Residential Care Services Investigation Summary Report

Provider/Facility: A Big Heart AFH LLC (827128) Intake ID(s): 3367503

License/Cert. #: AF752596Investigator: Wakefield, Janet Region/Unit: RCS Region 3/Unit D Investigation

Date(s):07/03/201707/10/2017

through

Complainant Contact Date(s):Allegations:Named resident was physically restrained on 6/29/2017 for unknown amount of time.

Investigation Methods:Sample: Named resident and

sample resident.Observations: Named resident, current

residents, environment,staff interaction withresidents, care andservices, and safetymeasures.

Interviews: Named resident, currentsample resident, staff,family members and lawenforcement.

Record Reviews: Named resident, sampleresident, and incidentlog.

Allegation Summary:Conducted on-site investigation related to allegation on intake. Failed facility practice was cited for allegation.

Unalleged Violation(s): Yes No

Conclusion /Action:

Failed Provider Practice Identified /Citation(s) Written

Failed Provider Practice Not Identified /No Citation Written

WAC 388-76-10655-1, was cited for failed practice.

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