Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0002453301

Provider Information


Kellyville RCF

12221 SE KELLY STREET
Portland, OR 97236

Provider ID
50R454
Administrator
Maricel Asa
Phone
(503) 954-2561
Email
maricel@kellyvillercfpdx.com

Violation Details


Date
5/4/2020
Report number
OR0002453301
Type
Licensing Violation
Level
1 - No harm or potential for minor harm
Allegation
Failed to properly post and maintain daily staffing documentation
Result
Substantiated
Findings
Facility failure to ensure required posting, to include manager on duty, in an accessible area. The allegation was confirmed to be substantiated.