Violation Details: 00452410-AP-404446

Date
1/18/2026
Report number
00452410-AP-404446
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to maintain a safe physical environment
Result
Substantiated
Rule(s) Violated
411-054-0027(s)
Findings
The Alleged Victim (AV) relies on the facility to maintain a safe environment. According to an investigation, on or about January 18, 2026, Alleged Perpetrator 2 (AP2) exited the locked cottage where the AV resides and failed to confirm the door closed and latched to ensure the security of the cottage. The AV exited the secured unit into a main hallway with access to the building exit, placing the Av at risk of harm. AP2’s actions are a violation of resident rights, are considered neglect, and constitutes abuse. The facility failed to provide a safe environment which violates Oregon Administrative Rule.