Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES...

Residential Care Services Investigation Summary Report

Provider/Facility: THE CARING PLACE (686978) Intake ID(s): 3154467

License/Cert. #: AF466100Investigator: Talbot, Dorothy Region/Unit: RCS Region 2/Unit F Investigation

Date(s):10/22/201510/29/2015

through

Complainant Contact Date(s):Allegations:1. The adult family home (AFH) is over capacity.

Investigation Methods:Sample: four residents Observations: Residents, staff,

environment, care given.Interviews: Provider, residents,

Department staffRecord Reviews: Department records, AFH

records, resident records

Allegation Summary:#1. Department record review revealed the home was licensed to care for three residents. Observation revealed four residentsliving in the AFH. The Provider said he decreased capacity from five to three residents May 2015 due to lack of residents.

Unalleged Violation(s): Yes No

Conclusion: Failed Provider Practice Identified Failed Provider Practice Not Identified

Failed Provider Practice

No Citation WrittenCitation(s) WrittenAction:WAC 388-76-10030(3) License Capacity. See Statement of Deficiency dated 11/2/15.

Recommend Close InvestigationRecommend FindingRCPP Action:

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