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Source: WA Dept. of Social & Health Services
Cover letter dated 02/04/2026 indicates that deficiency 56500 was corrected as of 09/30/2025.
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.
Intake ID: 114355. Complaint numbers referenced: 104609, 114355.
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Provider failed to update the IISP for both clients; Client 1's plan was outdated (dated 11/1/2022) and did not reflect a recent hospitalization/feeding tube; Client 2's plan was outdated (dated 09/30/2022).
The investigation involved complaints 106978, 106912, and 106947.
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.
Report covers multiple intake IDs related to quality of care, medication errors, abuse allegations, and financial management. All were linked to a failure to provide documentation.; The document describes a recurring failure by the facility to provide requested records for investigations, despite repeated email correspondence with multiple staff members including the Administrator and Assistant Director. This page is page 3 of 3.
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.
The document contains multiple citations regarding administrative, financial, and safety failures across several client cases.
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.
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