residential care services · provider/facility: vesta adult family homes (781987) intake id(s):...

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Page 1: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region
Page 2: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region

Residential Care Services Investigation Summary Report

Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449

License/Cert. #: AF752496Investigator: Shauvin, Sylvia Region/Unit: RCS Region 1/Unit B Investigation

Date(s):04/07/201705/01/2017

through

Complainant Contact Date(s):Allegations:#1- The Provider was rude to visitor of a resident that was passing away. The Provider asked the visitor to leave.

Investigation Methods:Sample: Three out of 3 total

current residents.Two former residents.

Observations: Residents' safety,comfort, and well-being.Staff's treatment andcare of residents.Staff's interactions withresidents and visitors.

Interviews: Two residents.Five family members.Three relief caregivers.Provider.Ombudsman.Social workerThree staff.--------

Record Reviews: Sample residents'assessments and careplans.Admission agreementand rules.Staff communicationnotes.

Allegation Summary:#1- On 4/7/17 and 4/25/17 staff was observed caring for and treating residents and visitors in a respectful manner and residentshad no complaints about the care and treatment they received. However, the staff placed time restrictions on a resident'ssignificant other's visits without exploring ways to accommodate the visits that were desired by the resident. Failed practiceswere found.

Unalleged Violation(s):None.

Yes No

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Page 3: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region

Residential Care Services Investigation Summary Report

Conclusion /Action:

Failed Provider Practice Identified /Citation(s) Written

Failed Provider Practice Not Identified /No Citation Written

The violations were documented in 5/1/17 Statement of Deficiencies under:Washington Administrative Code (WAC) 388-76-10400(2)(3)(a)(c)Care and services.WAC 388-76-10595(6) Resident rights.

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Page 4: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region
Page 5: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region
Page 6: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region
Page 7: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region
Page 8: Residential Care Services · Provider/Facility: Vesta Adult Family Homes (781987) Intake ID(s): 3330449 License/Cert. #: AF752496 Investigator: Shauvin, Sylvia Region/Unit:RCS Region