residential care services - washington · 2018-05-16 · feb 12 18 12: 1 op statement of...
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![Page 1: Residential Care Services - Washington · 2018-05-16 · Feb 12 18 12: 1 op Statement of Deficiencies Plan of Correction Page 3 Of 5 License 750914 Dodd's Adult Family Care LLC Licensee:](https://reader034.vdocuments.us/reader034/viewer/2022042318/5f07c78a7e708231d41eb433/html5/thumbnails/1.jpg)
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Residential Care Services Investigation Summary Report
Provider/Facility: Dodd's Adult Family Care LLC(688227)
Intake ID(s): 3480556
License/Cert. #: AF750914Investigator: Nolan, Denise Region/Unit: RCS Region 3/Unit D Investigation
Date(s):01/18/201801/23/2018
through
Complainant Contact Date(s):Allegations:Adult family home is reported to be providing poor quality care and services.
Investigation Methods:Sample: Named resident, current
residentsObservations: Current residents,
environment, staffinteractions withresidents, care andservices and safetymeasures
Interviews: Named resident, sampleresidents, and staff.
Record Reviews: Named resident, sampleresidents
Allegation Summary:Conducted on-site investigation related to allegations on intake. Failed facility practice was identified during investigation.
Unalleged Violation(s):None
Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
WAC 388-76-10435 2, 2-aWAC 388-76-10475 3, 3a, 3-bWAC 388-76-10380 1, 2
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