Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CALMS - 00058483

Provider Information


Assumption Village

9121 N BURR AVENUE
Portland, OR 97203

Provider ID
70A278
Administrator
Fatafehi Ponaveitongo
Phone
(503) 283-5644
Email
fatafehi_p@wspark.org

Violation Details


Date
7/20/2024
Report number
CALMS - 00058483
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to report vaccination status
Result
Substantiated
Findings
On or about July 20, 2024, the Oregon Health Authority (OHA) reported to the Department that Respondent failed to comply with monthly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from April 1, 2024 to June 30, 2024, for a total of three months. The facility’s failure is a violation of Oregon Administrative Rules.
Sanction
ALFCP24-00697 $250.00 fine assessed