Sola Tacoma

Specific finding text not provided in documentation, but addressed in the Plan of Correction.

Deficiency previously cited was corrected.

Four staff members were not delegated by a Registered Nurse prior to administering medications to two clients, resulting in untrained and unqualified staff performing medical tasks.

Provider failed to revise and update the IISP for Client 1 regarding food preparation following choking incidents, and failed to update Client 4's Refusal Plan.

PBSP for Client 1 lacked specific staffing requirements (2:1 vs 1:1), and Client 2's PBSP was not implemented correctly regarding the securing of sharps (can openers).

Provider failed to complete a functional assessment for Client 5 for behavioral support, and failed to address specific behaviors (suicidal ideation, trespassing) for Client 1.

Provider failed to ensure systems were in place for Client 5, resulting in an expired Epi-Pen in the home.

Provider failed to ensure mismanaged funds were reimbursed to clients for two of four sampled clients, resulting in late fees on bills and potential risk of financial exploitation. This is a repeat deficiency.

Provider failed to reimburse clients (2, 3, 4, 5) for late fees on bills caused by provider mismanagement.