Violation Details: 00484250-AP-436979

Records Request Print
Date
6/4/2026
Report number
00484250-AP-436979
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide inservice
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
411-054-0036(2)(g)
Findings
The facility allegedly failed to provide in-service training for staff, resulting in risk of harm for the Alleged Victim (AV). According to an investigation, the facility failed to ensure the service plan was followed. The failure is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined to be substantiated. AP2 failed to follow the care plan for AV, resulting in unreasonable discomfort. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse.