Residential Care Services - Washington...Licensee: Van Vista Assisted Living Community LLC Statement...
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Transcript of Residential Care Services - Washington...Licensee: Van Vista Assisted Living Community LLC Statement...
Residential Care Services Investigation Summary Report
Provider/Facility: VAN VISTA ASSISTED LIVING (687766) Intake ID(s): 3533986, 3534560
License/Cert. #: AL1907Investigator: Jones, Jenifer Region/Unit: RCS Region 3/Unit E Investigation
Date(s):07/02/201807/03/2018
through
Complainant Contact Date(s): 07/02/2018Allegations:Admission, Transfer, Discharge
Investigation Methods:Sample: 1 former resident Observations: General environment,
staff-residentinteractions, residentverbal/non-verbalbehaviors, residentappearance, sufficientstaff.
Interviews: Staff, and administrativestaff
Record Reviews: Resident records
Allegation Summary:An unannounced investigation occurred on the above date.
The facility records had insufficient information to support discharge of the named resident.
Failed practice.See SOD written 7/2/2018WAC 388-78A-2660 Resident rights.RCW 70.129.110 Disclosure, transfer, and discharge requirements.
Unalleged Violation(s):Deficiencies not related to original allegation were identified.
Yes No
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Residential Care Services Investigation Summary Report
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
1. WAC 388-78A-2130 Service agreement planning.See SOD written 7/2/20182. WAC 388-78A-2410 Content of resident records.See SOD wrottem 7/2/2018
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