8 Reports
Inspection Report — Jan 28, 2026
Life Safety
Date: Jan 28, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Dec 15, 2025
Complaint Investigation
Date: Dec 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations that the facility failed their Fire and Life Safety Code Inspection first follow up and did not have a staff's required background check on file.
Complaint Details
The complaint investigation (Complaint #204165) found two substantiated allegations: failure to correct Fire and Life Safety Code deficiencies and failure to have a required staff background check on file.
Findings
The investigation found that the facility failed to correct several Fire and Life Safety Code deficiencies and failed to obtain a required national fingerprint background check for a care partner staff. Citations were issued for both deficiencies.
Deficiencies (2)
WAC 388-78A-2040 Other requirements. The assisted living facility failed to have its building approved by the Washington state fire marshal as required. This failure placed residents, staff, and visitors at risk.
WAC 388-78A-24681 Background checks. The facility failed to complete a fingerprint background check for one staff member, placing residents at risk of receiving unsupervised care from a potentially disqualified caregiver.
Report Facts
Total residents: 105
Licensed beds: 121
Inspection Report — Dec 12, 2025
Follow-Up
Date: Dec 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 conducted on 12/12/2025 found no deficiencies. The facility meets the Assisted Living Facility licensing requirements and all previously cited deficiencies were corrected.
Report Facts
Sampled residents: 15
Deficiencies cited: 3
Staff worked days: 21
Days late for TB testing: 31
Inspection Report — Dec 3, 2025
Life Safety
Date: Dec 3, 2025
Visit Reason
An unannounced Fire and Life Safety Code re-inspection was conducted to determine compliance with applicable codes at Bishop Place Senior Living.
Findings
Multiple deficiencies were cited during the inspection, with most corrected on site or during re-inspection. Some violations remained uncorrected, leading to a Disapproved status.
Deficiencies (24)
IFC 901.6 (2021) - Fire protection and life safety systems must be maintained in operative condition at all times. The main dining area near the fireplace had multiple escutcheon rings missing around sprinkler heads. Facility states contractor has parts on order.
IFC 903.3.1 (2021) - Sprinkler systems must be designed and installed per applicable code sections. The sprinkler riser for assisted living did not have a calculation plate visible or accessible.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained. Doors held open with door wedges were corrected during re-inspection.
IFC 1010.2.13.1 (2021) - Delayed egress locking systems must be installed and operated per code, including signage and emergency lighting. The emergency exit patio gate for memory care would not release after 15 seconds and no date was scheduled for repair.
NFPA 72 10.6.5.2 - Circuit identification and accessibility require branch circuit disconnecting means to be permanently identified. The assisted living FACP breaker did not have a lock.
IFC 3005.1 (2021) - Clearance from ignition sources such as luminaires and combustible materials must be maintained. Corrected.
IFC 315.2.1 (2021) - Ceiling clearance storage requirements must be maintained. Corrected.
IFC 315.2.3 (2021) - Combustible materials shall not be stored in boiler, mechanical, electrical equipment rooms or fire command centers. Corrected.
IFC 603.2.2 (2021) - Open electrical junction boxes and wiring splices must be covered. Corrected.
IFC 604.2 (2018) - Illumination must be provided for service equipment areas and electrical panels. Corrected.
IFC 603.5 (2021) - Relocatable power taps and current taps must comply with NFPA 70. Corrected.
IFC 701.6 (2021) - Owner must maintain inventory and inspection records of fire-resistance-rated construction. Corrected.
IFC 903.5 (2021) - Sprinkler systems must be tested and maintained per code. Corrected.
IFC 904.13.5.2 (2021) - Automatic fire-extinguishing systems must be serviced at least every six months. Corrected.
IFC 904.5 (2021) - Wet-chemical extinguishing systems must be installed and maintained with records. Corrected.
IFC 906.2 (2021) - Portable fire extinguishers must be selected, installed, and maintained per code. Corrected.
IFC 906.6 (2021) - Portable fire extinguishers must not be obstructed or obscured. Corrected.
IFC 906.7 (2021) - Hand-held portable fire extinguishers must be securely mounted. Corrected.
IFC 907.8 (2021) - Maintenance and testing schedules for fire alarm and detection systems must be maintained. Corrected.
IFC 907.8.3 (2021) - Smoke detector sensitivity must be checked and maintained. Corrected.
IFC 915.6 (2021) WAC - Carbon monoxide alarms and detection systems must be maintained. Corrected.
IFC 1013.1 (2021) - Exit signs and exit access doors must be marked by approved exit signs. Corrected.
IFC 1013.6.3 (2021) - Exit signs must be illuminated for at least 90 minutes during power loss. Corrected.
IFC 1032.2 (2021) - Required exit accesses and exits must be maintained free from obstructions. Corrected.
Report Facts
Next inspection scheduled: Jan 2, 2026
Inspection Report — Dec 16, 2024
Life Safety
Date: Dec 16, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at Bishop Place Senior Living to verify compliance with fire safety codes and confirm correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected. The facility received an Approved status for this inspection.
Deficiencies (20)
IFC 315.2.1 2021 - Storage shall be maintained 2 feet or more below the ceiling in nonsprinklered areas. Corrected during inspection.
IFC 0405.6 2021 - Records shall include identity of drill conductor, date/time, notification method, participants, number evacuated, conditions, problems, weather, and evacuation time. Corrected during inspection.
IFC 603.5 2021 - Relocatable power taps and current taps shall comply with NFPA 70. Unfused multiplug adapters were in use in multiple resident rooms. Not corrected.
IFC 603.5.2 2021 - Power taps shall be connected to permanently installed receptacles with exceptions. Corrected during inspection.
IFC 606.3.3 2021 - Hoods, grease-removal devices, fans, ducts shall be cleaned as required. Corrected during inspection.
IFC 705.2 2021 - Opening protectives in fire-resistance assemblies shall be maintained. Corrected during inspection.
IFC 705.2.3 2021 - Hold-open devices and automatic door closers shall be maintained. Corrected during inspection.
IFC 705.2.4 2021 - Swinging fire doors shall close from full-open position and latch automatically. Corrected during inspection.
IFC 706.1 2018 - Ducts and air transfer openings shall be inspected and maintained. Facility failed to provide documentation of repairs and retesting of fire/smoke dampers that failed July 5, 2024. Retesting scheduled for September 26, 2024. Not corrected.
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained. Kitchen fire sprinkler heads had excessive particulate buildup. Contractor scheduled for October 11, 2024. Not corrected.
IFC 904.13 2021 WAC 51-54A - Commercial cooking systems shall have approved fire-extinguishing systems. Corrected during inspection.
IFC 904.13.5.2 2021 - Fire-extinguishing systems shall be serviced at least every six months. Corrected during inspection.
IFC 906.9.1 2021 - Portable fire extinguishers weighing 40 pounds or less shall be installed with tops not more than 5 feet above floor. Corrected during inspection.
IFC 907.4.1 2021 - Single smoke detectors shall be provided at fire alarm control units. Fire alarm control panel/fire sprinkler riser room lacked smoke detector. Not corrected.
IFC 907.8 2021 - Fire alarm and detection systems shall be maintained and tested. Single station smoke alarms over 10 years old shall be replaced. Alarms ordered. Not corrected.
IFC 915.6 2021 WAC - Carbon monoxide alarms shall be maintained and replaced if inoperable. Corrected during inspection.
IFC 1013.5 2021 - Exit signs shall be illuminated at all times. Exit signs in new wing failed to illuminate; original building had bulbs failing. Facility replaced 8 devices and ordered more. Not corrected.
IFC 1032.10.1 2021 - Emergency lighting equipment shall be tested monthly. Facility unable to provide documentation of monthly testing. Not corrected.
IFC 1203.4 2021 - Emergency and standby power systems shall be maintained and tested. Facility unable to provide documentation of 4-hour load test within past 3 years and weekly inspections for past 12 months except July 2024. Not corrected.
IFC 5303.5.3 2021 - Compressed gas containers shall be secured to prevent falling. Resident Room 214 had unsecured oxygen. Not corrected.
Report Facts
Number of deficiencies cited: 20
Inspection Report — Apr 30, 2024
Follow-Up
Date: Apr 30, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to hot water supply and dishwasher sanitization.
Complaint Details
The investigation was triggered by complaints alleging no warm water for kitchen handwashing and dishwasher not reaching adequate temperatures. The investigation confirmed these deficiencies with citations issued.
Findings
The follow-up inspection on 04/30/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding hot water supply and dishwasher sanitization were corrected.
Deficiencies (3)
WAC 388-78A-2950 Water supply. The assisted living facility must provide hot and cold water under adequate pressure throughout the facility. The facility failed to supply hot water to 5 out of 5 kitchen sinks, placing residents at risk for cross contamination.
WAC 246-215-04555 Equipment -- Mechanical warewashing equipment, hot water sanitization temperatures. The facility failed to ensure adequate water temperature for sterilization in the kitchen dishwasher, resulting in improper sterilization and risk for foodborne illness.
WAC 388-78A-2305 Food sanitation. The assisted living facility must manage food and maintain on-site food service facilities in compliance with regulations. The facility failed to maintain adequate dishwasher sanitization temperatures, placing residents at risk.
Report Facts
Total residents: 91
Resident sample size: 4
Sinks without hot water: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Fast | Community Complaint Investigator | Conducted the on-site investigation and verification |
| Staff C | Maintenance Director | Interviewed regarding hot water heater failure |
| Staff D | Dietary Director | Interviewed regarding dishwasher temperature issues |
| Staff E | Dishwasher | Interviewed regarding dishwasher operation and handwashing |
| Staff A | Executive Director | Interviewed regarding awareness of hot water issues |
Inspection Report — Mar 11, 2024
Follow-Up
Date: Mar 11, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to staff respirator fit testing.
Complaint Details
Complaint investigation for allegation that staff did not fit test respirators prior to providing care to residents with COVID-19. The investigation found failed provider practice and citations were written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding staff respirator fit testing were corrected.
Deficiencies (1)
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to ensure staff completed respirator fit testing to determine an adequate mask seal prior to providing care to 3 residents, placing residents at risk of exposure to infectious diseases during an outbreak.
Report Facts
Total residents: 88
Resident sample size: 3
Inspection Report — Sep 27, 2023
Complaint Investigation
Date: Sep 27, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility based on multiple complaint numbers alleging issues such as resident bruises, improper transfer assistance, lack of response to falls, and facility cleanliness.
Complaint Details
The complaint investigation included four allegations: bruises on a resident, improper transfer assistance, lack of response to falls, and difficulty contacting the facility. The bruising allegation was substantiated with citations written. The other allegations were not substantiated as staff assistance and facility practices were found adequate.
Findings
The investigation found that the facility failed to meet certain Assisted Living Facility requirements, including inadequate care plan interventions for resident bruising and housekeeping issues. Multiple citations were written as provider practice failures were identified.
Deficiencies (2)
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to develop and document care plan interventions to address a resident's bruising despite using interventions to protect the resident.
WAC 388-78A-3090 Maintenance and housekeeping. The facility's housekeeping schedule did not ensure immediate cleaning of soiled carpet observed in a sample resident's apartment.
Report Facts
Total residents: 93
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sylvia Shauvin | Complaint Investigator | Conducted the complaint investigation and provided consultation |
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