Print Violation: 00463487-AP-415816

Provider Information

Footsteps at Carman Oaks

3900 SW CARMAN DRIVE
Lake Oswego, OR 97035

Date: 3/12/2026
Report number: 00463487-AP-415816
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
Findings: On or about March 12, 2026, the Alleged Victim (AV) eloped from the secured unit through the facility courtyard gate. Staff were unaware that the courtyard gate was left open or that AV had exited through the gate. A passerby saw AV in the parking lot looking confused and returned AV to the facility. AV was not harmed; however, AV was placed at risk for serious harm. Respondent failed to ensure AV's safety for failing to provide necessary oversight to prevent AV from leaving the secured facility. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction: RCFCP26-00614 $188.00 fine assessed