13

Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 2: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 3: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 4: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 5: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 6: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 7: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 8: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 9: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 10: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 11: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed

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:

Page 1 of 1

Page 12: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed
Page 13: Washington · January 21, 2016 Joseph I Pagdanganan THE CARING PLACE 22436 15TH AVE SOUTH DES MOINES, WA 98198 RE: THE CARING PLACE License #466100 Dear Provider: The Department completed