Violation Details: 00429668-AP-381393

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.