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Source: WA Dept. of Social & Health Services
The investigation was prompted by an allegation that a staff member was not following medical guidance and was making decisions outside their scope of work.
The provider failed to ensure the client's Individual Instruction and Support Plan (IISP) and Positive Behavior Support Plan (PBSP) were reviewed or revised at least semi-annually, leaving out-of-date information available to staff.
A separate follow-up letter dated 2023-09-21 indicates that the deficiencies listed in this report and Compliance Determination 29992 were corrected.
Provider failed to document a refusal plan for a client consistently refusing medication.
Provider failed to implement the Positive Behavior Support Plan, specifically regarding meal-planning guidelines, leading to aggressive behavior and elopement.
Provider failed to ensure necessary dietary support for a diabetic client, resulting in a lack of clear instructions to staff and poor nutritional intake.
Provider failed to implement COVID-19 mask requirements; staff observed not wearing a mask while working with a client.
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