Inspection Reports for
Ciel of Issaquah
23845 SE Issaquah-Fall City Rd, Issaquah, WA 98029, United States, WA, 98029
Back to Facility Profile13 Reports
Inspection Report — May 19, 2026
Enforcement
Date: May 19, 2026
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address previously cited deficiencies and enforce compliance, resulting in the imposition of a civil fine.
Findings
The facility was fined $200 for an uncorrected deficiency related to failure to follow required federal and state regulations for conducting medical tests for one resident. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
WAC 388-78A-2730 (1)(b) Licensee's responsibilities. The licensee failed to follow required federal and state regulations to conduct medical tests in long term care facilities for one resident, placing the resident at risk of potential errors.
Report Facts
Civil fine amount: 200
Inspection Report — Mar 19, 2026
Annual Inspection
Date: Mar 19, 2026
Visit Reason
The Department of Social and Health Services conducted a full inspection of the Assisted Living Facility to determine compliance with licensing laws and regulations.
Findings
The inspection found multiple deficiencies including expired Medical Test Site Waiver license, failure to properly monitor and notify high blood pressure readings, unlocked medication cart, incomplete family medication assistance plan, failure to update individualized service plans, lack of proper food safety practices, incomplete staff tuberculosis testing, incomplete staff training and certification, failure to notify change of administrator timely, failure to properly implement oxygen therapy, and failure to provide exit information for dementia care units. Some deficiencies were corrected by the exit conference.
Deficiencies (14)
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to follow required federal and state regulations to conduct medical tests for 2 sampled residents, placing them at risk of errors from medical tests performed by facility staff.
WAC 246-215-03339 Preventing contamination from equipment, utensils, and linens Wiping cloths, use limitation. The facility failed to test the sanitation solution concentration properly and thaw frozen poultry correctly, and failed to ensure 2 staff had valid food worker cards, placing 76 residents at risk for foodborne illness.
WAC 388-78A-2300 Food and nutrition services. The facility failed to maintain a current dietary manual reviewed and signed by a Registered Dietician for the main kitchen, placing 76 residents at risk of incorrect diets.
WAC 388-78A-2570 Notification of change in administrator. The facility failed to notify the Department of a change in administrator within 10 days for 2 sampled staff, placing 76 residents at risk.
WAC 388-78A-2483 Tuberculosis One test. The facility failed to complete one TB test within 3 days of employment for 2 sampled staff with a history of negative blood test, placing 76 residents at risk of tuberculosis exposure.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 1 sampled care staff maintained a valid first-aid card and 2 sampled care staff completed required continuing education, placing 76 residents at risk for decreased quality of care.
WAC 388-78A-2130 Service agreement planning. The facility failed to update individualized service plans for 2 sampled residents, placing them at risk of unmet care needs and diminished quality of life.
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to ensure 1 of 6 mobile medication carts was locked when unattended, placing residents at risk of injury from unprescribed medication.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to properly implement oxygen therapy for 1 sampled resident, placing the resident at risk for treatment errors and medical complications.
WAC 388-78A-2350 Coordination of health care services. The facility failed to verify medical orders with outside healthcare providers for 1 sampled resident, placing the resident at risk of improper care and potential medical complications.
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to monitor blood pressure of 1 sampled resident properly, placing the resident at risk for compromised health due to medication parameter orders not being followed.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to complete a written family medication assistance plan for 1 sampled resident, placing the resident at risk of not receiving medications as prescribed.
WAC 388-78A-2380 Freedom of movement. The facility failed to provide information for visitors, staff, and external providers on how to exit 2 dementia care units without sounding the alarm, preventing safe departure without staff assistance.
WAC 388-78A-2690 Electronic monitoring equipment Resident requested use. The facility failed to evaluate the need for electronic monitoring and obtain written consent for 1 resident, placing the resident at risk for privacy violation.
Report Facts
Residents in facility: 76
Sampled residents: 9
Sampled residents for follow-up: 6
Mobile medication carts: 6
Residents in Reminiscence Care Unit: 23
Residents in Terrace Club Unit: 21
Inspection Report — Oct 20, 2025
Life Safety
Date: Oct 20, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Sunrise of Issaquah facility on 10/20/2025.
Findings
All violations noted during previous related inspections have been corrected, resulting in an Approved status for this inspection.
Inspection Report — Sep 24, 2025
Complaint Investigation
Date: Sep 24, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's failure to investigate an incident involving a resident found on a third-floor balcony after last being seen on the fourth floor.
Complaint Details
The complaint investigation (Complaint #194870) was triggered by an allegation that the facility failed to investigate an incident involving a resident found on a third-floor balcony. The investigation confirmed the failure and a citation was issued.
Findings
The investigation found that the Assisted Living Facility failed to investigate the circumstances of a resident being found on the third-floor outdoor balcony, which placed the resident at risk. A citation was written for this failure.
Deficiencies (1)
WAC 388-78A-2371 Investigations. The assisted living facility must investigate and document investigative actions and findings for any alleged or suspected abuse, neglect, or incident jeopardizing resident health or life. The facility failed to document an investigation regarding a resident found squatting on the third-floor balcony after last being seen on the fourth floor.
Report Facts
Total residents: 86
Resident sample size: 1
Inspection Report — Sep 10, 2025
Life Safety
Date: Sep 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Sunrise of Issaquah residential care facility on 09/10/2025.
Findings
The inspection found the fire alarm system to be in trouble mode, indicating unresolved fire safety issues. The facility was disapproved due to this unresolved deficiency.
Deficiencies (1)
IFC 907.8 (2021) - The fire alarm system was found to be in trouble mode at the time of re-inspection, indicating it was not fully operational.
Inspection Report — Jul 21, 2025
Re-Inspection
Date: Jul 21, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the Sunrise of Issaquah residential care facility to verify correction of previously cited fire safety deficiencies.
Findings
The inspection found multiple outstanding deficiencies related to fire alarm system testing, fire/smoke damper inspections, emergency evacuation drills, fire door inspections, and emergency lighting documentation. The facility remains disapproved due to unresolved issues.
Deficiencies (8)
IFC 903.5 2021 - Sprinkler systems shall be tested and maintained in accordance with Section 901. Annual forward flow test paperwork was not provided. Quarterly inspection reports were also missing.
IFC 907.8 2021 - Maintenance and testing schedules for fire alarm and detection systems must be maintained. The fire alarm system was found in trouble mode at the time of re-inspection.
NFPA 80 Fire/Smoke Dampers Inspection and Testing - Fire/smoke damper inspections must be performed and documented. Two dampers failed inspection from a prior report and paperwork was missing.
IFC 405.2 2018 - Emergency evacuation drills must be documented with required details. Facility could not provide documentation for twelve planned and unannounced drills in the previous 12 months.
IFC 701.6 2021 - Owner must maintain inventory and inspection records of fire-resistance-rated construction. Facility lacked documentation of locations and inspections of fire-rated construction.
IFC 904.13.5.2 2021 - Automatic fire-extinguishing systems require semi-annual service. Second semi-annual service paperwork was missing.
IFC 1032.10 2021 - Emergency lighting and exit signs must be inspected monthly and documented. Monthly visual inspection documentation was missing.
NFPA 80 Fire Door Inspection and Testing - Annual inspection and testing of fire doors must be documented. Facility lacked documentation of fire door locations, testing dates, modifications, and repairs. Audit of all fire doors including resident doors is needed.
Report Facts
Deficiencies cited: 8
Inspection Report — Jun 3, 2025
Follow-Up
Date: Jun 3, 2025
Visit Reason
This was a follow-up inspection to verify correction of previously cited deficiencies related to cardiopulmonary resuscitation policy compliance.
Complaint Details
The complaint investigation (Complaint #171963) found that the facility failed to follow CPR policy when Resident 1 was found unresponsive without a pulse. Two staff members did not initiate CPR despite the resident being a full code. The allegation was substantiated and citations were written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to failure to initiate CPR were corrected.
Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. (2)(d) The facility failed to ensure staff followed policy requiring initiation of CPR when a resident was found unresponsive without a pulse and no DNR order was present. This failure placed all residents at risk and violated resident rights related to lifesaving wishes.
Report Facts
Total residents: 84
Resident sample size: 2
Closed records sample size: 1
Inspection Report — Dec 2, 2024
Complaint Investigation
Date: Dec 2, 2024
Visit Reason
The inspection was conducted in response to a complaint (#156208) regarding a power outage at Sunrise of Issaquah.
Complaint Details
Complaint #156208 concerned a power outage on November 19, 2024. The investigation confirmed the outage and that the facility's generator powered life safety equipment. No violations were found.
Findings
The facility experienced a power outage due to a winter storm causing loss of power for 24 to 72 hours. The facility has a generator to power life safety equipment, and the fire alarm continued to work during the outage. No injuries or IFC violations were observed.
Report Facts
Complaint number: 156208
Power outage duration: 24
Power outage duration: 72
Power outage start time: 648
Inspection Report — Oct 28, 2024
Follow-Up
Date: Oct 28, 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 the facility meets the Assisted Living Facility licensing requirements. All previously cited deficiencies were corrected.
Inspection Report — Jun 4, 2024
Life Safety
Date: Jun 4, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — Jun 17, 2023
Life Safety
Date: Jun 17, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Sunrise of Issaquah facility on June 17, 2023.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection with no open deficiencies.
Inspection Report — Jan 5, 2023
Follow-Up
Date: Jan 5, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to infection control.
Findings
The follow-up inspection found no deficiencies and confirmed that the previously cited infection control deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2610 Infection control. The assisted living facility must institute appropriate infection control practices to prevent and limit the spread of infections.
Report Facts
Total residents: 28
Resident sample size: 3
Residents contracting COVID-19: 19
Additional residents contracting COVID-19: 18
Inspection Report — Jan 4, 2023
Follow-Up
Date: Jan 4, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Complaint Details
The complaint investigation involved an unwitnessed fall with injury for one resident. The investigation found failed provider practice due to failure to implement the negotiated service agreement, specifically missing required nighttime checks on the resident.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The facility failed to implement the negotiated service plan for one sampled resident, placing the resident at risk of unmet nighttime care needs due to missed required checks during the night shift.
Report Facts
Total residents: 27
Resident sample size: 4
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