Violation Details: 00438221-AP-390034

Records Request Print
Date
11/7/2025
Report number
00438221-AP-390034
Type
Abuse: Neglect
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)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
On or about November 7, 2025, Witness #1 (W1) approached the Alleged Victim (AV) while he/she was sitting at the table awaiting breakfast. W1 pulled AV's hair. W1 is care planned to be kept separated from other residents and be redirected to avoid altercations. Although staff were present, this altercation wasn't prevented. Respondent failed to ensure staff followed the service plan and ensure the safety of residents from altercations. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00246 $250.00 fine assessed