- Date
- 8/10/2016
- Report number
- ES167079
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- RP2 performed a one person transfer despite a care plan in place requiring a two person transfer, which resulted in RV1 falling without injury.