Service Alternatives for Washington, INC. Snohomish

The facility failed to review and revise the individual instruction and support plan at least semi-annually to reflect the client's current needs, goals, and preferences.

The provider failed to implement measures to keep one client free from harm when they were attacked by their housemate, resulting in injuries. This is a repeat uncorrected deficiency.

Provider failed to ensure Client 1 remained free from harm; Client 1 was attacked by their housemate and sustained injuries despite a previous plan of correction.

Provider failed to ensure adequate staffing as required by the clients' Person-Centered Service Plans. On 11/05/2025, only one staff member was present instead of the required two, leading to a client-to-client assault.

The provider restricted a client's access to a community event of their choosing, resulting in the client not attending the event and being placed at risk of unnecessary isolation.

Provider failed to support Client 6 in attending a required dental examination, resulting in missed appointments.

Provider failed to ensure medication safety, as Client 5 possessed an expired Ventolin inhaler.

Provider failed to ensure three of seven sampled staff read and signed DSHS Form 10-403 regarding mandatory reporting of abuse/neglect in 2022 or 2023.

Provider failed to develop/implement guidelines for repositioning, PT exercises, and food preparation for Client 7, risking inadequate support.

Provider failed to ensure required documentation (assessment, doctor's order, consent, staff instructions) was in place for a wheelchair seatbelt (Client 3) and a Hoyer lift (Client 7).