11 Reports
Inspection Report — Jul 6, 2026
Follow-Up
Date: Jul 6, 2026
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire safety code compliance.
Complaint Details
The complaint investigation (Complaint #217760) concerned non-compliance with life safety (fire) code. The investigation found failed fire marshal inspections and deficiencies which the facility acknowledged and worked to correct.
Findings
The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The facility failed to ensure that 1 licensed facility met and provided a safe environment approved by the State Fire Marshal, placing residents at risk of harm and fire hazards. The facility failed annual and re-inspections on 03/19/2026 and 04/18/2026.
Report Facts
Total residents: 43
Resident sample size: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Harrison Udoye | Community Complaint Investigator | Conducted the complaint investigation and on-site verification |
Inspection Report — Mar 19, 2026
Re-Inspection
Date: Mar 19, 2026
Visit Reason
The inspection was a re-inspection conducted by the Office of the State Fire Marshal to verify correction of previously cited deficiencies related to fire safety and maintenance.
Findings
The report cites multiple deficiencies related to testing, maintenance, documentation, and fire safety equipment. None of the deficiencies were corrected at the time of inspection, and additional documentation is required to verify correction prior to the next re-inspection.
Deficiencies (11)
IFC 903.5 2021 Sprinkler systems shall be tested and maintained in accordance with Section 901. The following documentation was not provided: Annual forward flow test (NFPA 25 13.7.2).
IFC 701.6 2021 The owner shall maintain an inventory of all required fire-resistance-rated construction and maintain records of inspections and repairs. Facility must maintain detailed documentation and maps of fire-rated construction locations, including annual inspection reports detailing testing dates, modifications, and repairs.
IFC 904.13.5.2 2021 Automatic fire-extinguishing systems shall be serviced semi-annually. The following documentation was not provided: First and second semi-annual servicing reports.
IFC 907.8 2021 The maintenance and testing schedules and procedures for fire alarm and fire detection systems shall be maintained. Annual report documentation was not provided.
IFC 705.2.4 2021 Swinging fire doors shall close from the full-open position and latch automatically. Several doors including 3rd floor double doors #50 by room 303, 2nd floor double doors breeze way, and kitchen main door do not latch or close properly.
IFC 903.5 2021 Sprinkler systems shall be tested and maintained in accordance with Section 901. Documentation was missing for annual sprinkler system report, annual trip test, annual forward flow test, quarterly inspection reports, 5-year internal pipe testing, and 5-year FDC hydro testing.
IFC 904.13.5.2 2021 Automatic fire-extinguishing systems shall be serviced semi-annually. Documentation for first and second semi-annual servicing reports was not provided.
IFC 906.9.1 2021 Portable fire extinguishers shall be installed properly. Kitchen has 2 fire extinguishers out of compliance.
IFC 907.8 2021 The maintenance and testing schedules and procedures for fire alarm and fire detection systems shall be maintained. Annual report documentation was not provided.
IFC 1031.10.2 2021 Battery-powered emergency lighting equipment shall be tested annually for not less than 90 minutes. Annual 90 minute power test had not been performed or documented.
IFC 705.2.4 2021 Kitchens janitor closet is missing a fire rated door and the door frame has a fire rated tag that has been painted over.
Inspection Report — Dec 1, 2025
Re-Inspection
Date: Dec 1, 2025
Visit Reason
The inspection was a re-inspection conducted by the Office of the State Fire Marshal to verify correction of previously cited deficiencies related to fire safety and maintenance at the Peters Creek Retirement Community.
Findings
Multiple deficiencies were cited due to missing documentation for required inspections, testing, and maintenance of fire safety systems. The facility was disapproved due to incomplete records and missing reports for fire drills, sprinkler systems, fire doors, extinguishing systems, and carbon monoxide detection. No corrections were noted as completed at the time of inspection.
Deficiencies (14)
IFC 701.6 2021 - The owner must maintain an inventory of all required fire-resistance-rated construction and visually inspect and repair as needed. Records of inspections and repairs must be maintained and accessible.
IFC 903.5 2021 - Sprinkler systems must be tested and maintained according to Section 901, with required documentation provided.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems must be serviced at least semi-annually with certificates forwarded to the fire code official.
IFC 907.8 2021 - Fire alarm and detection systems must be maintained and tested per Sections 907.8.1 through 907.8.5 and NFPA 72, with records kept.
NFPA 80 Fire Door Inspection and Testing - Fire doors, shutters, and window assemblies must be inspected and tested at installation and at least annually with detailed records maintained.
IFC 405.2 2021 - Fire drills must be held at unexpected times simulating fire conditions with records maintained including drill details and participants.
IFC 606.3.3.1 2021 - Hoods, grease-removal devices, fans, ducts, and appurtenances must be inspected and cleaned at required intervals with documentation provided.
IFC 705.2.4 2021 - Swinging fire doors must close from full-open position and latch automatically; observed doors failed to latch properly.
IFC 903.5 2021 - Required sprinkler system tests including annual sprinkler system report, trip test, forward flow test, quarterly inspections, and 5-year internal pipe and hydro testing were not documented.
IFC 904.13.5.2 2021 - Semi-annual servicing reports for automatic fire-extinguishing systems were not provided.
IFC 906.9.1 2021 - Portable fire extinguishers must be installed properly; kitchen had two extinguishers out of compliance.
IFC 907.8 2021 - Annual reports for inspection, testing, and maintenance of fire alarm and detection systems were not provided.
IFC 915.1 2021 WAC 51-54A - Carbon monoxide detection systems must be installed and maintained with detailed documentation; facility lacked required documentation and maps.
NFPA 80 Fire Door Inspection and Testing - Kitchen janitor's closet missing fire rated door and door frame had painted fire rated tag.
Report Facts
Missing fire drills: 12
Missing fire extinguisher compliance: 2
Missing fire door inspections: 2
Inspection Report — Aug 15, 2025
Enforcement
Date: Aug 15, 2025
Visit Reason
This document is a formal notice of a civil fine imposed on Peters Creek Retirement Community following a follow-up visit by the Department of Social and Health Services Residential Care Services on August 15, 2025, due to violations related to staff continuing education requirements.
Findings
The licensee failed to ensure three staff completed required continuing education, placing all 46 residents at risk of inadequate care. This deficiency was uncorrected and previously cited on July 9, 2025, resulting in a $400 civil fine.
Deficiencies (1)
WAC 388-112A-0611 (1)(a)(ii)(2) Who in an assisted living facility is required to complete continuing education training each year, how many hours of continuing education are required, and when must they be completed. The licensee failed to ensure three staff completed continuing education as required.
Report Facts
Civil fine amount: 400
Residents at risk: 46
Staff not completing continuing education: 3
Inspection Report — Aug 14, 2025
Follow-Up
Date: Aug 14, 2025
Visit Reason
The department completed an unannounced on-site follow-up inspection to verify correction of previously cited deficiencies related to continuing education training for staff.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to staff continuing education training were corrected.
Deficiencies (1)
WAC 388-112A-0611 Who in an assisted living facility is required to complete continuing education training each year, how many hours of continuing education are required, and when must they be completed? The facility failed to ensure 3 of 3 sampled staff completed the required continuing education training, placing all residents at risk of inadequate care.
Report Facts
Sampled residents: 9
Total residents: 46
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Medication Technician | Failed to complete required continuing education training |
| Staff X | Assisted Living Director | Failed to complete required continuing education training |
| Staff Y | Caregiver | Failed to complete required continuing education training |
Inspection Report — Oct 1, 2024
Life Safety
Date: Oct 1, 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 current inspection found no outstanding deficiencies and the facility was approved.
Inspection Report — Mar 14, 2024
Follow-Up
Date: Mar 14, 2024
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 found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Inspection Report — Aug 8, 2023
Life Safety
Date: Aug 8, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the facility on 8/8/2023 to verify correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected as of the 8/8/2023 inspection. The facility was approved with no open deficiencies at this visit.
Deficiencies (9)
IFC 701.6 - Annual inspection of fire-resistance-rated construction paperwork was not provided at the time of inspection.
IFC 705.2/NFPA 80 5.2 - Fire door annual inspection paperwork was not provided at the time of inspection.
IFC 706.1/NFPA 80 19.5.1 - Fire/smoke damper 4-year inspection paperwork was not provided at the time of inspection.
IFC 705.2.4 - Several fire doors would not latch or close properly, including doors by residents rooms 208D and 211, and the stairwell door on the main floor.
IFC 915.6 - Carbon Monoxide Alarms and Detectors testing and maintenance paperwork was not provided; a detector outside the laundry room in the basement was found not working (resolved at time of inspection).
WAC 212-12-044 - Facility could not provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months.
NFPA 10.7.2 - Monthly inspection by Facility Maintenance Log was not provided at the time of inspection.
NFPA 72 10.6.5.4 - Where a circuit breaker is the disconnecting means, an approved breaker locking device was not installed.
IFC 901.6 - Need to have a wrench to replace sprinkler heads; it should be found in the replacement sprinkler heads box.
Report Facts
Deficiencies cited: 9
Inspection Report — Jun 27, 2023
Life Safety
Date: Jun 27, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
The inspection identified multiple deficiencies including non-latching fire doors, missing required paperwork for fire-resistance-rated construction, carbon monoxide alarms testing, fire/smoke damper inspection, fire door annual inspection, and documentation of fire drills. Many deficiencies were corrected on site, but the overall status remains Disapproved due to outstanding paperwork and unresolved issues.
Deficiencies (12)
IFC 604.3 (2018) - A working space of not less than 30 inches in width, 36 inches in depth, and 78 inches in height shall be provided in front of electrical service equipment. Storage of materials shall not be located within the designated working space.
IFC 604.4.2 (2018) - Relocatable power taps shall be directly connected to a permanently installed receptacle.
IFC 701.6 (2018) WAC 51-54A - The owner shall maintain an inventory of all required fire-resistance-rated construction and visually inspect it annually. Records of inspections and repairs shall be maintained.
IFC 705.2.4 (2018) - Swinging fire doors shall close from the full-open position and latch automatically. Several doors would not latch or close.
IFC 901.6 (2018) - Fire detection and alarm systems, emergency alarm systems, and related equipment shall be maintained in operative condition at all times.
IFC 915.6 (2018) - Carbon monoxide alarms and detectors shall be maintained and replaced when inoperable or producing end-of-life signals. Testing and maintenance paperwork was not provided.
IFC 1013.6.1 (2015, 2018) - Externally illuminated exit signs shall comply with legibility and illumination requirements.
NFPA Standard 10 Section 6.3.4 - Each fire extinguisher shall have a tag indicating the month and year maintenance was performed and the person performing the service.
NFPA 72 10.6.5.4 - Where a circuit breaker is the disconnecting means, a listed breaker locking device shall be installed.
IFC 706.1/NFPA 80 19.5.1 - Fire/smoke dampers shall be inspected and tested 1 year after installation and every 4 years thereafter. The 4-year inspection paperwork was not provided.
IFC 705.2/NFPA 80 5.2 - Fire doors shall be inspected and tested annually with records maintained. The annual inspection paperwork was not provided.
WAC 212-12-044 - At least twelve planned and unannounced fire drills shall be held annually with detailed written records maintained. Facility could not provide documentation for the previous 12 months.
Report Facts
Number of fire drills required annually: 12
Inspection Report — Dec 2, 2022
Follow-Up
Date: Dec 2, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The Department found no deficiencies during the follow-up inspection and determined that the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Report Facts
Residents at risk due to water temperature: 52
Residents at risk due to unsafe environment: 11
Residents at risk due to medication administration failure: 1
Residents at risk due to fire safety noncompliance: 53
Residents at risk due to food worker card noncompliance: 53
Residents at risk due to background check noncompliance: 53
Residents at risk due to pet health noncompliance: 53
Inspection Report — Nov 21, 2022
Complaint Investigation
Date: Nov 21, 2022
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal on 11/21/2022 to verify correction of previous violations related to fire safety at Peters Creek Retirement Community.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Viewing
Loading inspection reports...
