Residential Care Services Investigation Summary Report

Provider/Facility: CHARITY AFH 2 (686515) Intake ID(s): 3452238

License/Cert. #: AF90801Investigator: Valentine, Maureen Region/Unit: RCS Region 2/Unit B Investigation

Date(s):11/07/201711/09/2017

through

Complainant Contact Date(s): 11/03/2017, 11/07/2017, 11/09/2017Allegations:1) The home health providers had difficulty arranging appointments for the resident due to the caregiver's phone system.2) The provider stated the resident could set up his/her own medical appointments.

Investigation Methods:Sample: 3 residents including

named resident.Observations: Environment

(interior/exterior),resident to residentinteractions, staff toresident interactions,care, breakfast

Interviews: 2 residents, caregiver,provider

Record Reviews: 3 clinical recordsincluding named resident

Allegation Summary:1) The caregiver's phone was not able to take messages, so during times of resident care callers had to call back to reach thecaregiver.2) The caregiver stated that she called and set up appointments for resident and accompanied the resident to his/herappointments.

Unalleged Violation(s):WAC-388-76-10355 (1)(2)(3)(7)(a)(b) Negotiated care Plan

Yes No

Conclusion /Action:

Failed Provider Practice Identified /Citation(s) Written

Failed Provider Practice Not Identified /No Citation Written

WAC-388-76-10355 (1)(2)(3)(7)(a)(b) Negotiated Care Plan

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