Service Alternatives for Washington, INC. Pierce County

Provider failed to ensure health service support for 3 of 5 clients, resulting in a client seizure due to missed medication, a choking incident without professional evaluation, and a lack of a bowel management protocol.

Hot water temperatures in the kitchen and bathroom measured above the 120 degree Fahrenheit limit.

Provider failed to implement fall safety precautions (use of a fall mat) as outlined in the client's Individual Instruction and Support Plan.

Provider failed to develop and implement required COVID-19 pandemic policies and perform required risk assessments for community outings for all 6 sampled clients.

Provider failed to provide necessary health support for a client on a strict medical diet, resulting in the client being served non-compliant foods.

Provider failed to update the Individual Instruction and Support Plan (IISP) for a client to reflect current assessed needs.

Provider failed to obtain complete FBI fingerprint records for staff and complete the required character, suitability, and competence review.

Provider failed to monitor and document a client's diabetic diet and carbohydrate/calorie intake as instructed by medical professionals.

Provider failed to reconcile and verify quarterly Endowment Trust Fund statements for a client.

Provider failed to immediately report an alleged sexual assault of a client to the department's complaint line.

Provider failed to respect dignity and rights by conducting unauthorized bedroom searches and keeping cleaning chemicals locked away without client consent.

Provider failed to include necessary monitoring instructions in a client's plan regarding food-related behaviors and bowel obstruction prevention.