Inspection Reports for
Village Concepts of Issaquah-Spiritwood at Pine Lake

WAC 246-215-02310 Hands and arms—When to wash (FDA Food Code 2-301.14). The licensee failed to ensure one staff followed hand sanitation guidelines in the main commercial kitchen.

WAC 246-215-02305 (5) Hands and arms—Cleaning procedure (FDA Food Code 2-301.12). The licensee failed to ensure one staff followed hand sanitation guidelines in the main commercial kitchen.

WAC 246-215-02410 (1) Hair restraints Effectiveness (FDA Food Code 2-402.11). The licensee failed to ensure one staff followed hand sanitation guidelines in the main commercial kitchen.

WAC 388-78A-2305 (1) Food sanitation. The licensee failed to ensure one staff followed hand sanitation guidelines in the main commercial kitchen, placing 72 residents at risk of food contamination and illness.

WAC 388-78A-2620 (2)(a)(b) Pets. The licensee failed to ensure four pets were current with examinations and certified free of diseases transmittable to humans, placing all 72 residents at risk.

WAC 388-78A-2130 (3)(a)(b) Service agreement planning. The licensee failed to update two residents' Negotiated Service Agreements, risking unmet care needs and worsening medical conditions.

WAC 246-215-02310 Hands and arms When to wash (FDA Food Code 2-301.14). Food employees shall clean their hands and exposed portions of their arms as specified before engaging in food preparation including working with exposed food, clean equipment and utensils, and unwrapped single-service and single-use articles. The facility failed to ensure dishwasher staff followed hand sanitation guidelines, placing residents at risk of food contamination and illness.

WAC 388-78A-2620 Pets. If an assisted living facility allows pets to live on the premises, the facility must ensure animals have regular examinations and immunizations and are certified by a veterinarian to be free of diseases transmittable to humans. The facility failed to ensure 4 pets were current with examinations and free of transmissible diseases, placing residents at risk.

WAC 388-78A-2130 Service agreement planning. The assisted living facility must review and update each resident's negotiated service agreement consistent with WAC 388-78A-2120 within a reasonable time following changes in resident condition. The facility failed to update 2 residents' service agreements, placing them at risk for unmet care needs and worsening conditions.

WAC 388-78A-2700 Emergency and disaster preparedness requires the facility to have first-aid supplies readily available and clearly marked. The facility did not display clearly marked signage for first aid kits throughout the facility.

WAC 388-78A-2260 Storing, securing, and accounting for medications requires medications to be stored in containers with pharmacist-prepared or original manufacturer labels. The facility failed to maintain resident medications in original containers with pharmacy labels and discarded five unlabeled medications.

IFC 315.3.1 (2018) - Storage shall be maintained 2 feet below ceilings in nonsprinklered areas or 18 inches below sprinkler heads. Supplies were stored under sprinklers in storage rooms on the 2nd and 3rd floors.

IFC 315.3.3 (2018) - Combustible material shall not be stored in boiler, mechanical, electrical rooms, or fire command centers. Electrical and boiler rooms were used for storage.

IFC 604.5 (2018) - Extension cords shall not substitute permanent wiring and must be used only with portable appliances. Storage room 321 had daisy chain power strips and extension cords were improperly attached in multiple locations.

IFC 607.3.3 (2018) - Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals. Second semi-annual hood cleaning paperwork was not provided.

IFC 701.6 (2018) - Owner shall maintain and visually inspect fire-resistance-rated construction annually. Annual inspection paperwork was not provided.

IFC 703.1 (2018) - Firestop systems protecting penetrations shall be maintained with no visible openings. Deficiencies were found at storage room by residents' mailboxes, stairwell by room 103, above exit door in dish room, and above fire doors by kitchen.

IFC 705.2.4 (2018) - Swinging fire doors shall close from full-open position and latch automatically. Corridor door and electrical door by resident room 341 will not latch.

IFC 706.1 (2018) / NFPA 80 - Dampers protecting ducts and air transfer openings shall be inspected and maintained. Fire/smoke damper 4-year inspection paperwork was not provided.

IFC 903.5 (2009, 2012, 2015, 2018) - Sprinkler systems shall be tested and maintained per Section 901. Multiple required tests and quarterly inspections paperwork were not provided.

IFC 904.12.5.2 (2018) - Automatic fire-extinguishing systems shall be serviced at least every six months. First and second semi-annual servicing and annual replacement paperwork were not provided.

IFC 907.8 (2018) - Fire alarm and detection systems shall be maintained and tested with records kept. Annual report, sensitivity testing, and nuisance log paperwork were not provided. A device was found not working by resident mail room.

IFC 915.6 (2018) - Carbon monoxide alarms and detectors shall be maintained and replaced if inoperable. A detector was found not working by resident mail room.

IFC 1009.10 (2018) - Directional signage indicating accessible means of egress shall be provided. Exit signs to show direction of egress from courtyard to parking lot were missing.

IFC 705.2 / NFPA 80 5.2 - Fire doors shall be inspected and tested annually with records maintained. Fire door annual inspection paperwork was not provided.

WAC 388-78A-2050 Resident characteristics. The facility failed to determine its ability to safely provide care and services for Resident 1 when medication assistance exceeded the facility's scope of services as identified in the Disclosure of Services.

WAC 388-78A-2160 Implementation of negotiated service agreement. The facility failed to implement the negotiated service agreement for Resident 1 for repositioning every two hours, resulting in pressure ulcers.

WAC 388-78A-2210 Medication services. The facility failed to ensure Resident 1 received medications as prescribed, placing the resident at risk for pain, anxiety, and decreased quality of life.

WAC 388-78A-2600 Policies and procedures. The facility failed to implement its policy for contacting 911 after Resident 3 exhibited bruising and swelling, delaying assessment and treatment for a suspected head injury.