Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00035570
Provider Information
Assumption Village
9121 N BURR AVENUE
Portland, OR 97203
- Provider ID
- 70A278
- Administrator
- Fatafehi Ponaveitongo
- Phone
- (503) 283-5644
- fatafehi_p@wspark.org
Violation Details
- Date
- 12/1/2022
- Report number
- CALMS - 00035570
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to submit timely or adequate staffing documentation
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-061-0010(2)
- Findings
- On or about December 1, 2022, the Oregon Health Authority (OHA) reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from November 1, 2022, to November 30, 2022, for a total of 30 days. The Department sent a letter to you in November 2022, which informed you of the failure to report for previous days, and that if you did not report to OHA by November 31, 2022, you would be receiving a penalty in the amount of $7,500.00. The facility has failed to comply with this request for the month of November 2022, resulting in a Civil Penalty.
- Sanction
- ALFCP22-01031 $7500.00 fine assessed