Inspection Reports for
Aljoya Mercer Island
2430 76th Ave SE, Mercer Island, WA 98040, United States, WA, 98040
Back to Facility Profile7 Reports
Inspection Report — Apr 30, 2026
Life Safety
Date: Apr 30, 2026
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 — Mar 10, 2026
Life Safety
Date: Mar 10, 2026
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the residential care facility to assess compliance with fire protection and safety codes.
Findings
The inspection identified multiple fire safety violations including improper use of power taps, extension cords used as permanent wiring, fire doors not closing properly, and missing documentation for fire system testing. Several violations were corrected on site, but some deficiencies remain uncorrected, resulting in a disapproved status.
Deficiencies (15)
IFC 603.5.1 (2021) - Relocatable power taps were found in multiple locations including Room 510 and Room 309 without proper listing and labeling as required.
IFC 603.5.2 (2021) - Multiple relocatable power taps were plugged into each other in Room 510, violating application and use requirements.
IFC 603.6 (2021) - Extension cords were used as permanent wiring in Room 536 and the 2nd Floor Gallery Bistro, which is not permitted.
IFC 603.9.1 (2021) - Only listed and labeled portable electric space heaters shall be used. This violation was corrected.
IFC 606.3.3.1 (2021) - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be inspected at intervals. This violation was corrected.
IFC 606.4 (2021) - Gas-fired commercial cooking appliances on casters must be connected to piping systems with listed connectors. This violation was corrected.
IFC 703.1 (2021) - Materials and firestop systems protecting penetrations must be maintained. This violation was corrected.
IFC 705.2 (2021) - Fire doors did not close and latch properly due to being propped open in private dining into kitchen and employee lounge.
IFC 903.5 (2021) - The facility lacked documentation for the 5-year Fire Department Connection Hydro Test and had a loaded sprinkler head in front of the kitchen grill.
IFC 906.2 (2021) - Portable fire extinguishers must be selected, installed, and maintained per code. This violation was corrected.
IFC 907.8 (2021) - Fire alarm and detection systems must be inspected, tested, and maintained with records kept. This violation was corrected.
IFC 1031.10.2 (2021) - Battery-powered emergency lighting must be tested annually for at least 90 minutes. This violation was corrected.
IFC 1203.4 (2021) - Emergency and standby power systems must be maintained to supply service within required time. This violation was corrected.
IFC 5303.5.3 (2021) - Compressed gas containers, cylinders, and tanks must be secured to prevent falling. This violation was corrected.
WAC 212-12-044 - The facility failed to provide documentation confirming completion of required fire drills for day and night shifts in Q4; paperwork was incomplete.
Inspection Report — Nov 10, 2025
Follow-Up
Date: Nov 10, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies at the Assisted Living Facility.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited deficiency under WAC 388-78A-2240 was corrected.
Deficiencies (6)
WAC 388-78A-2240 Nonavailability of medications. The facility failed to ensure 1 sampled resident received medications as prescribed, resulting in missed doses of Carvedilol and Acetaminophen due to medication unavailability and delayed refill orders.
WAC 388-78A-2462 Background checks. The facility failed to obtain a Washington state background check for 1 contracted housekeeping staff, placing residents at risk from staff with unknown background.
WAC 388-78A-2100 Ongoing assessments. The facility failed to complete required assessments for 2 residents, including failure to assess diet preferences, behavioral interventions, and changes related to hospice care and medical equipment use.
WAC 388-78A-2210 Medication services. The facility failed to ensure 4 residents received medications as prescribed, including inconsistent administration of blood pressure medications according to parameters and a medication given despite low blood pressure.
WAC 388-78A-2240 Nonavailability of medications. The facility failed to ensure 1 resident received prescribed Acetaminophen due to medication running out and delayed refill, resulting in multiple missed doses.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to screen 1 staff member for tuberculosis within three days of hire, placing residents at risk of exposure.
Report Facts
Missed doses of Acetaminophen: 21
Sampled residents: 7
Sampled residents: 8
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Sampled residents: 7
Inspection Report — Oct 2, 2025
Enforcement
Date: Oct 2, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address previously cited deficiencies and to impose a civil fine based on unresolved violations.
Findings
The facility failed to ensure one resident received medications as prescribed, resulting in a civil fine of $400.00. This deficiency was uncorrected from a prior citation dated August 4, 2025.
Deficiencies (1)
WAC 388-78A-2240 Nonavailability of medications. The licensee failed to ensure one resident received medications as prescribed, placing the resident at risk for potential medical complications.
Report Facts
Civil fine amount: 400
Inspection Report — Apr 16, 2024
Follow-Up
Date: Apr 16, 2024
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies in an Assisted Living Facility.
Findings
The Department completed a follow-up inspection on 04/16/2024 and found no deficiencies. All previously cited deficiencies were corrected and the facility meets licensing requirements.
Deficiencies (5)
WAC 388-112A-0400 - The facility failed to ensure 1 of 4 caregivers completed developmental disabilities specialty training, placing residents at risk of inadequate care.
WAC 388-78A-2620 - The facility failed to ensure 5 sampled pets received regular examinations and vaccinations by a licensed veterinarian, placing residents at risk of disease.
WAC 388-78A-2950 - The facility failed to ensure hot water temperature did not exceed 120 degrees Fahrenheit in resident rooms and common bathrooms, placing residents at risk of burns.
WAC 388-78A-2140 - The facility failed to document care needs and interventions in the Negotiated Service Agreement for 4 of 7 sampled residents, risking unmet care needs.
WAC 388-78A-2474 - The facility failed to ensure 4 of 8 staff completed required two-step tuberculosis skin testing upon hire, placing residents at risk of exposure to contagious illness.
Report Facts
Sampled residents: 7
Staff missing TB testing: 4
Pets sampled: 5
Days to correct deficiencies: 45
Inspection Report — Aug 29, 2023
Follow-Up
Date: Aug 29, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.
Complaint Details
The complaint investigation (Compliance Determination #25856) concerned missing background/fingerprint information from annual licensing inspection. One staff member lacked documentation of a national fingerprint background check and worked 151 days providing direct care. The allegation was substantiated with a citation written.
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 (1)
WAC 388-78A-24642 Background checks National fingerprint background check. The facility failed to submit a request for a national fingerprint background check for one of six staff, placing residents at risk. The staff member worked 151 days without a completed fingerprint check.
Report Facts
Total residents: 26
Staff records reviewed: 6
Days staff worked without fingerprint check: 151
Inspection Report — Oct 12, 2022
Life Safety
Date: Oct 12, 2022
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 10/12/2022.
Findings
The inspection found multiple deficiencies related to fire safety and maintenance documentation, including missing fire drill records, use of extension cords, lack of documentation for fire wall inspections, sprinkler system testing, kitchen suppression system servicing, smoke alarm and carbon monoxide detector testing, and emergency lighting tests. The facility was disapproved due to these unresolved violations.
Deficiencies (10)
IFC 0405.5 (2018) - Facility failed to provide documentation showing fire drills are being conducted once per shift per quarter, with multiple shifts missed in 2022.
IFC 604.5 (2018) - Two extension cords were found being used in the kitchen to operate two fans, which is not permitted.
IFC 701.6 (2018) WAC 51-54A - Facility failed to provide documentation showing annual fire wall inspections and failed to maintain coat room ceiling penetration.
IFC 903.5 (2009, 2012, 2015, 2018) - Facility failed to provide documentation showing 3-year dry system full flow trip test for the automatic sprinkler system.
IFC 904.12.5.2 (2018) - Facility failed to provide documentation showing first semi-annual servicing of kitchen suppression system.
IFC 904.12.5.3 (2018) - Facility failed to provide documentation showing annual replacement of fusible links for the kitchen suppression system.
IFC 907.8 (2018) - Facility failed to provide documentation showing single and/or multiple smoke alarms are being tested.
IFC 915.6 (2018) - Facility failed to provide documentation showing carbon monoxide detectors are being tested and maintained.
IFC 1031.10.1 (2018) - Facility failed to provide documentation showing 30-second monthly activation test of exits and emergency lighting.
IFC 1031.10.2 (2018) - Facility failed to provide documentation showing annual 90-minute power test of exits and emergency lighting.
Report Facts
Next inspection scheduled: Nov 13, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria E Johnson | Dir. Environmental Services | Named as Owner or Authorized Representative signing the report |
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