Inspection Reports for
Weatherly Inn Kent

WAC 388-78A-2210 Medication services. The facility failed to ensure safe medication systems when medications for 3 residents were prepared in advance and not properly labeled, placing residents at risk for harm and medication errors.

IFC 604.10 (2018) - Portable electric space heaters are permitted only where allowed by code. The reception desk has an unapproved heater.

IFC 604.4.4 (2018) - Multipurpose adapters not complying with NFPA 70 are prohibited. The reception desk has an unapproved multi plug adapter in use.

IFC 604.4.3 (2018) - Power cords must not extend through walls or be subject to damage. The employee break room has a power strip dangling in the air.

IFC 604.5 (2018) - Extension cords must be listed, labeled, and used only with portable appliances. Extension cords were found in patio garden areas, salon, and reception desk plugged into multi plug adapter.

IFC 607.3.3.3 (2018) - Records of inspections and cleanings must be maintained. The facility was unable to provide documentation for annual and semi-annual hood cleaning.

IFC 701.6 (2018) WAC 51-54A - Owner must maintain inventory and records of fire-resistant construction inspections and repairs. The facility was unable to provide records of annual fire wall inspection and repairs.

IFC 703.1 (2018) - Fire-resistance rated membrane penetrations must be maintained. The clean linen room on level 3 is missing 2 ceiling tiles and has wall penetrations above ceiling tiles and in fire alarm breaker room.

IFC 705.2 (2018) - Opening protectives must be inspected and maintained. The facility was unable to provide inventory record of annual inspection and repairs for fire-resistant-rated doors.

IFC 705.2.4 (2018) - Swinging fire doors must close and latch automatically. Five doors including Designer Closet and Maintenance janitor closet did not close or latch properly.

IFC 706.1 (2018) - Dampers protecting ducts and air transfer openings must be inspected and maintained. The facility was unable to provide documentation for last fire/smoke damper testing and maintenance.

IFC 901.6 (2018) - Fire detection and alarm systems must be maintained operable. The facility has dirty sprinkler heads throughout.

IFC 903.5 (2009, 2012, 2015, 2018) - Sprinkler systems must be tested and maintained. The facility was unable to provide annual and quarterly fire sprinkler inspection documentation.

IFC 904.12.6.2 - Automatic fire-extinguishing systems must be serviced at least every 6 months. The kitchen suppression system has not been serviced annually and semi-annually as required.

IFC 906.6 (2015, 2018) - Portable fire extinguishers must not be obstructed. The class K extinguisher in the kitchen is blocked by two carts.

IFC 907.8.1 (2018) - Fire alarm and detection systems must be inspected and maintained. The facility was unable to provide record of annual fire alarm inspection.

IFC 915.6 (2018) - Carbon monoxide alarms must be maintained and tested. The facility was unable to provide documentation of CO detector testing in past 12 months.

IFC 1010.1.3 (2015, 2018) - Door opening force must not exceed 5 pounds. The right exit door by the car will not open.

IFC 1203.4 (2018) - Emergency and standby power systems must be maintained and tested. The facility lacks documentation of annual servicing, weekly inspections, and 30-minute full load test of emergency generator.

IFC 5303.5.3 (2018) - Compressed gas containers must be secured to prevent falling. The facility has unsecured oxygen in their oxygen supply room.

NFPA 72 10.6.5.2 - Fire alarm circuit breaker must be accessible and properly marked. The fire alarm circuit breaker in the fire alarm breaker room is missing the required lock device in the ON position.

WAC 212-12-044 - Fire drills must be held quarterly and documented. The facility was not able to provide documentation for planned and unannounced fire drills in the previous 12 months.

WAC 388-78A-2485 Tuberculosis Positive test result. The facility failed to ensure that staff with positive tuberculosis test results received required chest X-rays and medical evaluations, placing residents at risk of exposure. This deficiency was recurring and uncorrected at the time of inspection.

WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure that two staff were screened for tuberculosis within required timeframes, placing residents at risk of exposure.

WAC 388-78A-2600 Policies and procedures. The facility failed to implement the required respiratory protection program policy for 5 of 67 staff, placing residents at risk of infectious disease transmission.

WAC 388-78A-2520 Administrator qualifications General. The facility appointed an administrator who did not meet Washington State qualifications and requirements, placing residents at risk of unmet care needs.

WAC 388-78A-2485 Tuberculosis Positive test result. The facility failed to ensure one staff with a positive tuberculosis skin test received a chest X-ray and medical evaluation, placing residents at risk.

WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure two staff were screened for tuberculosis within required timeframes, placing residents at risk.

WAC 388-78A-2600 Policies and procedures. The facility failed to implement the required respiratory protection program policy for 32 of 62 staff, placing residents at risk of infectious disease transmission.

WAC 388-78A-2570 Notification of change in administrator. The facility failed to notify the department within 10 calendar days of a change in administrator, limiting transparency and placing residents at risk.

WAC 388-78A-2485 (1)(2) Tuberculosis—Positive test result. The licensee failed to ensure one staff had a chest X-ray or was medically evaluated after a positive blood test for tuberculosis. This failure placed all residents at risk of exposure to Tuberculosis and infectious disease.

WAC 388-78A-2485 (1)(2) Tuberculosis Positive test result. The licensee failed to ensure one staff had a chest X-ray after a positive tuberculosis skin test, placing residents at risk of exposure. This deficiency was previously cited and remains uncorrected.

WAC 388-78A-2484 (1)(2) Tuberculosis Two step skin testing. The licensee failed to ensure two staff were screened for tuberculosis as required, placing residents at risk of exposure. This deficiency was previously cited and remains uncorrected.

WAC 388-78A-2600 (2)(k) Policies and procedures. The licensee failed to implement the required respiratory protection program policy for five staff, placing residents at risk of contracting and spreading infectious disease. This deficiency was previously cited and remains uncorrected.