Yakima Valley School
YAKIMA VALLEY SCHOOL in SELAH, WA — inspection on August 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Resident 1 appeared asleep.
Staff D then went to the front of the cottage to wash their hands and chart.
When done washing their hands, they heard a noise in the back of the cottage and found Resident 1 bleeding from their forehead, while standing in the hallway.Review of statements included in the 07/31/2025 facility investigation showed that Staff C, Licensed Practical Nurse, was the nurse on duty when Resident 1 was found with a laceration on their forehead.
They reported they had not released Resident 1 from sedation observation and were not notified prior to the resident's transfer to bed.
Review of the 07/31/2025 facility investigation conclusion showed Staff D failed to follow the sedation protocols to maintain line of sight of the resident.Review of a 07/29/2025 at 2:49 PM progress note showed Staff C was called to attend Resident 1 at 1:14 PM after staff heard a loud thud in the back hall. Resident 1 was standing near their bedroom door with a bleeding laceration to their forehead.
The laceration was measured 10 cm long by 2 cm wide and 0.5 cm deep.
Pressure was applied and the resident was transported by ambulance to the hospital.During a telephone interview on 08/18/2025 at 12:45 PM, Resident 1's Representative (RR) stated the facility reached them by phone by the time Resident 1 was in transport to the hospital.
The staff stated they thought Resident 1 fell in the back hall and hit their head on a hard surface.
The RR stated, the wound was horrific and was very upset this happened.
The RR stated after returning home, they took Resident 1 to the hospital on [DATE] to have the staples removed.
The RR stated the hospital staff instructed them to clean the wound two to three times a day and it would take a while to heal.
The RR stated Resident 1 was very resistant to having the wound cleaned and it had become a fight.
During an interview on 08/18/2025 at 1:20 PM, Staff D stated they knew Resident 1 was LOS 3 and thought they could leave the resident's bedside after they fell asleep.
Staff D stated they did not know that LOS 3 with sedation required continuous line of sight until the nurse released the resident from monitoring.
Staff D stated they should not have left Resident 1 alone in their room.
During an interview on 08/20/2025 at 10:15 AM, Staff A, Superintendent/NH Administrator, stated their investigation showed Staff C was new to day shift and had not been trained on the sedation protocol. We should have done a better job to protect [Resident 1].Reference: WAC 388-97-1060 (3)(g)This is a repeat citation from the Statement of Deficiencies dated 05/28/2025.
Facility ID:
50A261