Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00014985AP-010735
Provider Information
Fanno Creek By Elite Care
12353 SW GRANT ST
Tigard, OR 97223
- Provider ID
- 50R340
- Administrator
- LISSA LARIOS
- Phone
- (503) 653-5656
- l.larios@elitecare.com
Violation Details
- Date
- 1/17/2019
- Report number
- 00014985AP-010735
- 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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- 4110200002(1)(b)(A)(i)(B): On 01/22/2019 Adult Protective Services received a report indicating that on 01/17/2019 W1 had grabbed AV's right forearm causing an injury to AV. The facility was made aware of the incident and selfreported to Adult Protective Services.
- Sanction
- RCFCP19-337 $250.00 fine assessed