Inspection Reports for
Aegis Living Bellevue

IFC 405.5 (2021) - Emergency evacuation drills shall be held at unexpected times and under varying conditions. Records of required emergency evacuation drills must be maintained with specific information.

IFC 319.5 (2021) - Appliance connection to fuel supply piping must be secured and installed according to manufacturer instructions to limit movement.

IFC 603.2.2 (2021) - Open junction boxes and open wiring splices are prohibited; approved covers must be provided for all switch and electrical outlet boxes.

IFC 603.6 (2021) - Extension cords shall not be a substitute for permanent wiring and must be listed and labeled accordingly; marked for indoor use only and not used outdoors.

IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances must be cleaned at required intervals.

IFC 701.6 (2021) - The owner must maintain an inventory of all required fire-resistance-rated construction and inspect and repair annually.

IFC 703.1 (2021) - Materials and firestop systems used to protect membrane and through penetrations in fire-resistance-rated construction must be maintained and securely attached.

IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained according to NFPA 80 and NFPA 105.

IFC 705.2.4 (2021) - Swinging fire doors shall close from the full-open position and latch automatically.

IFC 705.2.6 (2018) - Horizontal and vertical sliding and rolling fire doors shall be inspected and tested annually to confirm proper operation and full closure.

IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained in accordance with Section 901.

IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems shall be serviced at least every six months and after activation; inspection certificates must be forwarded to the fire code official.

IFC 907.8 (2021) - Maintenance and testing schedules and procedures for fire alarm and fire detection systems must be maintained with records of inspection, testing, and maintenance.

WAC 51-54A (IFC 0915.1 2021) - Carbon monoxide detection shall be installed and maintained in accordance with the International Fire Code.

IFC 1013.1 (2021) - Exit signs and exit access doors must be marked by approved exit signs visible from any direction of egress travel.

IFC 405.5 (2021) - Drills shall be held at unexpected times simulating fire conditions and records maintained including drill details. Emergency evacuation drills must be initiated by activating the fire alarm system.

IFC 319.5 - Appliance connection to fuel supply piping must be secured and installed per manufacturer's instructions with movement limited by restraining devices.

IFC 603.2.2 (2021) - Open junction boxes and wiring splices are prohibited; approved covers must be provided for all switches and electrical outlets.

IFC 603.6 (2021) - Extension cords shall not substitute permanent wiring and must be listed and labeled for indoor use only; not affixed to structures or extended through walls or ceilings.

IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances must be cleaned at required intervals.

IFC 701.6 (2021) - Owner must maintain an inventory of required fire-resistance-rated construction and inspect and repair annually; records must be maintained.

IFC 703.1 (2021) - Materials and firestop systems protecting penetrations in fire-resistance-rated construction must be maintained without openings visible through or into the cavity.

IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained per NFPA 80 and NFPA 105; fire doors and smoke doors must not be blocked or obstructed.

IFC 705.2.4 (2021) - Swinging fire doors must close from full-open position and latch automatically.

IFC 705.2.6 (2018) - Horizontal and vertical sliding and rolling fire doors must be inspected and tested annually to confirm proper operation and full closure.

IFC 903.5 (2021) - Sprinkler systems must be tested and maintained per Section 901; inspection paperwork was missing for multiple required tests.

IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems must be serviced at least every six months and inspection certificates forwarded to fire code official; semi-annual servicing paperwork was missing.

IFC 907.8 (2021) - Maintenance and testing schedules for fire alarm and detection systems must be maintained; some required testing paperwork was missing.

IFC 0915.1 (2021) WAC 51-54A - Carbon monoxide detection must be installed and maintained; alarms and detectors require monthly testing and documentation.

IFC 1013.1 (2021) - Exit signs and exit access doors must be marked by approved exit signs visible from any direction of egress travel.

IFC 1032.10.1 (2021) - Emergency lighting equipment must be tested monthly for at least 30 seconds; monthly activation testing was not documented.

IFC 1031.10.2 (2021) - Battery-powered emergency lighting must be tested annually for at least 90 minutes; annual power test was not documented.

IFC 1203.4 (2021) - Emergency and standby power systems must be maintained to supply service within required time; inspection paperwork was missing for multiple items.

IFC 5303.5 (2021) - Compressed gas containers and systems must be secured against accidental dislodgement and unauthorized access; an oxygen tank was found out of holder.

NFPA 80 - Fire and smoke dampers must be inspected and tested per schedule; fire/smoke damper inspection paperwork was missing and a damper was found unreported.

NFPA 80 - Fire door inspection and testing must be performed annually with records maintained; facility lacked schedule and annual inspection paperwork.

WAC 388-78A-2485 Tuberculosis Positive test result. The facility failed to ensure that a staff person obtained a chest X-ray within seven days following a positive tuberculosis skin test, placing all 77 residents at risk of exposure.

WAC 388-78A-2600-2-k, WAC 388-78A-2700-1-c, WAC 388-78A-2700-1-g-i, WAC 388-78A-2700-1-g-ii, WAC 388-78A-2700-1-g-iii, WAC 388-78A-2700-1-g-iv, WAC 388-78A-2700-1-g-vi, WAC 388-78A-2450-2-c, WAC 388-78A-2450-2-e, WAC 388-78A-24642-1, WAC 388-78A-2483-1, WAC 388-78A-2730-2-b-iii - Deficiencies related to infection control, emergency preparedness, staff qualifications, background checks, tuberculosis testing, and licensee responsibilities were corrected.

WAC 388-78A-2468-1 Background checks Employment Conditional hire Pending results of Washington state name and date of birth background check. The assisted living facility may conditionally hire staff pending the background check, provided the background authorization form is submitted no later than one business day after hire. The facility failed to complete a Washington state name and date of birth background inquiry for one staff within one day of hire.

WAC 388-78A-2730 (1)(a)(b) Licensee's responsibilities. The licensee failed to implement their policy for Respiratory Protection Program for eleven staff who have direct contact with residents, placing 78 residents at risk of contracting and spreading a potentially life-threatening disease.

IFC 315.3.3 2018 - Combustible material was stored in the PDR/Mechanical room, which is prohibited.

IFC 607.3.3 2018 - The facility was unable to provide documentation for semi-annual hood cleaning; hood cleaning is up to date.

IFC 701.6 2018 WAC 51-54A - The facility was unable to provide records of annual fire wall inspection and repairs for fire-resistant-rated construction.

IFC 703.1 2018 - The Elevator Machine room outside has a penetration around the sprinkler head needing an escutcheon ring or fire rated material.

IFC 703.2 - The Recruiting / Employee Appreciation room fire door on the 4th floor has a penetration in the door.

IFC 705.2 2018 - The facility was unable to provide inventory records of annual inspection and repairs for all fire-resistant-rated doors.

IFC 705.2.4 2018 - Several doors failed to close or latch properly: cross corridor by 401, all exit stairwell doors, and cross corridor doors in lobby by Activities and dining rooms.

IFC 706.1 2018 - The facility was unable to provide documentation for last fire/smoke damper testing; inspection reports must verify no deficiencies or corrections.

IFC 901.6 2018 - The kitchen is missing an escutcheon ring.

IFC 903.5 2009, 2012, 2015, 2018 - The facility was unable to provide annual fire sprinkler inspection documentation including backflow and quarterly inspections; next year annual forward flow test will be required.

IFC 904.12.5.2 2018 - The facility was unable to provide semi-annual service reports for the kitchen suppression system; the system is yellow tagged due to moving appliances and needs re-piping.

IFC 906.1 2018 - The Clean Utility room in Memory care has an out-of-date fire extinguisher tagged 2020.

IFC 915.1.4 2018 - The facility has multiple gas fireplaces but no carbon monoxide detectors in or near the rooms.

IFC 915.6 2018 - The facility was unable to provide documentation showing carbon monoxide detector testing in the past 12 months.

IFC 5303.5.3 2018 - Resident room 420 has an unsecured oxygen tank, which is a safety hazard.

WAC 212-12-044 - The facility is missing fire drills for December and January.