Arc of Southwest Washington
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State Inspection History
State Inspections
Source: WA Dept. of Social & Health Services
Sep 19, 2024Inspection36Report
Follow-up inspection on 09/19/2024 found no deficiencies; previous deficiencies from compliance determination 35813/47813 are considered corrected.; Program Director (Staff F) cited staff turnover and being overwhelmed as reasons for the failure to keep up with plan documentation and financial oversight.; Plan of Correction data was aggregated from the multiple provided sheets.; Plan of Correction submitted on 10/5/2023 by Michael Vian.
Staff performed nursing tasks (applying ointments and eye drops) for Client 5 without proper delegation, training, or written consent.
Provider failed to reconcile bank account ledgers monthly for Client 2 and Client 5.
Provider failed to maintain current property records for Client 3; items like a TV and AC were not listed.
Missing current Individual Support Plans (ISP) at client homes.
A client was not reimbursed for a late fee paid.
Release of information forms were not up to date.
Individual Instruction and Support Plans (IISP) were not based on current Person-Centered Service Plans (PCSP) for 5 of 5 clients.
Individual Financial Plans (IFP) were not developed or reviewed annually for 4 of 5 clients.
Provider failed to document medications accurately on Client 1's MAR, leading to errors in dose tracking and discontinued medications remaining on records.
Safety issues found including blocked emergency exits/windows in client homes.
Agency failed to track client cash and gift card purchases.
Medication was delivered without a proper label on the bottle.
Incomplete or missing property records for items of $75 value or more.
Required documentation for client refusal of health services was not in place for Client 3 and Client 4.
Provider failed to ensure prescription labels were on all medication bottles for Client 1.
Provider failed to ensure a DSP completed required 2022 CE training hours.
Lack of adequate nurse delegation process for required client care.
Financial plans were outdated or lacked required signatures/details regarding management.
IISPs were not available in the homes for Client 1, Client 3, and Client 5.
Provider failed to retain receipts for purchases over $25.00 for Client 2.
Provider failed to obtain current Release of Information (ROI) forms for Clients 1, 3, and 4.
Lack of proper refusal plans for medical/dental appointments.
Blocked emergency exits/windows were found for Client 1 and Client 3. Client 1 had mold/mildew in the bathroom and greasy food splatters in the kitchen. Client 3 did not have an accessible flashlight.
A $10.00 late fee incurred on a bill paid for Client 3 was not promptly reimbursed.
Provider had an outdated background check for a staff member.
Provider failed to ensure necessary follow-up for health services/appointments.
IISPs were not updated or accessible at client homes.
Agency did not reconcile and verify client cash and gift card accounts.
MARs were missing or not accurate.
Jul 29, 2024Investigation
Follow-up inspection on 09/30/2024 confirmed no further deficiencies. The agency is closing all operations as of 09/01/2024.
Provider failed to ensure staff were nurse delegated to provide care (wounds, oxygen, medication) before performing tasks, placing client at risk for medical complications.
Provider failed to monitor treatment prescribed by health professionals, including lack of documentation and training for BIPAP, oxygen, and wound care.
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