Sarah's Care Adult Family Home v. Dept. of Social & Health Services

CourtCourt of Appeals of Washington
DecidedNovember 3, 2015
Docket32881-3
StatusUnpublished

This text of Sarah's Care Adult Family Home v. Dept. of Social & Health Services (Sarah's Care Adult Family Home v. Dept. 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.

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Sarah's Care Adult Family Home v. Dept. of Social & Health Services, (Wash. Ct. App. 2015).

Opinion

FILED

NOVEMBER 3, 2015

In the Office of the Clerk of Court

W A State Court of Appeals, Division III

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION THREE

SARAH'S CARE ADULT FAMILY ) HOME (SARAH EVERT AND ) No. 32881-3-III STEPHEN EVERT), ) ) Appellants, ) ) v. ) UNPUBLISHED OPINION ) DEPARTMENT OF SOCIAL AND ) HEALTH SERVICES, Adult Protective ) Services, ) ) Respondent. )

FEARING, 1. The Department of Social and Health Services (DSHS) revoked the

adult family home license of Stephen and Sarah Evert, d/b/a Sarah's Care Adult Family

Home (Sarah's Care) because of abuse and neglect of residents by Sarah. DSHS also

fined the Everts $441,000 for posting, on a website, adult family home residents'

personal medical information and treatment plans. The superior court affirmed the

revocation of the license, but reduced the fine to $21,000. On appeal to the Court of No. 32881-3-III Sarah's Care Adult Family Home v. Dep't ofSoc. & Health Servo

Appeals, the Everts challenge the sufficiency of the evidence that Sarah Evert abused and

neglected former residents, contend that the First Amendment protects their posting of

residents' personal medical information, and argue the $21,000 fine against them violates

the Eighth Amendment's prohibition on excessive fines. We affirm the superior court.

FACTS

In February 2012, DSHS licensed Sarah's Care as an adult family home in

I J Spokane. Sarah and Stephen Evert owned and operated the home.

Events relevant to this appeal began in August 2012, when Loganhurst, a Spokane

I f adult care facility, abruptly closed. DSHS, needing to find immediate placement for

Loganhurst residents, contacted Sarah's Care and asked it to accept some residents. t I Sarah's Care accepted two Loganhurst residents, Debbie and Greg, whose care gave rise

to the DSHS charges of abuse and neglect. Sarah Evert did not want either denizen as a

long-term resident because the respective state reimbursement rates for Debbie's and

Greg's care was lower than the rate for other residents.

On August 19,2012, Debbie moved into Sarah's Care. Sarah Evert then received

a full medical assessment for Debbie and learned that Debbie needed extensive care.

Debbie's assessment stated that she manipulated staff, especially as to her medications.

Debbie has a history of overdosing. She once attempted suicide. Debbie suffers from the

results of a stroke, blindness, fibromyalgia, chronic pain, memory deficits, and mental

health issues. Debbie required medication and bathing assistance. Sarah wanted to

2 I I I No. 32881-3-III Sarah's Care Adult Family Home v. Dep 't ofSoc. & Health Servo

I revoke acceptance of Debbie, but believed she could not refuse care.

I In part because of the history of manipulative behavior by Debbie, Sarah Evert

i disbelieved that Debbie was blind, told her she was not blind, and called her a

I "prescription drug addict." Report of Proceedings (RP) (Apr. 15,2013) at 61. Sarah,

II detying the instructions in Debbie's care plan, directed Sarah's Care staff to withhold j shower and phoning assistance to Debbie. Stephen and Sarah Evert placed Debbie's

thirty-five medications in a black toolbox with cards describing her complex medication

regime. Sarah convinced Debbie's doctor to write a note stating Debbie could manage all

medications, except narcotics, herself. Therefore, Sarah instructed Sarah's Care staff to

dispense only narcotics to Debbie.

Renee, a caregiver at Sarah's Care, witnessed a troubling example of Sarah and

Stephen Everts' treatment of Debbie. While taking pills during breakfast, Debbie

dropped a pill on the floor. Renee looked for the pill, but Sarah intervened and scolded

Debbie by commenting: "What would happen if another resident or one of the dogs got

the pill?" RP (Apr. 15,2013) at 57. Debbie employed a chair to lower herself to look for

the pill on her hands and knees. When she found it, Sarah exclaimed: "See, I knew you

could see, or words to that effect." Clerk's Papers (CP) at 23. Debbie tearfully fled to

her room without breakfast. Sarah then directed staff members not to help Debbie

retrieve pills because Debbie manipulated staff by dropping the medications excessively.

Sarah also articulated to Sarah's Care staff a hope that Debbie would overdose on her

No. 32881-3-III Sarah's Care Adult Family Home v. Dep 't ofSoc. & Health Servo

medications or "blow up," so the adult family home could transport Debbie to a hospital

emergency room and leave her there.

On September 4, 2012, Stephen Evert, in front of a caregiver and other residents,

approached Debbie during lunch and demanded payment for her care. Debbie explained

to Stephen that the State paid for her care. Stephen raised his voice. Stephen threatened

to send Debbie away in a taxi if she did not pay. To satisfy Stephen, Debbie

unsuccessfully tried to contact her DSHS caseworker. At the license revocation hearing,

Stephen testified that his comment to Debbie was not a threat but an offer to summon a

taxi to take her to an ATM machine to withdraw money to pay the Everts in advance for

the month of September. Generally, when a resident refuses to pay for her care, an adult

family home may issue a thirty-day notice to vacate. The Everts issued no notice to

Debbie because of their erroneous belief that an adult family home needed to provide

notice only if the resident resided in the home for at least thirty days. The regulation,

however, requires that the adult family home provide a resident of less than thirty days a

notice to vacate "as soon as practicable before transfer or discharge." WAC 388-76­

10615(4).

On September 4,2012, when Sarah Evert returned home from another job, she

learned of the confrontation between Stephen and Debbie. An angry Debbie said to

Sarah: "I'll show you." RP (Apr. 16,2013) at 229. In response, Sarah directed Debbie

into a car. Debbie complied, and Sarah took Debbie and her medications to the Sacred

No. 32881-3-111 Sarah's Care Adult Family Home v. Dep 't ofSoc. & Health Servo

Heart Hospital emergency room. Debbie did not know her destination until inside the

car. Sarah registered Debbie at the emergency room and told hospital staff that Debbie

overdosed on medication. Sarah added: "I can't stay," and she left the emergency room

before any staff member could interview her. RP (Apr. 16,2013) at 144.

The Sacred Heart emergency room diagnosed Debbie with stress and

abandonment by an adult family home. Hospital staff contacted Spokane police, who

investigated the incident. A responding officer wrote that Sarah's Care "summarily

dumped [Debbie at Sacred Heart], as if she were excessive baggage." Administrative

Record (AR) at 111. The officer added in his report:

Apparently the owners/operators, of the privately operated but state funded group home, Sarah and Stephen Evert had decided that [Debbie] required more effort and work than they cared to provide for and had decided that dropping her off at the Sacred Heart emergency room was a way to dispose of their requirement, to be responsible for her health and welfare.

AR at 111.

Spokane police traveled to Sarah's Care to speak with Stephen and Sarah Evert.

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