Inspection Reports for
Aegis Living Kirkland

603.5.1 Listing. Relocatable power taps shall be listed in accordance with UL 1363. Current taps shall be listed and labeled in accordance with UL 498A.

Extension cords shall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817. Extension cords shall not be affixed to structures or extended through walls, ceilings, floors, or under doors or floor coverings, nor subject to damage. Extension cords marked for indoor use shall not be used outdoors.

Gas-fired commercial cooking appliances installed on casters and moved for cleaning shall be connected with an appliance connector complying with ANSI Z21.69/CSA 6.16 and movement limited by a restraining device per manufacturer instructions.

Opening protectives in fire-resistance-rated assemblies and smoke barriers shall be inspected and maintained per NFPA 80 and NFPA 105. Fire and smoke doors shall not be blocked or modified; fusible links replaced when fused or damaged.

Swinging fire doors shall close from the full-open position and latch automatically.

Where required, automatic sprinkler systems shall be installed throughout in accordance with NFPA 13.

Sprinkler systems shall be tested and maintained in accordance with Section 901.

Smoke detector sensitivity shall be checked within one year after installation and every alternate year thereafter, with records maintained and calibration tests performed if nuisance alarms increase.

Fire department connections shall be periodically inspected, tested, and maintained per NFPA 25, with records maintained.

Carbon monoxide detection shall be installed in new and existing buildings per applicable codes.

Means of egress travel shall not be interrupted or obstructed, and minimum width or capacity shall not be diminished along the path of egress travel.

Emergency electrical systems shall automatically illuminate aisles, corridors, and exit access stairways and ramps upon power failure in rooms requiring two or more exits.

Door hardware shall comply with operational force limits for unlatching and opening doors as specified for various door types and ratings.

Delayed egress locking systems are permitted on doors in specified occupancies equipped with automatic sprinkler or approved detection systems.

Manually operated flush bolts or surface bolts are not permitted except for specified exceptions on inactive leaves of doors in certain occupancies.

WAC 388-78A-2040-2 - The assisted living facility failed to have its building approved by the Washington state fire marshal as required for licensure. The facility failed to meet fire and life safety requirements, placing residents at risk of harm and potential fire hazards.

IFC 0603.5.1 (2021) Relocatable power taps shall be listed in accordance with UL 1363. Current taps shall be listed and labeled in accordance with UL 498A.

IFC 603.6 (2021) Extension cords shall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817. Extension cords shall not be affixed to structures, extended through walls, ceilings or floors, or under doors or floor coverings, nor shall such cords be subject to environmental damage or physical impact.

IFC 606.4 (2021) Gas-fired commercial cooking appliances installed on casters and appliances that are moved for cleaning and sanitation purposes shall be connected to the piping system with an appliance connector listed as complying with ANSI Z21.69/CSA 6.16.

IFC 705.2 (2021) Opening protectives in fire-resistance-rated assemblies and smoke barriers shall be inspected and maintained in accordance with NFPA 80 and NFPA 105. Fire doors and smoke and draft control doors shall not be blocked, obstructed, or otherwise made inoperable.

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

IFC 903.3.1.1 (2012, 2015) Where required, automatic sprinkler systems shall be installed throughout in accordance with NFPA 13.

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

IFC 907.8.3 (2012, 2015, 2018) Smoke detector sensitivity shall be checked within one year after installation and every alternate year thereafter, with records maintained and calibration tests performed as required.

IFC 912.7 (2021) Fire department connections shall be periodically inspected, tested and maintained in accordance with NFPA 25. Records of inspection, testing and maintenance shall be maintained.

IFC 0915.1 (2021) WAC 51-54A Carbon monoxide detection shall be installed in new and existing buildings in accordance with applicable codes.

IFC 1003.6 (2021) The path of egress travel shall not be interrupted or obstructed, and the minimum width or required capacity of a means of egress system shall not be diminished.

IFC 1008.3.1 (2021) Emergency electrical systems shall automatically illuminate aisles, corridors, and exit access stairways and ramps upon power failure.

IFC 1010.1.3 (2021) The operational force to unlatch and open doors shall comply with specified maximum limits for different door types and hardware.

IFC 1010.2.13 (2021) Delayed egress locking systems are permitted on certain doors in buildings equipped with automatic sprinkler or detection systems under specified conditions.

IFC 1010.2.5 (2021) Manually operated flush bolts or surface bolts are not permitted except under specified exceptions for certain door types and occupancies.

WAC 388-78A-2130 Service agreement planning. The facility failed to update the service plans for 2 of 5 sampled residents, placing them at risk for unmet care needs and diminished quality of life.

WAC 388-78A-2305 Food sanitation. The facility failed to follow required sanitation procedures in 1 of 2 kitchens, placing all residents at risk of foodborne illness.

WAC 246-215-02310 Hands and arms When to wash. Food employees failed to wash hands properly after handling soiled dishes, risking cross contamination.

WAC 246-215-02410 Hair restraints Effectiveness. Food employees failed to keep hair restrained properly, risking contamination of exposed food.

WAC 388-112A-0611 Continuing education and training. The facility failed to ensure 3 of 9 sampled care staff completed required first aid and continuing education training.

WAC 388-78A-2468 Background checks. The facility failed to submit a Washington state name and date of birth background check within one business day for 1 contracted staff member.

WAC 388-78A-2466 Background checks. The facility failed to complete required background checks every two years for 2 sampled staff members.

WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to implement nurse delegation for 1 sampled resident, placing the resident at risk of medication errors.

WAC 388-78A-2130 Service agreement planning. The facility failed to update service plans for 5 sampled residents, placing them at risk for unmet care needs and diminished quality of life.

WAC 246-215-02310 Hands and arms When to wash. The facility failed to follow proper handwashing procedures in the main kitchen, risking food contamination.

WAC 246-215-02410 Hair restraints Effectiveness. The facility failed to ensure kitchen staff kept hair restrained properly, risking contamination of exposed food.

WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to complete required TB skin testing for 3 of 14 sampled staff within required timeframes and failed to obtain chest X-ray documentation for 2 staff.

WAC 388-78A-2130 (3)(a)(b) Service agreement planning. The licensee failed to update the service plans for two residents, placing them at risk for unmet care needs and diminished quality of life.

WAC 388-78A-2305 (1) Food sanitation. The licensee failed to follow required sanitation procedures for one kitchen, placing all 37 residents at risk of consuming contaminated food and contracting food borne illnesses.

WAC 388-78A-2040-2 The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed to ensure 42 residents resided in a safe environment approved by the State Fire Marshal, placing all residents at risk of harm due to fire hazards.

IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings were inspected and maintained. The facilities fire damper shows 3 failed dampers and the facility was unable to provide a correction report.

IFC 901.6 (2021) - Fire protection and life safety systems shall be maintained in operative condition. The dining room on the first floor has a sprinkler head that is capped.

IFC 903.5 (2021) - Sprinkler systems shall be tested and maintained. The facility was unable to provide documentation for a 3 year full flow trip test, forward flow test, and quarterly sprinkler inspections.

IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems shall be serviced every six months and after activation. The facility's kitchen suppression report shows deficiencies.

IFC 1010.1 (2021) - Doors in means of egress shall comply with code requirements. Doors, gates, and turnstiles provided for egress comply with requirements.

IFC 1031.2 (2021) - Required exit accesses, exits, and exit discharges shall be maintained free from obstructions. Exit accesses and discharges were corrected again at time of re-inspection.

IFC 906.2 (2021) - Portable fire extinguishers shall be selected, installed, and maintained per NFPA 10. Portable fire extinguishers were corrected.

IFC 906.7 (2021) - Hand-held portable fire extinguishers shall be installed on hangers or brackets securely anchored. This was corrected.

IFC 906.9.1 (2021) - Portable fire extinguishers weighing 40 pounds or less shall be installed so tops are not more than 5 feet above the floor. This was corrected.

IFC 907.8.3 (2021) - Smoke detector sensitivity shall be checked within one year after installation and every alternate year thereafter. This was corrected.

IFC 915.6 (2021 WAC) - Carbon monoxide alarms and detectors shall be maintained and replaced if inoperable. This was corrected.

IFC 1008.1 (2021) - Illumination shall be provided in means of egress and comply with emergency power requirements. This was corrected.

IFC 1032.10.1 (2021) - Emergency lighting equipment shall be tested monthly for at least 30 seconds. The facility was unable to provide documentation showing monthly testing of emergency lighting in the past 12 months.

IFC 1031.10.2 (2021) - Battery-powered emergency lighting equipment shall be tested annually for not less than 90 minutes. The facility was unable to provide documentation showing 90-minute annual testing of emergency lighting in the past 12 months.

IFC 5303.5.3 (2021) - Compressed gas containers, cylinders, and tanks shall be secured to prevent falling. Resident room 208 has 3 unsecured gas cylinders and the kitchen has unsecured carbon dioxide cylinders.

WAC 212-12-044 - Fire drills shall be held every year with at least twelve planned and unannounced drills. The facility is missing fire drills for 1st quarter (NOC), 2nd quarter (Day), and 3rd quarter (Swing).