Yakima Valley School

Review of Resident 4's 09/19/2025 comprehensive assessment showed the resident had diagnoses to include moderate intellectual disability (a condition that involves limitations on intelligence, learning and everyday abilities necessary to live independently), autistic disorder (a condition related to brain development that impacts how a person perceives and socializes with others) and epilepsy (a brain condition that causes repeated episodes of sudden, brief changes in the brain's electrical activity).

The assessment showed that Resident 4 had moderate cognitive impairment and would reject care from staff.

Review of Resident 4's medical record showed no PASARR documents were received by the facility prior to Resident 4's 09/19/2025 admission.

During an interview on 10/31/2025 at 10:40 AM, Staff C, Admissions Coordinator, stated they had a process to ensure each resident's documents included PASRR prior to admission; however, they could not find any PASRR documents for Resident 4's 09/19/2025 admission and I thought we had one, but did not and I missed it. On 10/31/2025 at 2:45 PM, Staff A, Administrator, was informed and acknowledged their failure to ensure the PASRR process for Resident 4.

Reference: WAC 388-97-1915 (1) (4)

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

50A261