Violation Details: 00088805-AP-066647

Records Request Print
Date
4/9/2020
Report number
00088805-AP-066647
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) was care planned to be full assistance with smoking and was to be wearing a smoking apron while smoking, however, on or about April 9, 2020, Alleged Perpetrator 2 (AP2) failed to place the smoking apron on AV while he/she was smoking, resulting in embers from AV's cigarette falling into his/her shirt, causing a burn to AV's chest. AP2's actions are considered neglect of care and constitute abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.