In Re Mariana Gligor Dba Evergreen Seasons Afh, Res. V. State Of Wa., Dshs, App.

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
In the Matter of
MARIANA GLIGOR, dba EVERGREEN
SEASONS ADULT FAMILY HOME,
Respondent,
v.
STATE OF WASHINGTON
DEPARTMENT OF SOCIAL AND
HEALTH SERVICES,
Appellant.
No. 70411-7-1
DIVISION ONE
UNPUBLISHED OPINION
FILED: October 20, 2014
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Trickey, J. — An agency's determination to revoke an adult family home
license will not be sustained where the basis of the revocation lies in the alleged
poor care and management of the provider, such as the provider's failure to protect
residents from the home's dog, where two of those same patients and the dog are
simply relocated to another home licensed and operated by the same provider.
Such a decision is arbitrary and capricious.
FACTS
An adult family home (AFH) is "a residential home in which a person or
persons provide personal care, special care, room, and board to more than one
but not more than six adults who are not related by blood or marriage to the person
or persons providing the services." 	RCW 70.128.010(1). 	The Department of
Social and Health Services (DSHS) licensed Mariana Gligor to operate two adult
family homes. 	Evergreen Adult Family Home (Evergreen) opened in 2000 and

No. 70411-7-1/2
Evergreen Seasons Adult Family Home (ES) opened in 2007.1 The license for ES
states that the home has a specialty in developmental disabilities, dementia, and
mental health.2 	On April 15, 2010, DSHS gave Gligor formal notice of a stop
placement of admissions and the revocation of her license for ES.3
DSHS 	determined that Gligor had 	violated 	six separate administrative
regulations:4
WAC 	388-76-10020(1) 	License—Ability 	to 	provide 	care 	and
services. [(Adult family home provider must have the understanding,
ability, emotional stability and physical health to meet the needs of
vulnerable adults.)]
The licensee lacked emotional stability and understanding to provide
care to two 	residents when one resident was reprimanded 	and
humiliated by the licensee and another resident was told she played
with the facility dog at her own risk after the dog bit the resident. This
failure placed all residents at risk for unmet needs.
WAC 388-76-10220(2)0) Incident Log. [(Provider must keep a log
of accidents, incidents affecting a resident's welfare, and any injury
to a resident.)]
The licensee failed to ensure she kept an incident log as required
that documented when one resident was bitten by the facility dog.
This failure resulted in the facility having no system in place to track
accidents or incidents.
WAC 	388-76-10230(2) 	Pets. 	[(An animal 	must have 	a 	suitable
temperament, 	be 	clean 	and 	healthy, 	and 	otherwise 	pose 	no
significant health or safety risks to any resident.)
The licensee failed to ensure three residents were not exposed to a
facility dog after the dog bit a resident and urinated/defecated in the
home, including on a resident's bed. This failure resulted in harm for
one resident who was bitten by the dog and placed the residents at
1 Office of Administrative Hearings Transcript of Proceedings (TR) at 25; Administrative
Record (AR) at 392, Exhibit (Ex.) D-1.
2 Findings of Fact 1; Ex. D-1 (License No. 750410).
3AR at 294-197.
4 AR at 294-95.

No. 70411-7-1/3
risk for additional dog bites. 	In addition, this failure resulted in the
residents having to live in unsanitary conditions.
WAC 388-76-10380(2) Negotiated care plan—Timing of reviews
and revisions. [(A negotiated plan must be reviewed and revised
when the plan or parts of the plan no longer address resident's needs
and preferences.)]
The licensee failed to ensure two 	residents had their care plans
updated 	when 	their 	conditions 	changed 	or 	incidents 	occurred
requiring an update for care and services. 	This failure placed the
residents at risk for unmet needs.
WAC 388-76-10400(2)(3)(a)(b) Care and services. [(Provider must
ensure each resident receives necessary care and services to help
resident reach highest level of physical, mental, and psychosocial
well-being consistent with resident choice, current functional status,
and potential for improvement or decline. 	Provider must ensure the
care and services are provided in a manner that actively supports
each resident's quality of life and the safety of each resident.)]
The licensee failed to ensure two residents received appropriate care
and services in a manner that actively supported and improved their
quality of life. The 	licensee's delivery of inappropriate care and
services related to the residents' diagnoses resulted in harm for one
resident, who suffered mental anguish and a sudden involuntary
discharge and harm for another resident, who sustained a dog bite
and did not have her mental health issues appropriately addressed.
WAC 	388-76-10615(2)(a)(3)(6) 	Resident 	rights—Transfer 	and
discharge. [(Before a home transfer or discharge, a resident must
attempt 	through 	reasonable 	accommodations 	to 	avoid transfer
unless agreed to by the resident. 	The home must give notice of the
transfer at least 30 days before resident is transferred or discharged
and give the resident preparation and orientation to ensure safe and
orderly transfer from the home.)]
The licensee failed to ensure one resident received an appropriate
discharge 	from 	the adult family 	home. 	This failure 	resulted 	in
sudden, disorderly discharge.
Gligor contested the revocation. 	In October 2010, an Administrative Law
Judge (ALJ) held a four-day administrative hearing, receiving testimony from 19

No. 70411-7-1/4
witnesses and reviewing 24 exhibits as well as written closing arguments and reply
arguments.5 Counsel represented Gligor at that hearing.
ALJ Andrea Conklin issued an initial order that upheld DSHS's violations
with the exception of having an unclean dog and no incident log.6 The ALJ found
that Gligor's violation of the administrative regulations cited by DSHS placed the
residents of ES in danger and revocation was appropriate.
Gligor appealed the ALJ's decision to the DSHS Board of Appeals. 	The
Board of Appeals issued a 42-page written decision upholding the ALJ's decision
with slight modifications. Gligor appealed that decision to the superior court, which
upheld most of the violations, but found that the remedy imposed was arbitrary and
capricious. 	DSHS appeals.
ANALYSIS
Standard of Review
The Washington Administrative Procedure Act (APA), chapter 34.05 RCW,
governs judicial review of final agency action. 	RCW 34.05.510; Tapper v. Emp't
Sec. Dep't, 122 Wn.2d 397,402, 858 P.2d 494 (1993). When reviewing an agency
action, this court sits in the same position as the superior court, applying the
standards of the APA directly to the record before the agency. 	Tapper, 122 Wn.2d
at 402. "The findings of fact relevant on appeal are the reviewing officer's findings
of fact—even those that replace the ALJ's." 	Hardee v. Dep't of Soc. & Health
Servs., 172Wn.2d 1, 19, 256 P.3d 339 (2011) (citing Tapper, 122Wn.2d at 406).
5 AR at 179; TR at 1-733.
6 AR at 179-191.

No. 70411-7-1/5
Conclusions of law are reviewed de novo under an error of law standard. 	Wilson
v. Emp't Sec. Dep't. 87 Wn. App. 197, 201, 940 P.2d 269 (1997).
A reviewing court defers to an agency's interpretation of ambiguous statutes
if the matter is within the agency's expertise. 	Williams-Batchelder v. Quasim. 103
Wn. App. 8,13-14,19 P.3d 421 (2000) (citing St. Martin's Coll. v. Dep't of Revenue.
68 Wn. App. 12, 15-16 841 P.2d 803 (1992)). 	This court grants relief from the
reviewing judge's order if the "order is not supported by evidence that is substantial
when viewed in light of the whole record before the court." 	RCW 34.05.570(3)(e).
Relief will also be granted where the "order is arbitrary or capricious." 	RCW
34.05.570(3)(h)(i).
Arbitrary and Capricious
RCW 70.128.160 authorizes DSHS to impose a remedy against adult family
home providers for noncompliance with applicable statutes or regulations. 	These
remedies include civil penalties, "stop placement" of new residents, or suspension
or revocation of a license. RCW70.128.160(2)(c)-(g); WAC 388-76-10940. DSHS
is 	required 	to 	impose 	a 	remedy when 	violations 	are 	repeated, 	uncorrected,
pervasive, or present a threat to the health, safety, or welfare of residents. 	WAC
388-76-10945. 	However, 	DSHS's choice of remedy is discretionary and may
include one of the following:
(1) Denial of an application for a license;
(2) Impose reasonable conditions on a license;
(3) Impose civil penalties;
(4) Order stop placement; and/or
(5) Suspension or revocation of a license.
WAC 388-76-10940.

No. 70411-7-1/6
This court reviews legal issues de novo, including whether a decision is
arbitrary and capricious. 	Dodge City Saloon, Inc. v. Wash. State Liquor Control
Bo\, 168 Wn. App. 388, 395, 288 P.3d 343, rev, denied. 176 Wn.2d 1009 (2012).
Here, even if DSHS proved each and every allegation, the remedy of license
revocation under these circumstances was arbitrary and capricious.
Arbitrary and capricious actions are those that disregard the facts and
circumstances, and are unreasoned and without consideration. Heinmillerv. Dep't
of Health, 127 Wn.2d 595, 609, 903 P.2d 433, 909 P.2d 1294 (1995). The right to
be free from arbitrary and capricious actions is a fundamental right. 	Williams v.
Seattle Sch. Dist. No. 1. 97 Wn.2d 215, 221-22, 643 P.2d 426 (1982). 	RCW
70.128.160(2)(b)-(f) gives the agency authority to impose reasonable conditions,
civil penalties, or a license suspension as well as license revocation.
The APA requires an adjudicative proceeding for revocation, suspension,
or modification of a license. 	RCW 34.05.422(1 )(c). As noted in Conway v. Wash-
State Dep't of Soc. & Health Servs., 131 Wn. App. 406, 417, 120 P.3d 130 (2005),
such a decision is discretionary and capable of being reviewed. Although the court
cannot substitute a different remedy, it can determine if the remedy is arbitrary and
capricious.
The question we are faced with here, is not whether there was substantial
evidence to support the violations, but rather whether the 	remedy applied 	is
arbitrary and capricious, even where we find that sufficient evidence supported the
reviewing judge's decision.

No. 70411-7-1/7
The DSHS adult family home licenser, Estelle Sylvester, testified that DSHS
permitted the residents to move to Evergreen, the other home operated by Gligor.7
At the time, Gligor had no residents at Evergreen, and had not had any for two
years, but maintained her license there.8 Sylvester conducted two full inspections,
two follow-up inspections, a complaint investigation, and six monitoring visits of the
two homes.9 	Sylvester testified that the residents from ES were relocated to
Evergreen. 	Sylvester 	had 	no 	concern with the 	moving 	of the 	residents to
Evergreen. 	Her only concern was that the residents be informed and that they
receive a 30-day notice and an opportunity go visit the home to see if it would be
comfortable.10
In August 2010, Sylvester conducted a full inspection of the Evergreen
home. 	The resident whom the dog had bitten, really liked the dog.11 	The other
remaining resident told Sylvester that the dog did not bother him.
DSHS argues that it did not have authority to prevent the relocation of
residents to Evergreen because the license is for the home, not the provider, and
there were no enforcement actions pending against Evergreen. 	However, WAC
388-76-10985(2) provides:
If violations in an adult family home are of such nature as to present
a serious risk or harm to residents of other homes operated by the
same provider, the department may impose remedies on those other
homes.
7 TR at 296.
8 TR at 314.
9 TR at 260.
10 TR at 295.
11 TR at 315-16.

No. 70411-7-1/8
The availability of other, more appropriate sanctions, makes the remedy imposed
all the more arbitrary and capricious. 	If DSHS truly found the violations presented
a serious risk of harm to the remaining two residents, those residents should never
have been permitted to move with the same provider. That DSHS did not think so
is evidenced by its permitting the residents to be moved there.
Accordingly, 	even 	though 	the 	record 	contained 	sufficient evidence 	to
support the reviewing judge's decision as to the violations, we agree with the
superior court that the remedy imposed was arbitrary and capricious.
We affirm in part, 	reverse in part, 	and 	remand for further proceedings
consistent with this opinion.
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WE CONCUR:
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