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Source: WA Dept. of Social & Health Services
The document references multiple incidents involving staff failing to report abuse, unprofessional conduct by staff (threatening to withhold money), and significant health/safety hazards in client homes.; Letter dated 02/27/2026 notes that the program does not meet requirements and requires a written plan of correction within 10 days.
Failed to reconcile and/or verify provider managed cash-equivalent ledgers for clients 4 and 5.
Failure to manage client 2's caffeine intake per PBSP leading to self-injurious behavior; failure to identify use of Therapeutic Options in Client 6's PBSP.
Failed to ensure co-tenants of client 3 provided signed, written consent on mixed household request form.
Provider failed to ensure safety in homes: pests (Client 3), dangerous water temperatures exceeding 120F (Client 4), lack of oxygen-safety signage (Client 5), and missing sharps container (Client 6).
Provider failed to immediately report allegations of abuse/neglect for 2 of 7 sampled clients (Client 3 and Client 5) to the Department.
Failed to reimburse inactivity and late fees for client 2 and client 4 on provider-managed accounts.
Provider failed to meet nurse delegation requirements for 5 clients, including lack of written consent, missing task instructions in homes, and unqualified staff performing tasks.
Failed to ensure a refusal plan was documented for client 4 related to bowel movement protocol.
Provider failed to respect client dignity and rights for Client 3 (denied access to cleaning supplies) and Client 8 (locked thermostat control).
Provider failed to ensure health support for 3 clients, including missing medical appointments (Client 1, Client 6) and lack of oxygen protocols (Client 5).
Provider failed to ensure all required components of PBSP were met and implemented for 2 of 7 sampled clients.
Individual instruction and support plans for clients 1 and 3 were not fully developed to identify support for assessed needs.
This letter serves as notification that the deficiencies previously cited under Compliance Determination 38374 have been corrected.; Plan of correction signed by Terri Moore and Jessica Harpel, Area Directors.
This letter informs the facility that their request for an Informal Dispute Resolution (IDR) regarding a Statement of Deficiencies dated May 30, 2023, was dismissed due to the facility's failure to appear at the scheduled IDR meeting on August 31, 2023, and failure to respond to subsequent outreach.
The document references two complaint numbers: 81246 and 84635. A separate letter dated 03/27/2024 confirms these specific deficiencies were later corrected.
Provider failed to develop, implement, and train staff to follow the Individual Instruction and Support Plan (IISP) for a sampled client, resulting in increased risk of falls and change of baseline functioning.
Provider failed to provide adequate staff to meet the needs of a client, placing them at increased risk of falls and resulting in a change of baseline functioning.
Provider failed to immediately report a client's change in condition and fall to appropriate persons, causing a delay in the client receiving immediate medical care.
This is an IDR scheduling letter regarding a Statement of Deficiencies (SOD) dated May 30, 2023. The IDR review meeting is scheduled for August 31, 2023.
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