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,3

STATE OF WASHINGTON

DEPARTMENT OF HEALTH

December 3, 2019

Rainier Springs2805 NE 129th StreetVancouver, WA 98686-3324

Re: Case Number: 2019-10497, 2019-10764, 2019-10936, 2019-11556, 2019-12018License Number: BHA.FS.60888597

Acceptable Plan of CorrectionDate of Survey: October 1, 2019

Dear Administrator;

This letter is to inform you that after careful review of the Plan of Correction (POC) yousubmitted for the investigation recently conducted at your hospital, the Department hasdetermined that the POC is acceptable. You stated in your plan that you will implementcorrective actions by the specified Umeline. By this, the Department is accepting your Plan ofCorrection as your confirmation of compliance.

Based on the scope and severity of the deficiencies listed in your statement of deficiency report,the Department will conduct an unannounced follow-up compliance visit to verify that alldeficiencies have been corrected.

The Department reserves the right to pursue enforcement action for any repeat and/oruncorrected deficiencies based on applicable statute and rules.

Please contact me [email protected] if you have questions regarding theinvestigation.

Sincerely,

Qiyyveu^ C^i(Julie Marshall, Behavioral Health InvestigatorWashington State Department of HealthHSQA/Office of Health Systems Oversight

k-j.^ ?.s| · 2020-01-07 · ^r ^ h n> 3- ! fd q i? 0- (d otq-1 5' o to c t3 n 01-+ ft)...

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