3 Reports
Inspection Report — Mar 17, 2026
Life Safety
Date: Mar 17, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
Multiple fire safety violations were identified, including lack of documentation for fire drills, fire alarm system testing, and fire sprinkler system testing. Most violations were corrected on site except for the annual forward flow testing of the fire sprinkler system, which remains uncorrected. The facility's approval status is Disapproved.
Deficiencies (12)
IFC 404.2 (2021) - The facility failed to provide documentation of fire drills conducted for all shifts and quarters within the past twelve months. The facility was not using the installed fire alarm system to conduct drills and was conducting simulated drills.
IFC 603.4 (2021) - Combustible storage blocked access to mechanical equipment and electrical panels in the following rooms: Second Floor Mechanical Room next to Room 221 and First Floor Main Housekeeping Room.
IFC 603.5 (2021) - Unfused multiplug adapters were in use in Rooms 120, 112, 235, and a power strip was plugged into a power strip in the Health and Wellness Office.
IFC 701.6 (2021) - The facility failed to provide documentation of the annual fire-resistance-rated construction inspection completed within the past twelve months.
IFC 705.2 (2021) - The facility failed to provide documentation of the annual fire and smoke rated door inspection, testing, and maintenance completed within the past twelve months.
IFC 705.2.3 (2021) - Fire and smoke rated doors were propped open in Rooms 224 and 108.
IFC 706.1 (2018) - The facility could not provide documentation indicating their fire and smoke damper deficiencies noted on October 26, 2025 have been repaired and retested. Failed actuators were noted on multiple dampers.
IFC 903.5.2 (2021) - The facility was unable to provide documentation of the annual forward flow testing on the fire sprinkler system within the past twelve months.
IFC 904.13.5.2 (2021) - The facility failed to provide documentation that the kitchen hood system had the second semi-annual inspection within the last twelve months. Service reports were provided for April 30, 2025.
IFC 907.8 (2021) - The facility was unable to provide documentation of the semi-annual inspection, testing, and maintenance of the fire alarm system within the past twelve months.
IFC 1003.6 (2021) - The center main exit double doors in the Dining Room were blocked by a table obstructing egress. The left double door (right side) in the Dining Room was not unlatching and obstructing egress.
IFC 5303.5 (2021) - Rooms 235, 224, and 102 were missing "OXYGEN IN USE" signs on the door.
Inspection Report — Apr 1, 2025
Life Safety
Date: Apr 1, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 04/01/2025.
Findings
All cited fire safety deficiencies were corrected on site, resulting in an approved status for this inspection.
Deficiencies (5)
IFC 603.2 2021 - Abatement of unsafe electrical hazards is required to prevent electrical shock or fire hazards.
IFC 0603 5.1, 2021 - Relocatable power taps must be listed and labeled according to UL standards.
IFC 705.2.4 2021 - Swinging fire doors must close from the full-open position and latch automatically.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems must be serviced at least every six months and after activation, with inspection certificates forwarded to the fire code official.
IFC 5303.5.3 2021 - Compressed gas containers, cylinders, and tanks must be secured to prevent falling by approved methods.
Inspection Report — Feb 10, 2025
Complaint Investigation
Date: Feb 10, 2025
Visit Reason
The Department completed a full inspection and complaint investigation of the Assisted Living Facility on 02/10/2025 due to complaint number 165817.
Complaint Details
Complaint number 165817 triggered the investigation. The deficiency related to medication administration was identified and corrective actions were initiated.
Findings
The facility was found not to meet Assisted Living Facility requirements due to medication service deficiencies. The facility failed to ensure a resident's insulin was given as prescribed but implemented corrective actions including electronic record adjustments and staff retraining.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The Assisted Living Facility failed to ensure a resident's insulin was given as prescribed. The facility implemented a system to auto populate insulin dose and provided staff retraining.
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