Residential Care Services Investigation Summary Report

Provider/Facility: Dodd's Adult Family Care LLC(688227)

Intake ID(s): 3480556

License/Cert. #: AF750914Investigator: Nolan, Denise Region/Unit: RCS Region 3/Unit D Investigation

Date(s):01/18/201801/23/2018

through

Complainant Contact Date(s):Allegations:Adult family home is reported to be providing poor quality care and services.

Investigation Methods:Sample: Named resident, current

residentsObservations: Current residents,

environment, staffinteractions withresidents, care andservices and safetymeasures

Interviews: Named resident, sampleresidents, and staff.

Record Reviews: Named resident, sampleresidents

Allegation Summary:Conducted on-site investigation related to allegations on intake. Failed facility practice was identified during investigation.

Unalleged Violation(s):None

Yes No

Conclusion /Action:

Failed Provider Practice Identified /Citation(s) Written

Failed Provider Practice Not Identified /No Citation Written

WAC 388-76-10435 2, 2-aWAC 388-76-10475 3, 3a, 3-bWAC 388-76-10380 1, 2

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