3 Reports
Inspection Report — Feb 12, 2026
Life Safety
Date: Feb 12, 2026
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire protection inspection at the Royal Park Retirement Center.
Findings
The inspection found multiple fire safety and maintenance items, most of which were corrected on site or noted as completed. The facility received an overall approval status.
Deficiencies (41)
Admin - (ITM) Inspection, Testing, & Maintenance - Any citation requiring inspection, testing, or maintenance (ITM) must have testing completed and deficiencies corrected before clearance. Extension requested and approved until 2/11/26.
IFC 509.2 (2021) - Approved access must be maintained for all fire protection system equipment to permit immediate safe operation and maintenance. Storage or trash must not block access.
IFC 603.1 (2021) - Electrical equipment, wiring, and systems must be installed and maintained per NFPA 70 and Sections 603.2 through 603.10.
IFC 603.4 (2021) - Working space and clearances around electrical equipment must meet NFPA 70 requirements for safe operation and maintenance.
IFC 603.5 (2021) - Relocatable power taps and current taps must be constructed and used in accordance with NFPA 70 and code.
IFC 603.6 (2021) - Extension cords shall not substitute permanent wiring and must be listed and labeled per UL 817. They must not be affixed or subject to damage.
IFC 606.3.3 (2021) - Hoods, grease-removal devices, fans, ducts, and appurtenances must be cleaned at required intervals.
IFC 701.6 (2021) - Owner must maintain inventory of required fire-resistance-rated construction and inspect annually.
IFC 705.2 (2021) - Opening protectives in fire-resistance-rated assemblies must be inspected and maintained per NFPA 80 and 105.
IFC 705.2.4 (2021) - Swinging fire doors must close from full-open position and latch automatically.
IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings must be inspected and maintained per NFPA 80 and 105.
IFC 903.5 (2021) - Sprinkler systems must be tested and maintained per Section 901.
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 fire code official.
IFC 906.2 (2021) - Portable fire extinguishers must be selected, installed, and maintained per NFPA 10 with required inspections and testing.
IFC 907.10 (2021) - Smoke alarms must be tested and maintained per manufacturer's instructions and replaced when inoperable or over 10 years old.
WAC 388-915.6 (2021) - Carbon monoxide alarms and detectors must be maintained and replaced when inoperable or end-of-life signals occur.
IFC 1032.10.1 (2021) - Emergency lighting equipment must be tested monthly for at least 30 seconds with visual inspection for trouble indicators.
IFC 1031.10.2 (2021) - Battery-powered emergency lighting must be tested annually for at least 90 minutes.
IFC 1203.4 (2021) - Emergency and standby power systems must supply service within required timeframes per NFPA 110 and 111.
IFC 1203.4 (2021) - Facility failed to conduct or document required weekly/visual inspections of generator for last 2 months (Oct-Nov 2025).
IFC 603.2.2 (2021) - Open electrical junction boxes and open wiring splices are prohibited; approved covers must be provided.
IFC 603.4 (2021) - Working space and clearances around electrical equipment must be maintained per NFPA 70.
IFC 603.5 (2021) - Relocatable power taps and current taps violations observed in resident rooms including daisy chained extension cords and improper use of power strips.
IFC 603.6 (2021) - Extension cords violations observed including daisy chained extension cord in room 201.
IFC 606.3.3 (2021) - Facility unable to provide documentation for semi-annual hood cleaning for first half of 2025.
IFC 701.6 (2021) - Facility unable to provide documentation that annual fire wall inspection has been completed; last report dated 10/22/24.
IFC 704.1 and 704.2 (2021) - Voids and joints violations observed due to water leakage penetration in laundry room wall not repaired.
IFC 705.2 (2021) - Annual fire door inspection incomplete with multiple doors and frames having penetrations or maintenance issues.
IFC 705.2.4 (2021) - Door operation violations including stairwell doors wedged open and push bars loose.
IFC 706.1 (2018) - Duct and air transfer openings violations including missing ceiling penetration grate in first floor garbage room.
IFC 903.5 (2021) - Sprinkler system violations including missing fire sprinkler monitoring cover and required forward flow testing not performed.
IFC 906.2 (2021) - Portable fire extinguisher maintenance violations including missing monthly inspections in elevator and front office.
IFC 1203.4 (2021) - Facility failed to provide documentation for required weekly/visual inspections of generator for last 2 months (Oct-Nov 2025).
IFC 907.10 (2021) - Facility unable to provide documentation for monthly single and multiple station smoke alarm testing for past 12 months.
WAC 388-915.6 (2021) - Facility unable to provide documentation for monthly carbon monoxide detector maintenance for past 12 months.
IFC 1032.10.1 (2021) - Facility unable to provide documentation for monthly 30 second emergency lighting tests and East stairwell exit sign illumination.
IFC 1031.10.2 (2021) - Facility unable to provide documentation for annual 90 minute power test for emergency lights for past 12 months.
IFC 1203.4 (2021) - Facility failed to conduct or document required weekly/visual inspections of generator for last 2 months (Oct-Nov 2025).
IFC 602.6.2 (2021) - Painting violations including sprinkler covers painted improperly and cover plates needing replacement.
IFC 602.7 (2021) - Missing fire sprinkler escutcheons in multiple locations including stairwell, resident room 201, east stairwell, and wellness room.
NFPA 80 (2025) - Facility unable to provide documentation for completion of twelve planned and unannounced fire drills in previous 12 months with missing drills for multiple quarters.
Report Facts
Deficiencies cited: 39
Inspection Report — Oct 8, 2025
Complaint Investigation
Date: Oct 8, 2025
Visit Reason
The department conducted an unannounced on-site full inspection and complaint investigation of the Assisted Living Facility based on complaint numbers 196793 and 196638.
Complaint Details
The investigation referenced complaint numbers 196793 and 196638. The deficiency regarding home-care aide certification was substantiated as the facility failed to ensure certification for one staff member. Additionally, a consultation was provided for electronic monitoring reevaluations that were past due but corrected before inspection finalization.
Findings
The facility was found not in compliance due to failure to ensure home-care aide certification for one of five staff, placing residents at risk. The report includes a deficiency related to training and certification requirements and a consultation regarding electronic monitoring reevaluations.
Deficiencies (1)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure that home-care aide certification was completed by one of five staff, placing residents at risk due to care from untrained staff.
Report Facts
Sampled residents: 13
Total current residents: 87
Former residents: 1
Staff without certification: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Caregiver | Named in deficiency for failure to complete home-care aide certification. |
| Staff F | Director of Nursing | Provided interview statement regarding Staff B's certification status. |
Inspection Report — Feb 15, 2024
Follow-Up
Date: Feb 15, 2024
Visit Reason
The Department of Social and Health Services conducted a full inspection and complaint investigation of the Assisted Living Facility on 02/15/2024 due to complaints and licensing compliance review.
Complaint Details
The complaint investigation involved two complaint numbers (115954, 115768) and included review of 9 of 87 current residents. The investigation found multiple deficiencies related to maintenance, staff tuberculosis testing, specialty training, CPR certification, and respirator fit testing.
Findings
The facility was found not in compliance with several licensing laws and regulations as detailed in the Statement of Deficiencies. Multiple deficiencies related to maintenance, tuberculosis testing, specialty training, CPR certification, and respirator fit testing were cited. A follow-up inspection on 04/03/2024 found no deficiencies and the facility met licensing requirements.
Deficiencies (5)
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to ensure the emergency exit flooring was kept in good repair, creating a fall risk at one of four emergency exits.
WAC 388-78A-2483 Tuberculosis One test. The facility failed to ensure staff tuberculosis testing was completed for one of six staff, placing residents at risk of exposure.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure staff received both required TB skin tests within specified timeframes for two of six sampled staff.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure staff completed specialty training for dementia and mental health and cardiopulmonary resuscitation and first aid certification for one of six sampled staff each.
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to ensure staff completed respirator fit testing for two of six sampled staff, risking exposure to infectious diseases.
Report Facts
Current residents: 87
Sampled residents: 9
Sampled staff: 6
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