The Washington State Department of Health has announced disciplinary actions against various health care providers as of December 10, 2025. Notable cases include the denial of home care aide applications for Jessica Almanza and Jill Anne Foster, both linked to alcohol-related incidents and abuse registries, respectively. Qing Tan has been ordered to cease practicing massage therapy without proper credentials, while registered nursing assistant Timothy Howard Bennett faces charges following felony convictions related to sexually explicit depictions of a minor.

Psychologist Leafar Francesco Jose Espinoza has been charged with unprofessional conduct for failing to maintain professional boundaries with patients. Additionally, several health care professionals, including agency affiliated counselors and home care aides, have faced disciplinary actions for misconduct ranging from inappropriate behavior to financial improprieties.

The department also granted probationary credentials to some applicants but issued fines and orders for others to cease practice. Health care providers charged with unprofessional conduct have 20 days to respond to the department. This information is accessible through the agency’s website, where consumers can also report complaints against health care providers.