Sola Seattle

Investigation substantiated allegations of physical abuse with resident reporting being hit by staff and resulting bruising. The facility failed to implement required daily skin checks per the Individual Instruction Support Plan and failed to follow nurse-delegated skin breakdown prevention procedures, resulting in delayed identification of abuse-related injuries. The facility responded promptly with immediate staff retraining on April 5th, medical evaluation of the resident on April 4th, implementation of weekly documentation audits, hands-on training protocols, and systemic changes including quarterly medication reviews and competency assessments for staff.

The facility failed to ensure staff offered and administered PRN pain and sleep medications as prescribed to 1 of 3 clients, with documentation showing multiple instances where medications were not offered despite client requests and established protocols. Staff did not complete required PRN follow-up documentation or notify healthcare providers when medications were ineffective. The facility responded promptly by retraining the involved staff member on September 9th, updating their medication administration standard operating procedures, and implementing a multi-level monitoring system (weekly, bi-monthly, and quarterly reviews) with completion by October 15th. While the medication administration failures represented a pattern affecting client comfort and wellbeing, no severe harm resulted, and the facility's corrective actions were thorough and systemic.

Initial inspection found severe violations including inappropriate mechanical restraint of a resident restricting movement, inadequate documentation of skin concerns for two residents increasing risk of complications, and failure to provide behavioral support services meeting a resident's needs during emotional outbursts. The facility responded appropriately by implementing corrective actions, and a follow-up inspection on 11/18/2024 confirmed all deficiencies were corrected with no new violations found, demonstrating effective remediation of systemic care and documentation failures.

This was a routine certification evaluation conducted on 10/22/2024 for SOLA Seattle's Certified Community Residential Services and Support Program. The Department found no deficiencies during the inspection, indicating full compliance with regulatory requirements. Since no violations were identified, no corrective actions were required, demonstrating the facility maintains adequate operational standards and regulatory compliance.