Access Living INC

The provider failed to ensure the Individual Instruction and Support Plan (IISP) was developed for Client 1, specifically failing to update the IISP regarding the installation and use of a door alarm for safety, violating DDCS policy 5.15.

The provider failed to ensure Client 2 was treated with dignity and respect by installing a door alarm in their home to monitor a co-tenant without obtaining consent from Client 2 or their legal representative, creating a risk of civil rights infringement.

Provider failed to collect required data on target behaviors, preventing evaluation of the Positive Behavior Support Plan effectiveness for 1 of 3 clients.

Provider failed to revise the IISP for 1 of 3 clients when their needs changed, leading to goals that were not achievable due to medical condition changes.

Provider failed to ensure the Functional Behavioral Assessment and Positive Behavioral Support Plan were signed and dated by the person making the entry.

Provider failed to revise the Individual Instruction Support Plan for 1 of 3 clients when their needs changed, resulting in goals not reflecting the client's actual needs or medical condition.

Provider failed to ensure data was collected to complete the Positive Behavior Support Plan, meaning staff did not track behavior to evaluate success or monitor outcomes for 1 of 3 clients.

Provider failed to ensure that the Functional Behavioral Assessment (FA) and Positive Behavioral Support Plan (PBSP) for 1 of 3 clients were signed and dated by the person making the entry.

Provider failed to maintain a current written property record for Client 2.

Provider failed to document that a client was informed of risks and benefits regarding the use of specific medical devices.

IFPs did not accurately identify who was responsible for managing client funds.

The client’s PBSP did not address prescribed psychoactive medication.

Failed to schedule and complete follow-up health services and failed to document medication assistance.

Documentation missing regarding benefits and risks for wheelchair seat belt and bed trapeze; missing client signature on Med Device Form.

Field manager failed to document rectification after a client stole food from a roommate.

Provider failed to transfer funds for two former clients (Client 8 and Client 9) within 90 days of passing away.

Provider failed to immediately report alleged neglect or potential financial exploitation for 3 of 7 sampled clients.

Provider failed to document a client's refusal to participate in health services as required.

Provider failed to ensure 2 of 7 sampled staff completed mandatory annual training on reporting requirements.

Failed to report incidents to CRU in three circumstances with potential for client harm.

Provider failed to ensure medications were given as prescribed; Client 3 missed doses due to lack of refills and needles, requiring a 911 call.

Provider failed to protect the rights of a client's housemate from financial exploitation regarding un-reimbursed theft.

Funds left over in client accounts were not transferred in time.

A client lacked an inventory of personal property in electronic or hard copy files.

Provider failed to ensure Bloodborne Pathogens training was completed for 2 of 7 sampled staff.

Staff failed to clearly document efforts made to help a client understand risks of refusing medical services.

Failure for two staff to read and sign DSHS Form 10-403 regarding mandatory reporting.

Supplies for blood sugar monitoring and stabilization were not kept consistently in the client’s home.

Failure to ensure Bloodborne Pathogens training for two staff.

Provider failed to implement a required Positive Behavior Support Plan for Client 3, leading to multiple instances of unsecured medications and self-administration errors.

Provider failed to assist clients with necessary lab work, diabetic orders, blood-glucose tracking, and timely emergency services.