Inspection Reports for
Aegis Living West Seattle
4700 SW Admiral Way, Seattle, WA 98116, United States, WA
Back to Facility Profile11 Reports
Inspection Report — Oct 23, 2025
Life Safety
Date: Oct 23, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the residential care facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Sep 24, 2025
Life Safety
Date: Sep 24, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
Most fire safety deficiencies were corrected on site; however, a violation related to maintenance of emergency and standby power systems remained uncorrected at the time of reinspection.
Deficiencies (7)
IFC 0405.6 (2021) - Records of required emergency evacuation drills must include identity of person conducting the drill, date and time, notification method, employees participating, number evacuated, special conditions, problems, weather, and time to complete evacuation.
IFC 606.4 (2021) - Gas-fired commercial cooking appliances on casters must be connected to the piping system with compliant appliance connectors and restrained per manufacturer instructions.
IFC 703.1 (2021) - Materials and firestop systems protecting membrane and through penetrations must be maintained to resist smoke passage and inspected per manufacturer instructions.
IFC 906.2 (2021) - Portable fire extinguishers must be selected, installed, and maintained per NFPA 10 and section requirements, including exceptions for travel distance and inspection intervals.
IFC 0915.1 (2021) WAC 51-54A - Carbon monoxide detection must be installed in new and existing buildings per code requirements.
IFC 1031.10.2 (2021) - Battery-powered emergency lighting equipment must be tested annually on battery power for at least 90 minutes.
IFC 1203.4 (2021) - Emergency and standby power systems must be maintained to supply service within required timeframes; the facility lacked a weekly inspection log of the generator at reinspection.
Inspection Report — Jun 12, 2025
Follow-Up
Date: Jun 12, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (2)
WAC 388-78A-24642 Background checks National fingerprint background check. The facility failed to ensure that 2 of 3 sampled staff had undergone a national fingerprint background check within 120 days of hire.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure that 2 of 3 sampled staff had tuberculosis screening within three days of hire, placing 67 residents at risk.
Report Facts
Sampled residents: 4
Current residents: 67
Sampled staff: 3
Residents at risk: 67
Inspection Report — Jun 12, 2025
Follow-Up
Date: Jun 12, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (2)
WAC 388-78A-24642 Background checks National fingerprint background check. The facility failed to ensure that 2 of 3 sampled staff had undergone a national fingerprint background check within 120 days of hire. This deficiency was previously cited and remains uncorrected.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure that 2 of 3 sampled staff had tuberculosis screening within three days of hire, placing 67 residents at risk of exposure to communicable disease. This deficiency was previously cited and remains uncorrected.
Report Facts
Sampled residents: 4
Sampled staff: 3
Residents at risk: 67
Inspection Report — Apr 14, 2025
Enforcement
Date: Apr 14, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose civil fines based on uncorrected deficiencies related to staff background checks and tuberculosis testing.
Findings
The facility failed to ensure two staff members underwent national fingerprint background checks within 120 days of hire and tuberculosis screening within three days of hire. Both deficiencies were uncorrected and previously cited, resulting in civil fines.
Deficiencies (2)
WAC 388-78A-24642 (1) Background checks—National fingerprint background check. The licensee failed to ensure that two staff had undergone a national fingerprint background check within 120 days of hire, placing residents at risk.
WAC 388-78A-2480 (1) Tuberculosis—Testing—Required. The licensee failed to ensure that two staff members had tuberculosis screening within three days of being hired, placing residents at potential risk of exposure to communicable disease.
Report Facts
Civil fine amount: 300
Civil fine amount: 300
Total civil fines due: 600
Inspection Report — Sep 27, 2023
Follow-Up
Date: Sep 27, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited licensing law and regulation deficiencies were corrected.
Deficiencies (5)
WAC 388-78A-2450 Staff. The facility failed to ensure 3 of 6 sampled staff completed required CPR training and 2 of 6 completed specialized dementia training, placing residents at risk of harm from untrained staff.
WAC 388-78A-24642 Background checks. The facility failed to ensure a National fingerprint background check was completed within 120 days of hire for 1 of 6 sampled staff, placing residents at risk from staff with unknown criminal history.
WAC 388-78A-2484 Tuberculosis. The facility failed to ensure 7 of 9 staff completed the required two-step tuberculin skin test within three days of employment, placing residents at risk of communicable disease exposure.
WAC 388-78A-2600 Policies and procedures. The facility failed to implement policy to initiate wound observation records for 1 resident with a pressure injury, placing the resident at risk for worsening skin condition.
WAC 388-78A-2305 Food sanitation. The facility failed to ensure 3 of 12 sampled kitchen staff had valid food handler's permits, placing all residents at risk of food borne illness.
Report Facts
Sampled residents: 10
Current residents: 76
Former residents: 0
Sampled staff: 6
Sampled staff: 9
Sampled kitchen staff: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Named as department staff who inspected the Assisted Living Facility |
| Erin Steinbrenner | Nursing Consultant Institutional | Named as department staff who inspected the Assisted Living Facility and did on-site verification |
| Staff J | Business Manager | Interviewed regarding staff training and compliance |
| Staff L | Wellness Nurse | Interviewed regarding wound observation records for Resident 3 |
| Staff K | Health Services Director | Interviewed regarding wound observation records for Resident 3 |
Inspection Report — Sep 19, 2023
Follow-Up
Date: Sep 19, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 09/19/2023 to verify correction of previously cited deficiencies related to fire and life safety.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as documented.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The assisted living facility failed to comply with Washington State Patrol Office of State Fire Marshal requirements, including issues with stairwell storage, electrical room penetrations, portable fire extinguisher placement, fire door inspections, and a left fire rated door needing replacement. Repairs were planned to be completed by 08/07/2023.
Report Facts
Total residents: 77
Inspection Report — Aug 7, 2023
Life Safety
Date: Aug 7, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jul 5, 2023
Life Safety
Date: Jul 5, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the residential care facility.
Findings
The inspection identified multiple fire safety deficiencies including storage in stairwell egress, electrical penetrations, fire extinguisher placement, and fire door issues. Several violations were corrected on site, but key deficiencies such as fire door annual inspection and electrical penetrations remain unresolved, resulting in a disapproved status.
Deficiencies (12)
IFC 315.3.1 2018 - Stairwell exiting from rooftop was being used for storage, violating means of egress requirements.
IFC 604.4.2 2018 - Relocatable power taps shall be directly connected to a permanently installed receptacle.
IFC 604.5 2018 - Extension cords shall not be a substitute for permanent wiring and must be properly labeled and used only with portable appliances.
IFC 703.1 2018 - Electrical rooms throughout the building require inspection and resolution of all penetrations to maintain fire resistance.
IFC 705.2.4 2018 - Swinging fire doors must close from the full-open position and latch automatically.
IFC 904.12.5.2 2018 - Automatic fire-extinguishing systems must be serviced at least every six months and inspection certificates forwarded to the fire code official.
IFC 904.5.2 2009, 2012, 2015, 2018 - Fixed temperature-sensing elements must be maintained to ensure proper operation of the system.
IFC 906.7 2015, 2018 - Portable fire extinguishers must be installed on hangers or brackets as per manufacturer's instructions and located conspicuously for ready access.
IFC 1203.4 2018 - Emergency and standby power systems must be maintained to supply service within the required time.
IFC 5303.5 2018 - Compressed gas containers must be secured against accidental dislodgement and unauthorized access.
NFPA 80 - Fire door annual inspection must be established and inspection sheets completed by end of 2023. Left Fire Rated Door to DTV room was cut open and must be replaced to meet manufacturer requirements.
WAC 212-12-044 and IFC 405.1 - Fire drills must be held quarterly or monthly depending on occupancy group, with detailed records maintained and emergency evacuation drills initiated by fire alarm system activation.
Report Facts
Next inspection scheduled: Aug 7, 2023
Inspection Report — Feb 6, 2023
Follow-Up
Date: Feb 6, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Inspection Report — Nov 9, 2022
Complaint Investigation
Date: Nov 9, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility based on complaints regarding failure to provide requested resident records timely, staff intimidation, and unauthorized charges for services.
Complaint Details
The complaint investigation included three allegations: failure to provide requested documents within 24 hours, staff intimidation towards a private caregiver, and charging for services not agreed upon. Only the first allegation was substantiated with a citation; the others were unsubstantiated.
Findings
The investigation found that the facility did not provide requested resident records within two working days, constituting a violation. No bullying behavior was substantiated, and the negotiated service agreement was found adequate with no concerns regarding care or unauthorized charges.
Deficiencies (1)
WAC 388-78A-2430 Resident review of records. The assisted living facility did not provide a Resident Representative a copy of a Negotiated Service Agreement within two working days, causing a delay in document review.
Report Facts
Total residents: 70
Resident sample size: 4
Closed records sample size: 1
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