Inspection Reports for
Prestige Senior Living Monticello Park

WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify the resident's physician and representatives of an incident resulting in a change in condition and hospitalization for one sampled resident. Documentation and notification were not provided as required.

WAC 388-78A-2305 Food sanitation. The facility failed to ensure their kitchen was properly cleaned, placing residents at risk for foodborne illnesses due to grease buildup and dirty kitchen appliances.

WAC 388-78A-2610 Infection control. The facility failed to implement isolation procedures for residents with influenza and failed to restrict symptomatic staff from working, placing residents and staff at risk of respiratory illness exposure.

WAC 388-78A-2640 (1)(a)(b)(3)(a)(b) Reporting significant change in a resident's condition. The licensee failed to notify the resident's physician and representatives when the resident had an incident resulting in hospitalization. This failure resulted in the physician and representatives not being notified.

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 fire doors as required; fire doors had combustible items attached and gaps greater than allowed, failing fire code compliance.

WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to ensure a Washington state name and date of birth background check was completed every two years for 1 of 2 sampled staff.

WAC 388-78A-2140 Negotiated service agreement contents. The assisted living facility must develop, and document in the resident's record, the agreed upon plan to address and support each resident's assessed capabilities, needs and preferences. The facility failed to document the plan to provide specific resident identified care and service needs for 9 of 12 sampled residents.

WAC 388-78A-2090 Full assessment topics. The assisted living facility must obtain sufficient information to assess the capabilities, needs, and preferences for each resident and complete a full assessment within fourteen days of the resident's move-in date. The facility failed to complete a full assessment within 14 days for 3 of 5 sampled residents.

WAC 388-78A-2130 Service agreement planning. The assisted living facility must develop an initial resident service plan and update negotiated service agreements as necessary. The facility failed to complete the negotiated service agreement within 30 days of admission and/or document resident or representative involvement for 5 of 12 sampled residents.

WAC 388-78A-2474 Training and home care aide certification requirements. The facility must ensure all administrators, designees, and caregivers meet long-term care worker training requirements including continuing education. The facility failed to ensure 1 of 2 sampled staff completed required continuing education hours.

WAC 388-78A-2480 Tuberculosis Testing Required. The facility must ensure each staff person is screened for tuberculosis within three days of employment. The facility failed to complete tuberculosis testing for 2 of 3 sampled staff within three days of employment.

Admin - (ITM) Inspection, Testing, & Maintenance - Fire door inspection shall be completed. Fire door shall be in compliance with NFPA 80.

Inspection and Maintenance (IFC 705.2 2021) - Opening protectives in fire-resistance-rated assemblies shall be inspected and maintained in accordance with NFPA 80. Fire doors and smoke and draft control doors shall not be blocked, obstructed, or otherwise made inoperable.

WAC 388-78A-2040 (2) Other requirements. The licensee failed to stay in compliance with local and state fire ordinances for the assisted living facility, placing all residents, visitors, and staff at risk of injury and harm in the event of a fire.

IFC 705.2 2021 - Facility failed to maintain fire doors as required. Fire doors were found with combustible items attached and gaps greater than allowed. Fire door inspection must be completed and doors brought into compliance with NFPA 80.

IFC 705.2 2021 - Facility failed to maintain fire doors as required. Fire doors throughout found with combustible items attached and with gaps greater than allowed. Fire door inspection shall be completed and doors brought into compliance with NFPA 80.

IFC 904.13.5.2 2021 - Facility failed to provide semi annual hood system inspection report. Instructions shall be provided to new employees on use of portable fire extinguishers and manual actuation of fire-extinguishing system. Records of compliance shall be maintained and available to authority having jurisdiction.

IFC 1032.10.1 2021 - Facility failed to provide monthly emergency light testing.

IFC 1031.10.2 2021 - Facility failed to provide annual emergency light testing.

IFC 705.2 2021 - Facility failed to maintain fire doors as required. Fire doors were found with combustible items attached and gaps greater than allowed. Fire door inspection is incomplete and must comply with NFPA 80.

IFC 904.13.5.2 2021 - Facility failed to provide semi annual hood system inspection report. Instructions on fire extinguisher use and manual actuation must be provided to new and all employees annually. Records of compliance must be maintained.

IFC 1032.10.1 2021 - Facilities failed to provide monthly emergency light testing.

IFC 1031.10.2 2021 - Facility failed to provide annual emergency light testing.

IFC 705.2 2021 - Facility failed to maintain fire doors as required. Fire doors were found with combustible items attached and gaps greater than allowed. Fire door inspection must be completed and doors brought into compliance.

IFC 904.13.5.2 2021 - Facility failed to provide semi-annual hood system inspection report. Instructions on fire extinguisher use and maintenance records were also not provided or maintained.

IFC 1032.10.1 2021 - Facilities failed to provide monthly emergency light testing as required.

IFC 1031.10.2 2021 - Facility failed to provide annual emergency light testing by operating equipment on battery power for at least 90 minutes.

IFC 705.2 (2021) - Facility failed to maintain fire doors as required. Fire doors throughout found with combustible items attached and with gaps greater than allowed. Fire door inspection shall be completed and doors brought into compliance with NFPA 80.

IFC 904.13.5.2 (2021) - Facility failed to provide semi-annual hood system inspection report. Instructions on fire extinguisher use and manual actuation must be provided to new and all employees annually. Records of compliance must be maintained and available.

IFC 1032.10.1 (2021) - Facilities failed to provide monthly emergency light testing as required.

IFC 1031.10.2 (2021) - Facility failed to provide annual emergency light testing by operating equipment on battery power for not less than 90 minutes.

IFC 603.2.2 (2021) - Missing electrical receptacle cover in activities area.

IFC 603.4 (2021) - Facility failed to maintain minimum space around electrical panels as required; corrected during inspection.

IFC 606.4 (2021) - Kitchen cooking appliances failed to be properly restrained against movement.

IFC 610.1.2 (2021) - Clothes dryer found to have holes in ducting and bad bearing on second floor.

IFC 806.1.1 (2021) WAC 51-54A - Live wreath found hanging on door at room 124, prohibited in restricted occupancies.

IFC 903.5 (2021) - Facility failed to provide 5 year fire department connection hydrostatic inspection. Fire sprinkler heads found loaded throughout building; kitchen sprinkler heads require replacement due to excessive grease coating.

IFC 904.13 (2021) WAC 51-54A - Signage missing on exhaust hood/system cabinet indicating type and arrangement of cooking appliances protected by automatic fire-extinguishing system. Large gaps found between hood filters.

IFC 906.2 (2021) - Fire extinguishers found blocked in kitchen and activities area.

IFC 907.8 (2021) - Pull station in activities area found blocked by plant.

IFC 5303.5.3 (2021) - Unsecured oxygen cylinder found in RCA office.

IFC 1604 (2021) - Facility failed to provide fire drills once per shift per quarter as required.

WAC 388-78A-2210 Medication services. The assisted living facility failed to ensure residents were receiving their medications within an hour of the prescribed times.

WAC 388-78A-2350 Coordination of health care services. The facility failed to coordinate care and services from an external provider and integrate external provider information into the Negotiated Service Agreement for 1 of 6 sampled residents, placing the resident at risk for unmet care needs.

WAC 388-78A-2100 On-going assessments. The assisted living facility must complete an assessment specifically focused on a resident's identified problems and related issues when the resident's negotiated service agreement no longer addresses the resident's current needs and preferences. The facility failed to ensure change of condition assessments were completed for 2 of 11 sampled residents after hospitalization and skilled nursing facility stays, placing residents at risk of unmet care needs.

WAC 388-78A-2140 Negotiated service agreement contents. The assisted living facility must develop and document in the resident's record the agreed upon plan to address and support each resident's assessed capabilities, needs and preferences. The facility failed to document necessary health support services from outside providers and specific resident care needs for 4 of 11 sampled residents, placing residents at risk for unmet care needs and services not provided per the agreement.

IFC 315.3.3 2015 - Combustible material shall not be stored in boiler rooms, mechanical rooms or electrical equipment rooms. Mechanical room found to have storage.

IFC 605.6 - Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes. Missing junction box cover in maintenance office and theater.

IFC 701.6 2018 WAC 51-54A - Owner shall maintain an inventory of all required fire-resistance-rated construction and properly repair or replace damaged elements. Facility failed to provide annual fire rated construction inspection report and failed to maintain fire rated construction in mechanical room floor 1.

IFC 703.2.2 - Hold-open devices and automatic door closers shall be maintained and doors shall remain closed when device is out of service. Resident room 217 door fails to be self closing.

IFC 806.1.1 2015, 2018 WAC 51-54A - Natural cut trees are prohibited in certain occupancies. Live wreath found on resident door 306.

IFC 903.5 2009, 2012, 2015, 2018 - Sprinkler systems shall be tested and maintained per Section 901. Facility failed to provide multiple required sprinkler system tests including 3 year dry sprinkler trip test, annual forward flow, 5 year internal, 5 year fdc hydro, quarterly fire sprinkler inspection, partial trip test, and 20 year fire sprinkler testing.

IFC 915.6 2018 - Carbon monoxide alarms and detection systems shall be maintained and replaced if inoperable or end-of-life. Facility fails to provide monthly carbon monoxide detector testing.

IFC 1031.10.1 2018 - Emergency lighting equipment shall be tested monthly for at least 30 seconds and inspected visually. Facility fails to provide monthly emergency light testing.

IFC 1031.10.2 2018 - Battery-powered emergency lighting equipment shall be tested annually by operating on battery power for not less than 90 minutes. Facility fails to provide annual emergency light testing.