Violation Details: 00381788-AP-332303

Records Request Print
Date
2/4/2025
Report number
00381788-AP-332303
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)(g) and (s)
Findings
The Alleged Victim (AV) was care planned to have his/her food cut up into small pieces to ensure his/her safety from choking. On or about February 4, 2025, AV was given the wrong tray of food at meal time by a newer staff member by accident. Another staff member realized the mistake and went to check on AV and realized he/she was choking. Staff quickly dislodged the food from AV's throat. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.