Sunrise Services, INC.

Provider failed to implement systems to ensure medications were given as ordered, resulting in missed administration of seizure medication and incorrect shampoo usage for Client 1.

Provider failed to implement plan of correction; staff failed to provide identified support for medications, health records, and medical treatment for 3 of 3 clients, leading to delays in care and inaccurate health records.

Provider failed to assist with medication management, monitor medical treatment, and notify a nurse when clients experienced changes in skin condition (scratches/bruises).

Provider failed to ensure medications were administered as prescribed for Client 1 and Client 3, leading to missed doses, incorrect application of topical medications, and lack of required documentation.

Provider failed to implement Plan of Correction; failed to ensure staff provided support for medications, health records, and medical treatment for three clients, resulting in delays of medical intervention and inaccurate health records.

Provider failed to implement Plan of Correction; failed to ensure systems were in place to administer one client's medications as prescribed, placing the client at risk of harm.

Provider failed to ensure dental concerns were addressed, placing client at risk of preventable negative dental outcomes.

The provider failed to ensure consistent staffing levels (one staff member was observed alone), failed to maintain proper food tracking documentation, and failed to adequately communicate dental and health concerns to the guardian.

The provider failed to perform daily oral hygiene for Client 1, resulting in inflamed/bleeding gums and poor dental health, without a written exception from the guardian.

Provider failed to ensure clients were treated with dignity and consideration. Staff failed to address hygiene needs (saliva, soiled clothing, body odor, skin irritation) and restricted client access to the mailbox without a formal exception.

Provider failed to notify healthcare professional and nurse delegator of a change in client skin condition, resulting in no oversight/treatment and risk to skin integrity.

Provider failed to ensure staff offered and administered medications as prescribed for two clients, placing them at risk for harm.

Provider failed to ensure client records included progress notes and incident reports (General Event Reports/GER) for a client who passed pieces of previously ingested glass. Staff failed to document the incident, initiate a GER, or properly communicate the event to supervisors, and documentation in Therap was found to be incomplete or inaccurately recorded.

Failed to ensure mismanaged funds were reimbursed for Clients 4 and 7, resulting in late fees on bills.

Failed to ensure current BBP and First Aid/CPR training for two of eight sampled staff.

Humidifier not used in one client's home as identified in the IISP.

Mismanaged funds not reimbursed for two clients, resulting in late fees.

Failed to ensure client rights were considered for Client 7; a window latch and window film were installed without consent or a plan.

Failed to ensure required documentation for client refusal of services was in place for Client 7, placing the client at potential risk of not receiving necessary medical services.

One client lacked a Refusal Plan for refusal of health services support.

Failed to revise the IISP for Client 5 as assessed needs changed, resulting in incorrect/contradictory information regarding stove/oven safety restrictions.

Mold-like substances in bathrooms for two clients; missing working phone and flashlight for one client.

Provider failed to ensure client rights were considered for one client; latch installed on bedroom window and window film applied to living room window without consent or benefit of a plan.

Failed to revise/implement PBSP to include all identified target behaviors for Clients 5 and 7, leading to unwarranted restrictions or inadequate support.

Failed to reconcile client accounts monthly and verify accuracy of cash/EBT funds for four clients; lacked two-party oversight.

IISP not revised as client's assessed needs changed, resulting in incorrect and contradictory information.

Bowel movement protocols not followed for three clients; lack of clear protocols for one client placed them at risk of potential harm.

Failed to reconcile monthly client accounts and/or verify accuracy for four of eight sampled clients, leading to errors and lack of oversight.

Failed to ensure implementation of the IISP for Client 3; a humidifier required by the plan was boxed up and not in use.

Failed to ensure seven of eight sampled staff read and signed DSHS form 10-403 regarding mandatory reporting of abuse/neglect.