Sola Spokane 2

Staff failed to remain awake and alert, and were found sleeping on furniture in the client's home, limiting the client's access to their property and failing to ensure client rights were considered.

Provider failed to ensure client rights were considered by allowing staff to sleep on client's property in common areas, impacting client access and violating safety requirements for line-of-sight monitoring.

Provider failed to follow medical waste/sharps storage policy; used sharps/needles found in unlocked hall closet in a container designed for sanitation wipes, not sharps.

Provider failed to implement IISP for two clients; both had specific sharps restrictions that were not followed, placing clients at risk of injury.

Provider failed to follow internal medical drug waste policies, resulting in sharps being unsecured and accessible to clients, placing them at risk.

Provider failed to implement IISP for two clients; both clients had access to restricted sharp objects, posing a risk of injury and bloodborne pathogen exposure.

Positive Behavior Support Plan (PBSP) was not compliant; failed to describe target behaviors, prevention strategies, interventions, replacement behaviors, or benchmarks for feces smearing.

Provider failed to ensure client 1 received medication as prescribed (PRN pain/fever medication timing errors) and failed to document administration of PRN laxatives.

Failure to ensure Individual Instruction and Support Plans (IISP) were current for three clients following updates to their Person-Centered Service Plans.

Failure to ensure one staff member completed mandatory DSHS Form 10-403 training annually.

Failure to report an incident involving a bruise of unknown origin for one client to the Complaint Resolution Unit (CRU) as required by policy.

Failure to ensure dental exams for one client, consistent documentation of bowel movements for two clients, and adherence to bowel movement protocols for two clients.

Failure to ensure two staff members maintained current CPR, First Aid, and/or Bloodborne Pathogens training.

Failure to review the individual financial plan with one client within the required twelve-month period.

Failure to ensure one staff member completed required annual Continuing Education (CE).

Inadequate emergency exit for one client, hot water temperatures exceeding 120F in one home, and missing oxygen safety signage in one home.

Failure to ensure one staff member had documentation of required Bloodborne Pathogens (BBP) training.

Provider failed to immediately report suspected physical assault to law enforcement for 1 of 2 clients.

Provider failed to immediately report alleged abuse by staff to the Department's Complaint Resolution Unit (CRU) for 1 of 2 clients.

The provider failed to provide requested client records for one of two sampled clients to the Department over multiple attempts, hindering the investigation.