Conway v. Department of Social & Health Services

120 P.3d 130, 131 Wash. App. 406
CourtCourt of Appeals of Washington
DecidedSeptember 26, 2005
DocketNo. 53798-9-I
StatusPublished
Cited by27 cases

This text of 120 P.3d 130 (Conway v. Department of Social & Health Services) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Conway v. Department of Social & Health Services, 120 P.3d 130, 131 Wash. App. 406 (Wash. Ct. App. 2005).

Opinion

¶ 1

Schindler, J.

— The Department of Social and Health

Services (DSHS) revoked Helen Conway’s license to operate an adult family home (AFH). In the initial decision, the administrative law judge (ALJ) ruled that although Conway admittedly violated a number of regulations while she was operating three AFH facilities, DSHS did not prove Conway’s AFH license should be revoked under WAC 388--76-705(2)(b), but Conway’s license should be limited to one AFH. The DSHS Board of Appeals (Board) decided that as a matter of law the ALJ did not have authority to review DSHS’s discretionary decision to revoke Conway’s license and decide which remedy to impose. The Board in the review decision and final order (Final Order) modified the initial decision and revoked Conway’s AFH license. On judicial review, the superior court reversed the Board’s Final Order and reinstated the initial decision. DSHS appeals the superior court decision.

¶2 We conclude as a matter of law that Conway has a statutory, regulatory, and constitutional right to administratively challenge DSHS’s discretionary decision under [410]*410WAC 388-76-705(2)(b), and the ALJ has authority to review DSHS’s decision to revoke her AFH license. And while the record supports the conclusion that DSHS did not establish Conway’s violations warranted revocation under WAC 388--76-705(2)(b), we agree with DSHS that the ALJ did not have the authority to decide what remedy should be imposed. Because the Board’s decision is based on an erroneous conclusion of law, we reverse the Board’s Final Order revoking Conway’s AFH license and remand for reconsideration of the remedy imposed consistent with WAC 388--76-705(2)(b) and this opinion.

FACTS

¶3 Helen Conway has been licensed to operate an AFH facility for at least 10 to 12 years.1 Before obtaining her AFH license, Conway was a foster care provider and provided respite care for developmentally disabled children and adolescents. As the disabled children and adolescents grew older, Conway decided to obtain an AFH license so she could continue to care for them. Conway’s first AFH license was for Helen’s Care Center in Renton. She later obtained a second AFH license to operate Frank’s Home and a third AFH license to operate Eva’s Home. The residents at Conway’s AFH facilities had developmental disabilities, mental illness, severe brain injury, blindness, cerebral palsy, and autism.

f 4 In the summer of 2001, Conway decided to close Eva’s Home. On October 30, 2001, DSHS sent Conway a notice of stop placement of admissions and revocation of license (DSHS Notice) for Helen’s Care Center. The DSHS Notice alleged a number of regulatory violations found during unannounced visits in 2001 and a history of noncompliance.2 On November 13, 2001, DSHS sent Conway a notice [411]*411of stop placement of admissions and revocation of license for Frank’s Home. The DSHS Notice for Frank’s Home was based on the alleged violations at Helen’s Care Center and violations discovered during unannounced visits at Frank’s Home.3

¶5 Conway requested an administrative hearing to review DSHS’s decision to revoke her AFH license for Helen’s Care Center and Frank’s Home. Before the scheduled hearing, Conway decided not to challenge the DSHS decision to revoke her license for Helen’s Care Center.

¶6 An ALJ conducted a three-day administrative hearing on DSHS’s decision to revoke Conway’s AFH license to operate Frank’s Home. Conway admitted violations and admitted she made mistakes. But Conway asserted that the violations and mistakes were the result of trying to run three AFH facilities and she was “stretched too thin.”4 Rather than revoke her AFH license altogether, Conway argued the appropriate remedy was to limit her license to operate only one AFH, Frank’s Home. Several witnesses testified on Conway’s behalf, including a DSHS investigator. Family members of some of the residents testified about the exceptional care Conway provided, the home-like atmosphere, and the outings and annual vacation Conway organized for the residents. The DSHS investigator testified that by approximately September 2001, one month before the first DSHS Notice for Helen’s Care Center, many of the problems identified by DSHS had been resolved. According to the ALJ’s findings:

The Appellant resolved many of the problems which had existed previously by approximately September 2001, according to Katherine Ander, one of the investigators, and according to DSHS Exhibit 47, offered by DSHS. One of the consultants wrote in her report:
[412]*412“Overall Summary:
“Helen was most cooperative with all suggestions. She has difficult residents with multiple needs. Her sense of being overwhelmed has resolved. I felt confident that her efforts were genuine and that her overall performance will met [sic] regulations.”
. . . That report was written September 12, 2001. Ms. Conway took the residents and staff on their long-distance vacation in mid-October 2001, and DSHS issued the Stop Placement on October 22, 2001, scarcely one month from the date of the very positive report issued by the DSHS consultant.[5]

¶7 The ALJ concluded Conway was capable of providing good quality care to the vulnerable and severely disabled but was overwhelmed by trying to operate three AFH facilities. The ALJ also found Conway had resolved many, if not most, of the problems by September 2001. The ALJ ruled that DSHS proved most but not all of the alleged violations but that DSHS did not establish the violations warranted revocation of Conway’s AFH license.

Ms. Conway was overwhelmed by staffing issues and the responsibilities of operating three AFHs, and of operating two AFHs. She received consultations paid for by DSHS regarding various problems which existed at her AFHs. . . .
The appropriate remedy in the present case is difficult to determine, given the number of violations in the various AFHs operated by the Appellant, the evident high quality of care on some issues, the Appellant’s admission that more than one AFH is too many, and her request to retain a license limited to one AFH only. The Appellant’s range of violations stem not from poor character, but from the stress of trying to do too much for too many. The Appellant demonstrated poor judgment as the root of the various violations, again, not from an inability to be a[n] effective AFH provider, but from an inability to be an effective AFH provider of three AFHs. DSHS has not demonstrated that revocation is the correct sanction. The record demonstrates that the Appellant is capable of providing good [413]*413quality care to the vulnerable and severely disabled population of residents she serves, but that [t]here are limits to the amount of care she can provide and oversee.
. . . The evidence does not support the appropriateness of the stop placement imposed by DSHS, when it was demonstrated in the [a]utumn of 2001 that the Appellant was not adequately serving the needs of her residents. That stop placement should be lifted, if it has not already been lifted, now that the Appellant is operating only one AFH.[6]

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Bluebook (online)
120 P.3d 130, 131 Wash. App. 406, Counsel Stack Legal Research, https://law.counselstack.com/opinion/conway-v-department-of-social-health-services-washctapp-2005.