Violation Details: 00429668-AP-381393

Records Request Print
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
Rule(s) Violated
411-054-0036(2)(g)
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.