Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 18, 2024
Visit Reason
The inspection was conducted in response to a complaint regarding a fire in a dryer at Brookdale Foundation House.
Findings
The fire department was able to contain and extinguish the fire in the dryer. No violations were observed during the inspection.
Complaint Details
Complaint #138773 involved a fire in a dryer. The cause of the fire was unknown. Sprinklers were not activated, no evacuation occurred, no injuries were reported, and the fire department responded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report. |
| Rona Thompson | D.P.E. | Owner or Authorized Representative who signed the report. |
Inspection Report
Follow-Up
Census: 98
Deficiencies: 5
Jun 3, 2024
Visit Reason
The Department completed 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. Previous deficiencies related to staff credentials, training, and tuberculosis screening were corrected.
Complaint Details
The inspection was complaint-related as indicated by the involvement of a Community Complaint Investigator and the nature of deficiencies found.
Deficiencies (5)
| Description |
|---|
| Failure to ensure staff had required licenses, certifications, and credentials prior to hiring. |
| Failure to ensure staff completed all required training including basic and continuing education. |
| Failure to ensure staff were screened for tuberculosis within three days of employment. |
| Assisted living facility license was not posted in a conspicuous area. |
| First aid kit supplies were not readily available or clearly marked throughout the facility. |
Report Facts
Current residents: 98
Sample residents reviewed: 11
Staff F days worked: 1127
Staff B TB test days prior to employment: 274
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Claudia Allis | Community Complaint Investigator | Conducted on-site verification and inspection |
| Steven Garrett | LTC Licensor | Conducted on-site verification and inspection |
| Laurie Anderson | Field Manager | Signed letters and correspondence related to inspection and plan of correction |
| Staff F | Medication technician/caregiver | Named in deficiencies related to credentials and training |
| Staff E | Personal care associate | Named in deficiencies related to training and tuberculosis screening |
| Staff A | Executive Director | Named in tuberculosis screening deficiency |
| Staff B | Caregiver | Named in tuberculosis screening deficiency |
| Staff D | Caregiver | Named in tuberculosis screening deficiency |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 18, 2024
Visit Reason
The inspection was conducted in response to complaint #114474 regarding broken water pipes and a busted sprinkler pipe at Brookdale Foundation House.
Findings
The Deputy State Fire Marshal found no violations at the time of inspection. The facility is conducting a fire watch due to the sprinkler pipe burst, and repairs are pending.
Complaint Details
Complaint #114474 involved a busted sprinkler pipe in resident room 117. The resident was removed during repairs. No injuries or evacuation occurred. The fire department responded. The complaint was not substantiated as no violations were observed.
Report Facts
Complaint number: 114474
Resident room number: 117
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Thompson | Director of Maintenance | Named in relation to the complaint and inspection |
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Life Safety
Deficiencies: 15
Aug 9, 2023
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Brookdale Foundation House by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
Multiple violations were observed including extension cords used as substitutes for permanent wiring, open junction boxes, missing documentation for annual inspections and repairs, doors not closing properly, lack of documentation for fire/smoke damper testing, missing quarterly sprinkler inspections, missing service reports for kitchen suppression system, fire extinguisher placement issues, missing documentation for CO detector testing, and missing documentation for emergency lighting and generator testing.
Deficiencies (15)
| Description |
|---|
| The activities room has an extension cord plugged into a power strip on the 2nd floor #8152. |
| Resident room 329 has two open cable boxes. |
| The Laundry room on 1st floor has a broken cover plate by back door. |
| The facility was unable to provide documentation for their annual and semi-annual hood cleaning. |
| The facility was unable to provide record of their annual inspection and/or repairs for all fire-resistant-rated construction. |
| The facility was unable to provide inventory record of their annual inspection and/or repairs for all fire-resistant-rated doors. |
| The following doors did not close/latch properly when tested: Club room #316, PPE storage room #8169 - 2nd floor, Cross corridor #8018 - 1st floor by private dining. |
| The facility was unable to provide documentation for their last fire/smoke damper testing. |
| The facility was unable to provide their quarterly sprinkler inspections. |
| The facility was unable to provide service reports showing that the kitchen suppression system has been serviced annually and semi-annually in the past 12 months. |
| The little kitchen on the 2nd floor has a fire extinguisher mounted above the 5 foot requirement. |
| The facility was unable to provide documentation showing that testing of their CO detectors has been performed in the past 12 months. |
| The facility was unable to provide documentation showing that 30-second monthly testing of the emergency lighting has been performed in the last 12 months. |
| The facility was unable to provide documentation showing that 90-minute annual testing of the emergency lighting has been performed in the last 12 months. |
| The facility was unable to provide documentation for their annual generator inspection, monthly load bank tests and their weekly generator checks. |
Report Facts
Inspection date: Aug 9, 2023
Provider Number: 1917
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection |
| Brian Thompson | Owner or Authorized Representative | Signed the inspection report |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 24, 2023
Visit Reason
The inspection was conducted in response to a complaint about a sprinkler pipe leak at the facility.
Findings
The maintenance director reported a tiny hole in the sprinkler piping which was sealed by a contractor. The facility performed a fire watch while the repair dried and confirmed all systems were operational. No deficiencies were found at this time.
Complaint Details
Complaint #89658 regarding a sprinkler pipe leak. The sprinklers were not activated, no evacuation occurred, no injuries were reported, and the fire department did not respond. The complaint was investigated and no deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and authored the statement of violation. |
| Brian Thompson | Director of Maintenance | Reported the sprinkler pipe leak and repair details. |
Inspection Report
Life Safety
Deficiencies: 0
Jun 28, 2023
Visit Reason
The inspection was conducted by the Office of the State Fire Marshal in response to a complaint regarding a power outage at Brookdale Foundation House.
Findings
The facility experienced a power outage caused by a vehicle hitting a power pole. The Executive Director reported the power was out for about an hour, all fire systems functioned properly, and the generator kicked in. The fire department was called due to visitors stuck in the elevator. Safety checks were conducted every 15 minutes to ensure resident safety. No deficiencies were cited at this time.
Complaint Details
Complaint #86450 involved a power outage. The complaint was investigated and no deficiencies were found.
Report Facts
Complaint number: 86450
Power outage duration (hours): 1
Safety check interval (minutes): 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and investigation of the power outage complaint |
| Christine Anderson | Executive Director | Interviewed regarding the power outage and facility response |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 11, 2023
Visit Reason
The inspection was conducted in response to a complaint about a fire in the laundry room dryer at Brookdale Foundation House residential care facility.
Findings
The fire was caused by greasy rags in the commercial dryer, which activated the sprinklers and was extinguished without injuries. The facility conducted a fire watch until the sprinkler head was replaced the same day, and the dryer is currently not in use. No deficiencies were found.
Complaint Details
Complaint #65286 regarding a fire in the dryer caused by greasy rags. Sprinklers activated, no evacuation or injuries, fire department responded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report. |
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