residential care services...provider/facility: 1st agape senior care home (1118328) intake id(s):...
TRANSCRIPT
Residential Care Services Investigation Summary Report
Provider/Facility: 1st Agape Senior Care Home(1118328)
Intake ID(s): 3541899
License/Cert. #: AF753519Investigator: Witman, Jennifer Region/Unit: RCS Region 2/Unit B Investigation
Date(s):08/02/201808/03/2018
through
Complainant Contact Date(s): 08/03/2018Allegations:1. The adult family home (AFH) provider financially exploited the named resident and family.
Investigation Methods:Sample: 2 residents. Observations: Environment, staff/staff
interactions,staff/residentinteractions,resident/residentinteractions and careprovision.
Interviews: Staff, residents andothers not associatedwith the facility.
Record Reviews: Incident reports, residentrecords and facilityrecords.
Allegation Summary:1. Text messages between the named resident's family member and the provider revealed the provider never texted the namedresident or family demanding cash. The named resident owed the provider $468 12 The named resident failed to pay theparticipation fees to the facility. The named resident moved from the facility on /16. The money owed to the provider wasnever paid. The text messages revealed the provider cordially attempted to work out an arrangement to pay the money owed tothe provider. This allegation was unsubstantiated. In review of facility records, it was found the provider failed to complete apreliminary care plan for two newly admitted residents. Failed practice was found.
Unalleged Violation(s):WAC 388-76-10340 (1-5).
Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
Page 1 of 2
Residential Care Services Investigation Summary Report
WAC 388-76-10340 (1-5).
Page 2 of 2
Residential Care Services Investigation Summary Report
Provider/Facility: 1st Agape Senior Care Home(1118328)
Intake ID(s): 3546045
License/Cert. #: AF753519Investigator: Witman, Jennifer Region/Unit: RCS Region 2/Unit B Investigation
Date(s):08/02/201808/03/2018
through
Complainant Contact Date(s): 08/01/2018, 08/03/2018Allegations:1. The provider gave an inappropriate discharge notice to the named resident and violated the resident's rights.
Investigation Methods:Sample: 2 residents. Observations: Environment, staff/staff
interactions,staff/residentinteractions,resident/residentinteractions and careprovision.
Interviews: Staff, residents andothers not associatedwith the facility.
Record Reviews: Incident reports, residentrecords and facilityrecords.
Allegation Summary:1. Interviews of caregivers and the provider revealed the named resident was resistive to care and combative since admission tothe home on /18. The provider called the named resident's family and the family member came over to calm the namedresident on numerous occasions. The provider notified the case manager and physician regarding the uncontrollable behaviors.On /18, the named resident became increasingly violent and hit a caregiver and touched her inappropriately. The providercalled the family and 911. The provider gave the family member an immediate discharge notice due to fear of safety ofindividuals in the home and unable to care for the named resident. The discharge notice contained all the required information.The allegation of inappropriate discharge was unsubstantiated. In review of facility records it was found the provider failed tocomplete a preliminary care plan for 2 newly admitted residents. Failed practice was found.
Unalleged Violation(s):WAC 388-76-10340 (1-5).
Yes No
Page 1 of 2
Residential Care Services Investigation Summary Report
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
WAC 388-76-10340 (1-5).
Page 2 of 2
