- Date
- 9/29/2025
- Report number
- 00429668-AP-381393
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide inservice
- Result
- Substantiated
- Findings
- The facility failed to protect the Alleged Victim (AV) from potential harm when the AV fell without injury on 9/28/2025. The failure is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) neglected AV by failing to follow the care plan was investigated and determined to be substantiated.