11 Reports
Inspection Report — May 4, 2026
Life Safety
Date: May 4, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
The inspection found multiple deficiencies related to combustible storage, lack of required documentation for fire safety system maintenance and inspections, obstructed fire extinguishers, blocked emergency exits, and incomplete fire drills. The facility was disapproved due to these unresolved violations.
Deficiencies (15)
IFC 315.2.3 2021 - Combustible material was stored inside the housekeeping room with gas operated equipment and in the mechanical furnace room near laundry. Combustible material is not allowed in these areas.
IFC 606.3.3 2021 - Facility could not provide documentation for the required semi-annual hood cleanings for 12 months.
IFC 701.6 2021 - Facility could not provide documentation that the annual fire resistance rated construction material inspection was completed.
IFC 705.2 2021 - Facility could not provide documentation that the annual fire door inspection was completed as required by NFPA 80 and NFPA 105.
IFC 706.1 2018 - Facility could not provide documentation for the required 4-year fire and smoke damper inspection.
IFC 903.5 2021 - Facility could not provide documentation for annual sprinkler system inspection, 5-year internal piping inspection, 3-year dry system full flow trip test, annual forward flow test, and a missing escutcheon plate was found on a sprinkler in the main laundry.
IFC 906.2 2021 - Monthly maintenance for portable fire extinguishers in the beauty shop for March and April and in the maintenance office for April was not completed.
IFC 906.6 2021 - Portable fire extinguisher in the lobby was obstructed by boxes and a portable K-type extinguisher in the kitchen was obstructed by a cake rack.
IFC 907.8 2021 - Facility could not provide documentation for the annual fire alarm system testing.
IFC 907.8.3 2021 - Facility could not provide documentation for the required smoke detector sensitivity testing.
IFC 915.6 2021 WAC - Facility could not provide documentation for monthly carbon monoxide detector testing.
IFC 1003.6 2021 - The emergency exit near room 48 was blocked by a chair outside the building, obstructing the path of egress.
IFC 1032.10.1 2021 - Facility could not provide documentation for the monthly 30 second activation test for emergency lights.
IFC 1031.10.2 2021 - Facility could not provide documentation for the annual 90 minute power test for emergency lights.
Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months as required for Group I, E, and R2 occupancies.
Report Facts
Fire drills required: 12
Fire drills completed: 0
Inspection Report — Jul 18, 2025
Follow-Up
Date: Jul 18, 2025
Visit Reason
The Department of Social and Health Services conducted 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 inspection investigated complaint number 181513. A sample of 7 of 47 current residents was reviewed during the unannounced on-site visit.
Findings
The follow-up inspection on 07/18/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to food sanitation were corrected.
Deficiencies (1)
WAC 388-78A-2305 Food sanitation. The assisted living facility failed to maintain cleanliness in the main kitchen, including grease-covered exhaust fans, dirty knife holder, unclean steam table and lids, grimy refrigerator and freezer surfaces, dirty cabinet doors, and food debris on floors and counters.
Report Facts
Sampled residents: 7
Current residents: 47
Inspection Report — Apr 9, 2025
Life Safety
Date: Apr 9, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 04/09/2025.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Nov 22, 2024
Follow-Up
Date: Nov 22, 2024
Visit Reason
This is a follow-up inspection to verify correction of previously cited deficiencies related to fire and life safety violations at the Assisted Living Facility.
Complaint Details
The complaint investigation from 07/08/2024 through 08/06/2024 found that the Assisted Living Facility failed their 3rd Fire and Life Safety Inspection and did not correct violations from prior inspections. A citation was written for noncompliance with WAC 388-78A-2040 (2).
Findings
The follow-up inspection on 11/22/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to fire and life safety were corrected.
Deficiencies (3)
WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed to ensure corrections of violations from three Fire and Life Safety annual inspections, including incomplete sprinkler system testing and failed smoke detector replacements.
IFC 903.5 (2021) Sprinkler system shall be tested and maintained in accordance with Section 901. The facility’s 10 year and 20-year sprinkler head testing had not been completed.
IFC 907.8.3 (2021) Smoke detector sensitivity shall be checked within one year of calibration and every alternate year thereafter. The facility completed the sensitivity test on 04/09/2024 with failed smoke detectors not replaced.
Report Facts
Total residents: 44
Fire and Life Safety annual inspections: 3
Sprinkler heads needing replacement: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Provided statements regarding sprinkler head testing and smoke detector replacement |
Inspection Report — Oct 22, 2024
Life Safety
Date: Oct 22, 2024
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 — Sep 24, 2024
Enforcement
Date: Sep 24, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Brookdale Fairhaven to assess correction of previously cited violations and to impose a civil fine due to failure to correct fire and life safety violations from prior annual inspections.
Findings
The facility failed to correct violations from three Fire and Life Safety annual inspections conducted earlier in 2024. This uncorrected deficiency resulted in a $600 civil fine and placed residents at risk of harm in the event of a fire.
Deficiencies (1)
WAC 388-78A-2040(2) Other requirements. The licensee failed to ensure the violations for three Fire and Life Safety annual inspections were corrected, placing residents at risk of harm in the event of a fire.
Report Facts
Civil fine amount: 600
Number of prior inspections with uncorrected violations: 3
Inspection Report — Apr 24, 2024
Life Safety
Date: Apr 24, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the residential care facility.
Findings
The inspection found multiple fire safety violations including unlatching issues and smoke detector sensitivity failures. Some violations were corrected on site, but the overall approval status was Disapproved.
Deficiencies (5)
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 0705.2.4 (2021) Swinging fire doors shall close from the full-open position and latch automatically. The fire rated door from the dining room to the corridor would not close and latch from a fully open position.
IFC 0903.5 (2021) Sprinkler systems shall be tested and maintained in accordance with Section 901. The sprinkler system had deficiencies not corrected and a sprinkler head in the kitchen was loaded with combustible materials (lint).
IFC 0907.8.3 (2021) Smoke detector sensitivity shall be checked within one year after installation and every alternate year thereafter. Facility was unable to provide documentation for required smoke detector sensitivity testing. Sensitivity test completed 4/9/24 with 70 of 83 detectors failing. Facility plans to replace all 83 detectors.
IFC 1010.2.1 (2021) The unlatching of any door or leaf for egress shall require not more than one motion to release all latching and locking devices. The unlatching of any door or leaf for egress shall require not more than one motion to release all latching and locking devices. Exceptions apply. The emergency exit door in the kitchen has locking devices which require double action to open.
Report Facts
Smoke detectors tested: 83
Smoke detectors failed sensitivity test: 70
Inspection Report — Nov 3, 2023
Follow-Up
Date: Nov 3, 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.
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.
Inspection Report — Apr 24, 2023
Life Safety
Date: Apr 24, 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 at this inspection.
Inspection Report — Nov 9, 2022
Complaint Investigation
Date: Nov 9, 2022
Visit Reason
The inspection was conducted to investigate complaint reference #56998 regarding a fire and partial evacuation at the facility.
Complaint Details
Complaint ref #56998 involved a fire incident and partial evacuation. The fire department responded, and the facility evacuated all 39 residents without injury. No violations were found during the investigation.
Findings
The fire started in a gas dryer in the laundry room, triggering the heat detector but not the sprinkler system. All 39 residents were evacuated safely with no injuries reported. The fire was contained and extinguished by the fire department. No IFC violations were observed and the alarm system was repaired and restored to normal operation.
Report Facts
Residents evacuated: 39
Inspection Report — May 10, 2022
Complaint Investigation
Date: May 10, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to multiple allegations of verbal and physical abuse by a staff member toward residents, including failure to investigate or report these incidents.
Complaint Details
The complaint investigation involved multiple allegations against a staff member (Staff C) who was verbally and physically abusive to residents, including attempts to trip residents and entering rooms without knocking. Despite multiple reports from residents, representatives, and staff, the facility did not investigate or report these incidents to the Department. The staff member left the job voluntarily after a verbal altercation with a resident. The Department issued a Statement of Deficiencies citing failure to report and investigate abuse.
Findings
The investigation found that the facility failed to report and investigate multiple incidents of verbal and physical abuse by a staff member toward residents. The staff member was rude, disrespectful, and physically abusive, including attempting to trip residents and entering a resident's room without knocking. The facility did not take corrective action despite multiple reports, placing residents at risk. A Statement of Deficiencies was issued.
Deficiencies (2)
WAC 388-78A-2630 Reporting abuse and neglect. The facility failed to report incidents of verbal and physical abuse by a staff member to residents, resulting in residents being afraid and disrespected.
WAC 388-78A-2371 Investigations. The facility failed to investigate incidents of verbal and physical abuse by a staff member, allowing continued risk to residents without supervision or corrective action.
Report Facts
Total residents: 49
Resident sample size: 11
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