Violation Details: CALMS - 00084061

Date
3/6/2025
Report number
CALMS - 00084061
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Based on interview and record review, conducted during an offsite review on 03/06/25, the facility’s failure to make records available upon request was substantiated. Findings include, but not limited to: - On 01/13/25, the Department received notice of a complaint that qualified for an ABST review. - On 02/13/25, Witness 1 (ODHS LCU Staff) sent an email to the facility requesting records, which included the following: · Copy of the posted staffing plan; · Staff roster with position titles; · Resident roster with room numbers; and · Facility schedule for the direct care staff for the date of 01/11/25. - On 03/06/25, the Department did not receive any of the requested records. In a telephone interview on 03/13/25, Staff 1 and Staff 2 stated they started at the facility on or about 02/27/25. Staff 1 confirmed his/her email address and stated there were approximately six known ABST record request-related emails pending response. The facility failed to provide records to Department personnel upon request which is a violation of Oregon Administrative Rules.