STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION 20425 72nd Avenue S, Suite 400, Kent, WA 98032-2388 October 4, 2016 RE: REDMOND SENIOR CARE AFH License #752655 Dear Provider: The Department completed a follow-up inspection of your Adult Family Home on October 3, 2016 for the deficiency or deficiencies cited in the report/s dated July 29, 2016 and found no deficiencies. The Department staff who did the inspection: RALUCA DONDOS REDMOND SENIOR CARE AFH 5039 158TH AVE NE REDMOND, WA 98052 Jamie Singer, Community Complaint Investigator Sincerely, Bennetta Shoop, Field Manager Region 2, Unit E Residential Care Services If you have any questions please, contact me at (253) 234-6033.
6
Embed
REDMOND SENIOR CARE AFH 5039 158TH AVE NE...RALUCA DONDOS REDMOND SENIOR CARE AFH 5039 158TH AVE NE REDMOND, WA 98052 Jamie Singer, Community Complaint Investigator Sincerely, Bennetta
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICES
AGING AND LONG-TERM SUPPORT ADMINISTRATION20425 72nd Avenue S, Suite 400, Kent, WA 98032-2388
October 4, 2016
RE: REDMOND SENIOR CARE AFH License #752655
Dear Provider:
The Department completed a follow-up inspection of your Adult Family Home onOctober 3, 2016 for the deficiency or deficiencies cited in the report/s dated July 29,2016 and found no deficiencies.
The Department staff who did the inspection:
RALUCA DONDOSREDMOND SENIOR CARE AFH5039 158TH AVE NEREDMOND, WA 98052
Jamie Singer, Community Complaint Investigator
Sincerely,
Bennetta Shoop, Field ManagerRegion 2, Unit EResidential Care Services
If you have any questions please, contact me at (253) 234-6033.
Completion DateLicense #: 752655
July 29, 2016
1Page 7of
REDMOND SENIOR CARE AFHPlan of Correction
STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICES
AGING AND LONG-TERM SUPPORT ADMINISTRATION20425 72nd Avenue S, Suite 400, Kent, WA 98032-2388
Statement of Deficiencies
Licensee: RALUCA DONDOS
Jamie Singer, RN, Community Complaint Investigator
From:
DSHS, Aging and Long-Term Support Administration
Residential Care Services, Region 2, Unit E
20425 72nd Avenue S, Suite 400
Kent, WA 98032-2388
(253)234-6033
You are required to be in compliance with all of the licensing laws and regulations at all times to
maintain your adult family home license.
The department has completed data collection for the unannounced on-site full inspection of:
7/19/2016
REDMOND SENIOR CARE AFH
5039 158TH AVE NE
REDMOND, WA 98052
As a result of the on-site full inspection the department found that you are not in compliance with
the licensing laws and regulations as stated in the cited deficiencies in the enclosed report.
I understand that to maintain an adult family home license I must be in compliance with all the
licensing laws and regulations at all times.
The department staff that inspected the adult family home: