Sails Washington INC. (king)

Provider failed to ensure client received required line-of-sight/earshot supervision, resulting in the client being left alone and at risk of injury, elopement, or inability to summon emergency services.

Provider failed to have the Individual Instruction and Support Plan (IISP) on-site and accessible to staff for Client 2.

Provider failed to update the IISP for both clients; Client 1's plan was outdated (dated 11/1/2022) and did not reflect a recent hospitalization/feeding tube; Client 2's plan was outdated (dated 09/30/2022).

Provider failed to ensure staff administered prescribed eye drops to Client 1 on multiple occasions. Staff failed to administer Prednisolone eye drops on four specific dates and failed to administer Rhopressa eye drops on one date, with improper documentation.

Provider failed to provide requested client records for 8 of 8 sampled clients, hindering the investigation and creating risks of abuse, neglect, and unmet care needs. Internal follow-up was promised but never occurred.

Failed to ensure clients' rights regarding privacy and personal items (same as WAC 388-101D-0130).

Failed to ensure privacy for Client 5 (bathroom door lacked lock) and failed to secure Client 9's personal item without proper consent or plan.

Hot water temperatures exceeded 120 F in the home shared by Client 1 and Client 2.

Financial ledgers for Clients 2 and 6 lacked documentation of staff involvement in transactions.

Client ledgers for Clients 1, 5, and 6 lacked required running balances.

Failed to implement a refusal plan for Client 1 regarding required annual physical and dental exams.

Failed to implement Positive Behavior Support Plan for Client 6, resulting in unsafe storage of chemicals and sharps.