Inspection Reports for
eliseo
1301 N Highlands Pkwy, Tacoma, WA 98406, WA, 98406
Back to Facility Profile4 Reports
Inspection Report — Oct 21, 2025
Follow-Up
Date: Oct 21, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire marshal approval and fire safety compliance.
Complaint Details
The complaint investigation (Complaint #183480) was triggered by a failed fire safety inspection. The facility had failed a reinspection on 05/20/2025 due to missing fire sprinkler system documentation. The Maintenance Supervisor reported the facility was awaiting a final hydro test report. The complaint was substantiated with citations written but later corrected.
Findings
The follow-up inspection on 10/21/2025 found no deficiencies. Previously cited deficiencies related to fire sprinkler system testing and maintenance were corrected, and the facility was brought back into compliance.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The assisted living facility must have its building approved by the Washington state fire marshal in order to be licensed. The facility failed to maintain compliance with fire marshal codes placing residents at risk due to missing fire sprinkler system inspection documentation and hydro test reports.
Report Facts
Total residents: 51
Inspection Report — Jun 12, 2025
Annual Inspection
Date: Jun 12, 2025
Visit Reason
The Department completed a full inspection of the Assisted Living Facility to assess compliance with regulatory requirements.
Findings
The inspection found no deficiencies in the facility.
Inspection Report — May 4, 2023
Re-Inspection
Date: May 4, 2023
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the Eliseo (ALF) facility to verify correction of previously cited fire safety violations.
Findings
The facility was found to have multiple outstanding violations related to fire sprinkler system documentation, maintenance of fire-resistance-rated construction, inspection and maintenance of fire doors and dampers, carbon monoxide alarm inspections, emergency lighting tests, and fire drills. None of the violations had been corrected at the time of this re-inspection.
Deficiencies (9)
IFC 903.5 2009, 2012, 2015, 2018 - Facility was unable to provide fire sprinkler system documentation including quarterly inspection reports for Q1, Q2, Q3 of 2022, last 3-year full flow trip test report, and last 5-year inspection/test report.
IFC 701.5 2018 - Storage room across from Apt. 117 has multiple ceiling penetrations around piping above storage rack located on corridor wall.
IFC 701.6 2018 WAC 51-54A - Unable to provide annual inventory records showing that all resistance-rated construction was inspected/repaired in the last 12 months.
IFC 705.2 2018 - Unable to provide annual inventory records showing that all fire-rated doors were annually inspected, tested and repaired in the last 12 months.
IFC 706.1 2018 - Unable to provide documentation showing that fire/smoke damper inspection and testing has been performed in the last four years.
IFC 915.6 2018 - Unable to provide documentation showing that monthly inspection of the facility's carbon monoxide alarms has been performed in the past 12 months.
IFC 1031.10.1 2018 - Unable to produce documentation showing that monthly visual inspections of the facility's emergency lighting and exit signs have been performed in the last 12 months.
IFC 1203.4 2018 - Facility was unable to produce their fire safety emergency plans during time of inspection, in accordance with WAC 212-12-040.
WAC 212-12-044 - Facility failed to conduct and/or document fire drills in the past 12 months; staff stated drills have not been performed and previous records cannot be located.
Report Facts
Fire drills required: 12
Fire drills scheduled: 3
Inspection Report — Nov 21, 2022
Complaint Investigation
Date: Nov 21, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to a reported outbreak of COVID-19 at the facility.
Complaint Details
Complaint numbers 56262 and 55286 were investigated regarding infection control related to a COVID-19 outbreak. The investigation confirmed the allegations and citations were issued.
Findings
The facility was found not wearing eye protection and not testing all employees and residents for COVID-19 during outbreak status. The facility was educated on eye protection usage and testing parameters, immediately instructed staff to wear eye protection, and provided it onsite. The facility stated they will initiate testing for all staff and residents immediately. A failed provider practice was identified and citations were written.
Deficiencies (1)
WAC 388-78A-2610 Infection control. The facility failed to institute appropriate infection control practices by not wearing eye protection and not testing all employees and residents for COVID-19 during outbreak status. The facility was educated and immediately corrected the issue onsite.
Report Facts
Total residents: 51
Resident sample size: 1
Closed records sample size: 1
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