residential care services...wac 388-76-10673 abuse and neglect reporting mandated reporting to...
TRANSCRIPT
Residential Care Services Investigation Summary Report
Provider/Facility: Casa Blanca AFH 2 LLC (912585) Intake ID(s): 3330824
License/Cert. #: AF752928Investigator: Maulana, Woodetta Region/Unit: RCS Region 3/Unit A Investigation
Date(s):04/04/201704/05/2017
through
Complainant Contact Date(s):Allegations:alleged abuse
Investigation Methods:Sample: 4 sampled residents to
include named residentObservations: staff to resident
interactionresident to residentinteractionresidentgeneral observation ofthe home
Interviews: staff and residents Record Reviews: resident records
Allegation Summary:The Adult Family Home (AFH) failed to immediately report to the centralized toll free telephone number provided by thedepartment when there was alleged abuse, failed to protect and prevent further potential abuse from occurring,and failed to develop a written negotiated care plan and safety plan to reduce problem behaviors.
Unalleged Violation(s): Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
388-76-10673(1)(b)(2)(a)388-76-10670(3)(4)388-76-10355(7)(b)
Page 1 of 1