Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: SR20074
Provider Information
Kellyville RCF
12221 SE KELLY STREET
Portland, OR 97236
- Provider ID
- 50R454
- Administrator
- Maricel Asa
- Phone
- (503) 954-2561
- maricel@kellyvillercfpdx.com
Violation Details
- Date
- 10/16/2019
- Report number
- SR20074
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to report potential or suspected abuse
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0028(2)
External site: 411-054-0120(4)(a)(E)
- Findings
- Facility failed to report suspected abuse
- Sanction
- RCFCP20-0207 $1000.00 fine assessed