Shared Journeys
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State Inspection History
State Inspections
Source: WA Dept. of Social & Health Services
Feb 6, 2024Inspection24Report
This letter confirms that deficiencies previously identified under compliance determination 36206 (2024-02-06) and 13986 (2022-09-09) have been corrected.; Deficiencies cited include failure to maintain records, failure to ensure staff training, failure to maintain safe environment, and regulatory non-compliance regarding food benefits.; Pages 19-29 of the report provided. Findings also note facility's use of gift cards as a 'spend-down' method to avoid asset loss for residential support eligibility.
Provider failed to implement COVID-19 screening requirements for staff, resulting in inconsistent documentation and screening.
Provider failed to obtain physician orders, consent, or provide staff instructions for the use of medical devices (wheelchairs/shower chairs) for 2 of 6 sampled clients.
Provider failed to ensure Individual Instruction and Support Plans (IISP) were based on current Person-Centered Service Plans (PCSP) for 2 of 6 sampled clients.
Provider failed to maintain current running balances, permitted gift cards to exceed $75 without authorization, and lacked ledgers for 5 of 6 sampled clients.
Staff crushed/mixed client medications without documented approval from a qualified practitioner.
Provider failed to ensure 6 of 6 sampled staff read and signed mandatory reporting forms for vulnerable adults annually.
Provider failed to ensure necessary healthcare protocols were documented/followed for choking hazards and seizure management for 2 of 6 sampled clients.
Provider failed to maintain safe housing conditions (water damage, mold, unsafe water temperatures, broken doors/flooring) for 3 of 6 sampled clients.
Provider failed to complete Individual Financial Plans (IFP) for three clients, resulting in unmonitored funds and risk of mismanagement.
Provider failed to follow medication protocols for a client, including administering meds based on blood pressure thresholds and tracking bowel movements/laxatives.
Provider failed to ensure compliance with Basic Food program requirements, resulting in improper sharing of groceries and benefits for households of one.
Provider failed to ensure 6 of 6 sampled staff maintained current CPR, First Aid, and Bloodborne Pathogen training.
Provider failed to obtain legal representative consent for nurse-delegated tasks for 1 of 6 sampled clients.
Provider failed to ensure accessibility of the IISP in the home for one client, placing clients at risk of receiving inaccurate supports.
Provider failed to ensure mismanaged funds (late fees on bills) were reimbursed to clients.
Provider failed to document all administered medications, specifically missing prescribed docusate from the MAR.
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