Findings
Alleged Victim resides in a locked unit due to his/her care needs. On or about June 6, 2020, Alleged Perpetrator 2 (AP2) exited the locked portion of the facility to use the restroom in the foyer. Approximately ten minutes later, AV was found outside in the parking lot. AV was observed to be cold, shivering, and wet from the pouring rain. Two of the three staff working did not leave the locked memory care unit prior to AV being found. AP2 reported he/she didn't see AV leaving the memory care unit but AV might have followed AP2 out of the memory care unit locked door and gone through the second unlocked door from the foyer into the parking lot. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to protect AV from elopement which is a violation of Oregon Administrative Rules.