- Date
- 9/21/2025
- Report number
- 00429704-AP-381429
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Both Witness 1 (W1) and the Alleged Victim (AV) reside at the Respondent’s facility. On or about September 19, 2025, W1 entered AV’s bedroom and groped AV. On or about September 21, 2025, W1 was again observed engaging in physical contact with AV by kissing AV in the dining room. After the initial incident, the facility failed to implement an effective safety plan to protect AV, who could not and/or did not consent, resulting in a second incident. Facility documentation and interviews show that W1 had a known history of inappropriate sexual behaviors, yet the facility failed to develop and implement an adequate care plan or sufficient interventions to protect other residents. This failure constitutes abuse by neglect as defined by OAR 411-020-0002(1)(b)(A)(i).
- Sanction
- RCFCP26-00599 $500.00 fine assessed