Inspection Reports for
The Inn at University Village Assisted Living Community

2723 NE 134th St, Vancouver, WA 98686, United States, WA, 98686

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8 Reports

2024–2026

Inspection Report — Jul 27, 2026

Enforcement
Date: Jul 27, 2026

Visit Reason
This document is a formal notice of a civil fine imposed on the assisted living facility following a follow-up visit due to failure to comply with local and state fire ordinances.

Findings
The facility failed to comply with fire safety requirements, placing residents, visitors, and staff at risk. The violation was uncorrected from a previous citation and resulted in a $300 civil fine.

Deficiencies (1)
WAC 388-78A-2040 Other requirements. The licensee failed to stay in compliance with local and state fire ordinances, placing all residents, visitors, and staff at risk of injury and harm in the event of a fire.
Report Facts
Civil fine amount: 300

Inspection Report — Oct 3, 2025

Life Safety
Date: Oct 3, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.

Findings
The facility was disapproved due to multiple fire safety violations including failure to provide required fire door inspection reports, incomplete fire damper inspections, missing fire sprinkler protection, and failure to maintain fire resistance rated construction and inventory. Several deficiencies remain uncorrected.

Deficiencies (3)
IFC 705.2 (2021) - Facility failed to provide annual fire door inspection report as required. Opening protectives in fire-resistance-rated assemblies were not inspected and maintained.
IFC 706.1 (2018) - Fire dampers lacked inspection completion one year after installation and facility failed to provide documentation of testing. Repairs were not completed or documented.
IFC 903.5 (2021) - Fire sprinkler coverage was incomplete in stairwells and missing fire sprinkler protection was noted.

Inspection Report — Aug 29, 2025

Life Safety
Date: Aug 29, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 08/29/2025.

Findings
The inspection identified several deficiencies related to fire safety systems and maintenance, including missing inspections and documentation. Despite these issues, the overall approval status was Approved, indicating the violations were addressed or not critical at this time.

Deficiencies (6)
IFC 701.6 2021 - Facility failed to provide annual inspection of fire resistance rated construction and inventory as required.
IFC 706.1 2018 - Fire dampers lacked inspection completion one year after installation and facility failed to provide documentation of testing.
IFC 903.5 2021 - Facility failed to provide quarterly fire sprinkler inspection report; sprinkler riser gauge was over 5 years old; missing fire sprinkler protection in stairwells.
IFC 904.13.5 2021 - Facility failed to provide semi-annual hood suppression system inspection and failed to provide required employee training on fire extinguishers and system use.
IFC 906.2 2021 - Fire extinguisher in kitchen was blocked by cart and Class ABC extinguisher was missing.
WAC 212-12-044 - Facility failed to provide fire drill for swing shift during the fourth quarter of 2024 as required.
Report Facts
Next inspection scheduled: Sep 28, 2025

Inspection Report — Aug 28, 2025

Plan of Correction
Date: Aug 28, 2025

Visit Reason
The document reports the results of an Informal Dispute Resolution (IDR) process held on August 28, 2025, addressing a citation from a Statement of Deficiencies dated August 5, 2025.

Findings
The citation WAC 388-78A-2610 from the August 5, 2025 Statement of Deficiencies was deleted after review, resulting in the entire SOD being deleted.

Deficiencies (1)
WAC 388-78A-2610 - Citation deleted following Informal Dispute Resolution review.

Notice — Aug 14, 2025

Date: Aug 14, 2025

Visit Reason
The document confirms the scheduling of a virtual Informal Dispute Resolution meeting requested by the facility to dispute a citation dated August 5, 2025.

Findings
The letter does not contain inspection findings but indicates the facility is disputing citation WAC 388-78A-2610 and outlines the IDR process and participants.

Employees mentioned
NameTitleContext
Erin JonesExecutive DirectorNamed as participant representing the facility in the IDR process.
Cyndi PollardSenior Executive DirectorNamed as participant representing the facility in the IDR process.
Rena SicardDirector of Resident ServicesNamed as participant representing the facility in the IDR process.

Inspection Report — Sep 10, 2024

Life Safety
Date: Sep 10, 2024

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire safety codes and regulations.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

Inspection Report — Jul 31, 2024

Re-Inspection
Date: Jul 31, 2024

Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety violations.

Findings
The facility was found to have multiple unresolved fire safety violations including failure to conduct annual fire extinguisher inspections, failure to provide quarterly fire sprinkler inspections, fire door maintenance issues, and lack of documentation for emergency lighting and fire drills. The overall status is Disapproved indicating violations remain uncorrected.

Deficiencies (9)
WAC 212-12-044 - Facility failed to conduct annual fire extinguisher inspections.
IFC 606.3.3.2 (2021) - Excessive accumulation of grease found in hood system; cleaning shall be conducted.
IFC 705.2 (2021) - Several fire doors failed to meet NFPA 80 requirements including gaps and doors wedged open.
IFC 705.2.4 (2021) - Laundry room door failed to close and latch properly.
IFC 903.5 (2021) - Facility failed to provide quarterly fire sprinkler inspections.
IFC 904.13.5.2 (2021) - Facility failed to provide semi-annual hood suppression system inspection.
IFC 906.2 (2021) - Facility failed to conduct annual fire extinguisher inspections as required.
IFC 1032.10.1 (2021) - Facility failed to provide documentation of monthly emergency lighting testing.
WAC 212-12-044 - Facility failed to provide any fire drills for 2023 as required.
Report Facts
Next inspection scheduled: Aug 30, 2024

Inspection Report — Jun 21, 2024

Follow-Up
Date: Jun 21, 2024

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.

Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.

Report Facts
Sampled residents: 10 Total residents: 38 Former residents: 0 Deficiencies corrected: 20

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