The Washington State Department of Health has taken disciplinary action against the following local health care providers through the department’s Health Systems Quality Assurance Division.

In May 2022 the secretary of health suspended the home care aide license of Tracy Ree Pasic (HM60752843). Pasic worked under the influence of alcohol while providing care to a patient through an in-home services agency. Also in May 2022, the Home Care Aide Program and home care aid Tracy Ree Pasic (HM60752843) modified a prior agreement after the program charged her with failing to comply with it. The new modifications require Pasic to contact a substance use disorder program within 14 days, work only if there is an on-site supervisor with a certified nursing assistant credential or higher, and ensure her employer submits quarterly performance evaluations.

In May 2022 the Nursing Commission charged licensed practical nurse Kristan Kelly Ramirez (LP60259260) with unprofessional conduct. Ramirez allegedly failed to contact a substance use monitoring program as required by a prior agreement she entered with the Nursing Commission.

In March 2022, the secretary of health denied the home care aide application of Alison Helen Clark (HM61054049) because she was placed on the Department of Social and Health Services’ registry of those disqualified from working with vulnerable people in 2021.

The department’s Health Systems Quality Assurance Division works with boards, commissions, and advisory committees to set licensing standards for more than 80 health care professions (e.g., dentists, nurses, counselors). Information about disciplinary action taken against medical doctors and physician assistants can be found on the Washington Medical Commission (WMC) website. Questions about WMC disciplinary actions can be sent to

Information about health care providers is on the agency website. Click on “Look up a health care provider license” in the “How Do I?” section of the Department of Health website ( The site includes information about a health care provider’s license status, the expiration and renewal date of their credential, disciplinary actions and copies of legal documents issued after July 1998. This information is also available by calling 360-236-4700. Consumers who think a health care provider acted unprofessionally are encouraged to call and report their complaint.