Inspection Reports for Brookdale Yakima

4100 Englewood Ave, Yakima, WA 98908, United States, WA, 98908

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Inspection Report Life Safety Deficiencies: 16 Nov 10, 2025
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The Office of the State Fire Marshal conducted an inspection at the Brookdale Yakima facility on November 10, 2025, to assess compliance with fire protection and safety codes.
Findings
Multiple violations were observed related to electrical safety, fire-resistance construction, door operation, fire protection systems, fire extinguishers, alarm systems, means of egress, door opening force, hazard identification signs, and securing compressed gas containers. Several violations were corrected during the inspection, while some remain outstanding.
Deficiencies (16)
Description
Electrical panels located in the corridor near Room 332 on the 3rd floor were unsecured, allowing potential tampering.
Open junction box behind the coffee station in the first floor coffee lounge seating area.
Multi-plug adapters without over current protection in Rooms 348 and 351 on the 3rd floor and the Sales and Marketing Office on the 1st floor.
Penetrations in fire-resistance-rated construction in the Spa Room wall, Kitchen Storage Room ceiling, and Library Room ceiling.
Fire and smoke rated doors on the 3rd Floor Resident Laundry Room and 2nd Floor Conference Room failed to close and latch from the fully open position.
Unable to provide documentation for fire alarm system out of service since June 13, 2025, with ongoing impairment and watch documentation.
Unable to provide documentation of annual fire sprinkler system inspection, testing, and maintenance deficiencies noted on May 14, 2025 report.
Fire extinguisher in Elevator Room failed to have monthly inspections within the past twelve months.
Portable fire extinguisher 1-5 on 1st floor did not show monthly inspection for August 2025.
Unable to provide documentation of annual fire alarm system inspection, testing, and maintenance deficiencies noted on November 1, 2024 report.
Smoke alarm in 2nd floor Mechanical Room signified a low battery alert.
Fire alarm breaker on 1st floor power panel EM2 lacked a locking device to prevent accidental power loss.
Table and chairs blocking emergency exit in dining room.
Middle emergency exit right door in 1st floor Dining Room required more than 15 pounds of force to open.
No 'OXYGEN IN USE' sign on door in Room 348 on 3rd floor.
Two unsecured LPG tanks located near the barbecues on the patio.
Report Facts
Next inspection scheduled: Dec 10, 2025 Provider Number: 1695
Employees Mentioned
NameTitleContext
Lisa OwenExecutive DirectorSigned as Owner/Authorized Representative
Andrea ElyDeputy State Fire MarshalConducted inspection and signed report
Inspection Report Complaint Investigation Census: 68 Deficiencies: 1 Sep 30, 2025
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The inspection was conducted due to a complaint alleging that the facility's fire alarm sensor failed and the facility implemented a fire watch.
Findings
The facility was conducting a fire watch every thirty minutes due to a malfunctioning fire alarm system. The facility failed to immediately report the fire watch initiation and fire alarm malfunction to the Department, resulting in a citation for failed provider practice.
Complaint Details
The complaint alleged that the facility's fire alarm sensor failed and the facility implemented a fire watch. The investigation substantiated failed provider practice with citation(s) written.
Deficiencies (1)
Description
Facility failed to immediately report to the Department that a fire watch was initiated due to malfunction of the fire alarm system.
Report Facts
Total residents: 68 Resident sample size: 68 Compliance Determination Completion Date: 2025
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorConducted the on-site verification and investigation
Laura Williams-DavisALF Field ManagerSigned follow-up inspection letter confirming no deficiencies on 10/31/2025
Staff AAdministratorProvided interview stating they followed company guidance not to report the failed fire alarm sensitivity test
Inspection Report Follow-Up Census: 65 Deficiencies: 1 Aug 5, 2025
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The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.
Findings
The follow-up inspection found no deficiencies, confirming that the facility met Assisted Living Facility licensing requirements. The prior complaint investigation identified a failure to provide written discharge notice to a resident, which was corrected by the time of the follow-up.
Complaint Details
The complaint investigation was triggered by allegations that the facility abruptly discharged a resident without written notice and charged a resident $50 per hour for 1:1 care. The investigation substantiated the failure to provide written discharge notice as a failed practice, but found no failed practice regarding the 1:1 care charges.
Deficiencies (1)
Description
Facility failed to provide written discharge notice to a resident, resulting in immediate hardship and confusion.
Report Facts
Total residents: 65 Resident sample size: 3 Compliance Determination Completion Date: Aug 5, 2025
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorConducted the complaint investigation and follow-up inspection
Laura Williams-DavisALF Field ManagerSigned the follow-up inspection letter
Staff AAdministratorInterviewed regarding discharge process and 1:1 care
Inspection Report Complaint Investigation Census: 63 Deficiencies: 1 Jan 9, 2025
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The inspection was conducted as a complaint investigation regarding allegations that the facility was not properly cleaning the ice machine.
Findings
Observations showed the ice machine was not unsanitary, but interviews and record reviews revealed the facility did not follow their policies and procedures to routinely clean, document, and maintain sanitization of the ice machine. A citation was written for this deficiency.
Complaint Details
The complaint alleged that the facility was not cleaning the ice machine properly. The investigation substantiated that the facility failed to follow cleaning and maintenance procedures, resulting in a citation.
Deficiencies (1)
Description
Facility did not follow their policy and procedures to routinely clean, document, and maintain sanitization of their ice machine.
Report Facts
Total residents: 63 Resident sample size: 4
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Inspection Report Complaint Investigation Census: 63 Deficiencies: 1 Jan 9, 2025
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The inspection was conducted as a complaint investigation based on allegations that the facility was not properly cleaning the ice machine.
Findings
The investigation found that while the ice machine was not observed to be unsanitary, the facility did not follow their policies and procedures to routinely clean, document, and maintain sanitization of the ice machine, resulting in a citation for failed provider practice.
Complaint Details
The complaint alleged that the facility was not cleaning the ice machine properly. The investigation substantiated this allegation with a citation issued for failed provider practice.
Deficiencies (1)
Description
Facility did not follow their policy and procedures to routinely clean, document, and maintain sanitization of their ice machine.
Report Facts
Total residents: 63 Resident sample size: 4
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation
Inspection Report Complaint Investigation Deficiencies: 1 Oct 31, 2024
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The Department of Social and Health Services completed a Complaint Investigation at Brookdale Yakima assisted living facility on October 31, 2024, resulting in a civil fine due to medication service violations.
Findings
The licensee failed to develop and implement a safe medication system for residents requiring assistance, resulting in one resident's hospitalization for high blood sugar and placing two residents at risk due to medications not being administered as ordered. This was a recurring deficiency previously cited in February 2024.
Complaint Details
Complaint investigation conducted on October 31, 2024, substantiated by the finding of medication service violations leading to a civil fine.
Deficiencies (1)
Description
Failure to develop and implement a safe medication system for residents requiring assistance and administration with their medication.
Report Facts
Civil fine amount: 500 Number of residents affected: 2
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter regarding the civil fine
Laura Williams-DavisField ManagerContact person for plan of correction and appeals
Inspection Report Complaint Investigation Census: 63 Deficiencies: 4 Oct 21, 2024
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The inspection was conducted as an unannounced complaint investigation based on allegations that residents did not receive prescribed medications, including insulin and pain medication, resulting in hospitalization and additional health risks.
Findings
The facility failed to develop and implement a safe medication system, resulting in residents missing doses of insulin, pain medication, and thyroid medication. These failures led to hospitalization for one resident and placed others at risk due to medications not being given as ordered or discontinued medications still being administered.
Complaint Details
The complaint investigation was triggered by allegations that a named resident did not receive their short acting insulin in the morning or afternoon due to a medication error, resulting in hospitalization. Additional complaints included failure to document pain medication administration, administration of discontinued medications, and missed doses of thyroid medication. The investigation found failed provider practices and citations were written.
Deficiencies (4)
Description
Facility failed to develop and implement a safe medication system for residents requiring medication assistance, resulting in missed insulin doses and hospitalization.
Pain medication and new orders were not entered into the resident's Medication Administration Record (MAR), and discontinued medications were still administered.
Facility missed multiple doses of thyroid medication for a resident, placing them at risk.
Facility failed to ensure timely obtaining of prescribed medications, resulting in missed doses of levothyroxine.
Report Facts
Total residents: 63 Resident sample size: 6 Missed doses: 17 Blood sugar level: 550 Blood pressure: 90 Blood pressure: 50 Discontinued medication administration days: 11
Employees Mentioned
NameTitleContext
Anna CairnsALF Long Term Care SurveyorInvestigator who conducted the complaint investigation and follow-up
Staff BLicensed Nurse/Area Nurse ManagerInterviewed staff who confirmed missed insulin doses and missed levothyroxine doses
Staff AAdministratorInterviewed regarding delayed processing of medication orders for Resident 4
Inspection Report Complaint Investigation Census: 64 Deficiencies: 1 Oct 1, 2024
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The Department completed a complaint investigation of the Assisted Living Facility based on complaints that the food at the facility was served cold and a named resident had lost weight.
Findings
Observations showed that the kitchen staff checked food temperatures at meal times and food was warm, but documentation of food temperatures was missing. Residents stated satisfaction and no foodborne illness occurred. The named resident's weight was stable and recently increased, with no failed practice identified regarding weight loss.
Complaint Details
Complaint investigation included allegations that food was served cold and a named resident had lost weight. The food temperature documentation deficiency was substantiated; the weight loss allegation was not substantiated.
Deficiencies (1)
Description
The facility failed to ensure food temperatures were documented at mealtimes to ensure food was within regulated temperatures.
Report Facts
Total residents: 64 Resident sample size: 3
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorConducted the complaint investigation
Stephanie JenksField ManagerSigned the letter regarding the complaint investigation
Inspection Report Life Safety Deficiencies: 17 Oct 1, 2024
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The Office of the State Fire Marshal conducted a fire safety inspection at Brookdale Yakima to assess compliance with fire protection and safety codes.
Findings
Multiple fire safety violations were observed including inadequate ceiling clearance, lack of documentation for fire drills and maintenance, improperly secured compressed gas containers, propped open fire doors, and undercharged fire extinguishers. All violations were noted as corrected or requiring correction documentation.
Deficiencies (17)
Description
The 3rd floor storage room failed to maintain 18" clearance to the ceiling.
Room 334 failed to maintain 18" clearance to the ceiling in the closet.
Facility was unable to provide documentation of fire drills for the past twelve months.
3rd floor East storage room had combustible storage blocking fire damper access doors.
Unfused multiplug adaptors found in multiple rooms.
Facility unable to provide documentation of semi-annual kitchen hood inspection and cleaning within past twelve months.
Penetrations next to sprinkler head and freezer in rooms 310 and Kitchen.
Multiple fire doors did not latch and close properly.
Room 334 was propped open with a door wedge.
Facility unable to provide documentation of fire and smoke damper inspection/testing within past four years.
Facility unable to provide documentation of annual sprinkler system maintenance testing and related inspections.
Fire extinguisher near Room 208 was undercharged.
Facility unable to provide documentation of annual alarm system service and monthly alarm testing.
Facility unable to provide documentation of monthly carbon monoxide alarm testing; missing CO detector in West Mechanical Room.
Facility unable to provide documentation of emergency generator weekly and monthly testing.
No 'Oxygen In Use' signs on doors in Rooms 218 and 151.
Unsecured oxygen tank in closet of Room 151.
Report Facts
Inspection date: Oct 1, 2024 Next inspection scheduled: Oct 31, 2025 Next inspection scheduled: Sep 20, 2024
Employees Mentioned
NameTitleContext
Lisa OwenExecutive DirectorSigned as Owner or Authorized Representative
Andrea ElyDeputy State Fire MarshalConducted the inspection
Inspection Report Follow-Up Deficiencies: 0 Apr 4, 2024
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The Department completed a follow-up inspection of the Assisted Living Facility on 04/04/2024 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.
Report Facts
Compliance Determination Completion Dates: Compliance Determinations 39315 completed on 04/04/2024 and 36812 completed on 02/15/2024
Employees Mentioned
NameTitleContext
Tracy RamirezAssisted Living Facility LicensorDepartment staff who did the on-site verification
Anna CairnsALF Long Term Care SurveyorDepartment staff who did the on-site verification
Inspection Report Complaint Investigation Census: 51 Deficiencies: 3 Dec 20, 2023
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The inspection was conducted as a complaint investigation based on allegations including staff administering insulin without delegation, failure to notify health care providers of resident condition changes, delayed call light responses, and medication administration issues.
Findings
The investigation found multiple failed provider practices including two staff members administering insulin without delegation, failure to notify health care providers of significant resident condition changes, and staff giving medications without proper delegation. Some allegations such as call light response times and missed medication doses were not substantiated.
Complaint Details
The complaint investigation was triggered by allegations that a named staff member was administering insulin without delegation, failure to notify health care providers of resident condition changes, delayed call light responses, and medication administration issues. The investigation substantiated failures related to insulin administration without delegation and failure to notify providers, but did not find failed practice related to call light responses or missed medication doses.
Deficiencies (3)
Description
Two named staff members administering insulin without being delegated.
Facility failed to contact a named resident's health care provider to notify them of high blood sugars.
Two staff members giving delegated medications who were not delegated.
Report Facts
Total residents: 51 Resident sample size: 7 Compliance Determination Completion Date: Dec 20, 2023
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation and on-site verification
Gwin KaercherField ManagerField Manager who signed the compliance letters and reports
Inspection Report Complaint Investigation Census: 51 Deficiencies: 1 Oct 16, 2023
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The inspection was conducted as an unannounced complaint investigation triggered by allegations regarding a named resident with an unstageable pressure sore to their sacral area.
Findings
The facility failed to investigate the cause of the pressure injury to the named resident's sacral area, resulting in a citation for failed provider practice. A follow-up inspection on 2023-12-06 found no deficiencies and confirmed compliance with licensing requirements.
Complaint Details
The complaint involved a named resident with an unstageable pressure sore. The investigation found the facility failed to investigate the cause of the pressure injury. The complaint was substantiated with a failed provider practice citation.
Deficiencies (1)
Description
Failure to investigate and document investigative actions regarding the unstageable pressure sore to the named resident's sacral area.
Report Facts
Total residents: 51 Resident sample size: 3 Compliance Determination Completion Date: Completion date of the cited deficiencies report: 2023-10-17
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorConducted the complaint investigation and on-site verification
Stephanie JenksField ManagerSigned the follow-up inspection letter confirming no deficiencies
Inspection Report Complaint Investigation Census: 48 Deficiencies: 1 May 16, 2023
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The inspection was conducted as a complaint investigation based on allegations including a non-working garbage disposal with foul smell, improperly trained kitchen staff, and a malfunctioning dishwasher causing dirty dishes and water leakage.
Findings
The investigation found that the garbage disposal was out of order and causing a foul smell, kitchen staff had food handler cards but lacked awareness of required food sanitation processes, and dishwasher sanitation cycles and temperature logs were not properly documented or corrected. The dishwasher was fixed during the investigation. A failed practice related to food sanitation was identified under WAC 388-78A-2305.
Complaint Details
The complaint investigation was substantiated with findings of failed provider practice related to kitchen sanitation and food safety. Allegations included garbage disposal issues, kitchen staff training deficiencies, and dishwasher problems. The facility was working with outside vendors to address the foul smell and had repaired the dishwasher during the investigation.
Deficiencies (1)
Description
Failure to have a system in place for kitchen staff to ensure food preparation surfaces and equipment were sanitized properly, including undocumented sanitation solutions and dishwasher cycles, and unawareness of required food sanitation processes.
Report Facts
Total residents: 48 Resident sample size: 48 Compliance Determination Completion Date: May 16, 2023
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorInvestigator who conducted the complaint investigation and on-site verification
Gwin KaercherField ManagerSigned the compliance determination and related documents
Inspection Report Follow-Up Census: 45 Deficiencies: 2 Apr 13, 2023
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Follow-up inspection conducted to verify correction of previously cited deficiencies related to fire safety and licensing requirements.
Findings
The follow-up inspection found no deficiencies; previously cited fire safety violations and licensing deficiencies were corrected.
Complaint Details
Complaint investigation found multiple failed fire and safety inspections on 09/06/2022 and 11/09/2022. The facility was not in compliance with licensing requirements as of 12/22/2022. Enforcement actions and plan of correction required.
Deficiencies (2)
Description
Failure to maintain compliance with Washington State Patrol Fire Protection Bureau codes including failed fire alarm system service and elevator programming errors.
Combustible storage observed in mechanical rooms and fire extinguisher inspections not performed monthly after annual servicing; smoke alarms in resident rooms older than ten years.
Report Facts
Resident sample size: 49 Total residents: 49 Deficiencies cited: 3 Correction timeframe: 45
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorConducted on-site verification and complaint investigation
Gwin KaercherField ManagerSigned follow-up inspection and enforcement letters
Michelle ClosnerField ManagerSigned complaint investigation and enforcement letters
Staff Member ADistrict Director of OperationsInterviewed regarding awareness of failed fire inspections and elevator system issues
Staff Member BMaintenance ManagerInterviewed regarding status of corrections to fire safety violations and elevator system
Staff Member BAdministratorInterviewed regarding awareness of multiple failed fire inspections and coordination with maintenance and fire marshal
Inspection Report Follow-Up Deficiencies: 0 Mar 14, 2023
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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 Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorConducted the on-site verification during the follow-up inspection.
Gwin KaercherField ManagerSigned the follow-up inspection letter.
Inspection Report Complaint Investigation Census: 47 Deficiencies: 3 Mar 2, 2023
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The inspection was conducted as a complaint investigation regarding allegations that a Named Staff Member verbally abused multiple residents at the assisted living facility.
Findings
The investigation found that the facility immediately suspended the Named Staff Member and conducted an internal investigation but failed to conduct a thorough investigation to protect residents from verbal and mental abuse. Facility staff also failed to report mental abuse immediately, constituting failed practice.
Complaint Details
The complaint alleged that a Named Staff Member verbally abused six to nine Named Residents. The investigation confirmed failed provider practices related to verbal and mental abuse and failure to report abuse immediately.
Deficiencies (3)
Description
Failure to implement abuse and investigation policies and procedures for 6 of 9 residents, placing residents at risk of continued abuse.
Failure to ensure facility staff immediately reported an allegation of abuse for 1 of 9 residents, placing residents at continued risk for abuse and neglect.
Failure to ensure 6 of 9 residents were free from abuse, resulting in actual harm to residents who reported feeling bullied, intimidated, and fearful of retaliation.
Report Facts
Total residents: 47 Resident sample size: 9
Employees Mentioned
NameTitleContext
Felicia CantuCommunity Complaint InvestigatorInvestigator who conducted the on-site verification and investigation
Inspection Report Complaint Investigation Deficiencies: 1 Mar 2, 2023
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The Department of Social and Health Services conducted a complaint investigation at Brookdale Yakima assisted living facility on March 2, 2023, resulting in a civil fine due to violations found.
Findings
The licensee failed to ensure six residents were free from abuse, resulting in actual harm to residents who reported feelings of being bullied, intimidated, and fearful of retaliation.
Complaint Details
Complaint investigation conducted on March 2, 2023, substantiated by findings of abuse affecting six residents.
Deficiencies (1)
Description
Failure to ensure six residents were free from abuse, resulting in actual harm and feelings of being bullied, intimidated, and fearful of retaliation.
Report Facts
Civil fine amount: 500 Number of residents affected: 6
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the letter regarding the civil fine and complaint investigation
Gwin KaercherField ManagerContact person for plan of correction and appeals
Inspection Report Plan of Correction Deficiencies: 0 Jan 31, 2023
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This document is a follow-up letter communicating the results of the Informal Dispute Resolution (IDR) process related to a previously issued Statement of Deficiencies dated December 8, 2022, for the assisted living facility.
Findings
After review of written materials, oral statements, and records, the decision was made not to change the previously issued Statement of Deficiencies. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within five calendar days.
Report Facts
Date of IDR process: Jan 31, 2023 Date of Statement of Deficiencies: Dec 8, 2022 Days to submit Plan/Attestation Statement: 5
Employees Mentioned
NameTitleContext
Rebecca FuestonIDR Program ManagerAuthor of the letter communicating IDR results
Michelle ClosnerField ManagerRecipient for mailing the Plan/Attestation Statement
Inspection Report Routine Deficiencies: 18 Jan 30, 2023
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The Office of the State Fire Marshal conducted a routine inspection of the Brookdale Yakima residential care facility to assess compliance with fire safety and building codes.
Findings
Multiple violations were identified including combustible storage in prohibited areas, missing electrical outlet coverplates, blocked access to electrical panels, failure to maintain fire extinguishers and fire alarm system documentation, inhibited fire door operations, unsecured compressed gas containers, and deficiencies in emergency power system testing and elevator emergency operations. Many violations were corrected or had correction plans.
Deficiencies (18)
Description
Storage encroached into the 18" clearance from sprinkler head in 2nd Floor Storage by 204.
Combustible storage observed in 2nd Floor Mechanical Room, 3rd Floor Mechanical Room, and 3rd Floor Mechanical across from Laundry.
Electrical outlet missing coverplate in Business Office.
Stored materials blocking access to electrical panels in 2nd Floor Mechanical.
Unfused power supplies observed in Resident Rooms 253, 351, and 310.
Powerstrip plugged into power block in Resident Room 112 and powerstrip plugged into another powerstrip in Resident Room 210 office closet.
Facility unable to provide documentation of annual inspection and testing of drop fire doors within past 12 months.
Self-closing doors inhibited from closing in Resident Room 149 and Residential Services.
Doors failed to close and latch in Library, Life Enrichment Office, 1st Floor Television Room, 1st Floor Employee Restroom, and Kitchen (to corridor).
Dried wreath on door in Resident Room 219, violating natural cut tree prohibition.
Fire extinguishers missing monthly inspections after annual servicing in Kitchen by manager's office, Corridor by Administration, Laundry, Activities, and Elevator Room 2.
Facility unable to provide documentation of annual service of fire alarm system within past 12 months; resident room smoke alarms older than 10 years must be replaced.
Carbon monoxide alarm disabled in 3rd Floor Mechanical across from Laundry.
Emergency exits obstructed in 1st Floor Fireplace Room and Dining Room.
Elevator emergency operation key switch monthly testing incomplete for Elevator 1 and Elevator 2 in 2022.
Facility unable to provide documentation of annual service and monthly load tests of emergency generator for multiple months in 2022.
Facility unable to provide documentation of tri-annual four hour load test of emergency generator within past four years.
Unsecured helium tank in Life Enrichment Office and unsecured oxygen cylinders in Resident Room 112.
Report Facts
Next inspection scheduled date: Dec 30, 2022 Next inspection scheduled date: Oct 20, 2022
Employees Mentioned
NameTitleContext
Barbara MaierDeputy State Fire MarshalSigned the inspection report
Andrew FrederickRequested extension until 10/20/22
Devin McCoshGranted extension until 10/20/22
Inspection Report Life Safety Deficiencies: 18 Jan 30, 2023
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The Office of the State Fire Marshal conducted a fire safety inspection at Brookdale Yakima to assess compliance with fire safety codes and regulations.
Findings
The inspection found multiple fire safety violations including combustible material storage issues, failure to maintain fire extinguishers, lack of documentation for annual fire alarm service, and elevator emergency operation testing deficiencies. Several violations were corrected, while others remained outstanding.
Deficiencies (18)
Description
Combustible material stored in boiler rooms, mechanical rooms, electrical equipment rooms or fire command centers.
Fire extinguisher had not had monthly inspections performed after annual servicing.
Facility unable to provide documentation of annual service of the fire alarm system within the past twelve months.
Single station smoke alarms greater than ten years old must be replaced.
Elevator emergency operation key switch testing only occurred during first and third quarter of 2022, not monthly as required.
Combustible storage observed in multiple mechanical rooms and across from laundry.
Electrical outlet missing a coverplate in business office.
Stored materials blocking access to electrical panels.
Unfused power supplies observed in multiple resident rooms.
Self-closing doors inhibited from closing in several locations including resident rooms and residential services.
Doors failed to close and latch when tested in library, life enrichment office, television room, employee restroom, and kitchen corridor.
Dried wreath on door in resident room 219.
Fire extinguishers in several locations had not had monthly inspections since March 2022.
Carbon monoxide alarm disabled in 3rd floor mechanical room across from laundry.
Emergency exit to courtyard obstructed with plywood and directional ropes.
Life enrichment office unsecured helium tank and numerous unsecured oxygen cylinders in resident room 112.
Facility unable to provide documentation of monthly load test of emergency generator for January, March, May, and August 2022.
Facility unable to provide documentation of tri-annual four hour load test of emergency generator within past four years.
Report Facts
Inspection date: Jan 30, 2023 Next inspection scheduled: Mar 1, 2023 Inspection date: Nov 9, 2022 Next inspection scheduled: Dec 9, 2022 Inspection date: Sep 6, 2022 Next inspection scheduled: Oct 6, 2022
Employees Mentioned
NameTitleContext
Andrew FrederickMaintenanceNamed in relation to extension request and inspection findings
Barbara MaierDeputy State Fire MarshalConducted the inspection and signed the report
Inspection Report Life Safety Deficiencies: 11 Jan 30, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Brookdale Yakima residential care facility to assess compliance with fire safety codes and regulations.
Findings
Multiple fire safety violations were identified including combustible material storage in prohibited areas, failure to provide documentation of annual fire alarm service, fire extinguishers not inspected monthly, and issues with elevator emergency operations. Some violations were corrected during the inspection, while others remained outstanding.
Deficiencies (11)
Description
Combustible material stored in boiler rooms, mechanical rooms, electrical equipment rooms or fire command centers.
Fire extinguisher had not had monthly inspections performed after annual servicing.
Facility unable to provide documentation of annual service of the fire alarm system within the past twelve months.
Resident rooms had single station smoke alarms greater than ten years old that must be replaced.
Elevator emergency operation key switch only tested during limited quarters; deficiencies must be corrected.
Electrical outlet missing a cover plate in business office.
Self-closing doors inhibited from closing due to obstructions such as door tied open with plastic or blocked with kettlebell.
Emergency exit doors obstructed by plywood or directional ropes.
Unsecured helium tank and numerous unsecured oxygen cylinders observed.
Facility unable to provide documentation of monthly load test of emergency generator for specified months.
Facility unable to provide documentation of tri-annual four hour load test of emergency generator within past four years.
Report Facts
Inspection date: Jan 30, 2023 Next inspection scheduled on or after: Mar 1, 2023 Next inspection scheduled on or after: Dec 9, 2022 Next inspection scheduled on or after: Oct 6, 2022
Employees Mentioned
NameTitleContext
Andrew FrederickMaintenanceNamed in relation to extension request and findings regarding elevator emergency recall and maintenance
Barbara MaierDeputy State Fire MarshalConducted the inspection and signed the report
Kathy ValenciaExecutive DirectorSigned as Owner or Authorized Representative on 09/06/2022 inspection
Notice Deficiencies: 0 Dec 8, 2022
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The document confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a Statement of Deficiencies dated December 08, 2022.
Findings
The letter does not contain inspection findings but addresses the dispute process for a cited deficiency under WAC 388-78A-2660.
Report Facts
License Number: 1695
Employees Mentioned
NameTitleContext
Kathy ValenciaExecutive Director/AdministratorNamed as participant representing the facility in the IDR process.
Dawn FrunzLPN, Health and Wellness DirectorNamed as participant representing the facility in the IDR process.
Inspection Report Life Safety Deficiencies: 18 Nov 9, 2022
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The Office of the State Fire Marshal conducted a fire safety inspection at the Brookdale Yakima residential care facility on 11/09/2022.
Findings
The inspection found multiple fire safety violations including combustible storage in prohibited areas, missing electrical outlet cover plates, blocked access to electrical panels, inhibited self-closing fire doors, obstructed emergency exits, expired fire extinguisher inspections, lack of documentation for fire alarm and emergency generator maintenance, disabled carbon monoxide alarm, unsecured compressed gas cylinders, and incomplete elevator emergency operation testing.
Deficiencies (18)
Description
Storage encroached into the 18-inch clearance from sprinkler head in 2nd Floor Storage by 204.
Combustible storage observed in 2nd Floor Mechanical Room, 3rd Floor Mechanical Room, and 3rd Floor Mechanical across from Laundry.
Electrical outlet missing cover plate in Business Office.
Stored materials blocking access to electrical panels in 2nd Floor Mechanical.
Unfused power supplies observed in Resident Rooms 253, 351, and 310.
Power strips improperly plugged into other power strips in Resident Rooms 112 and 210.
Facility unable to provide documentation of annual inspection and testing of drop fire doors within past twelve months.
Self-closing fire doors inhibited from closing in Resident Room 149 and Residential Services.
Fire doors failed to close and latch in Library, Life Enrichment Office, 1st Floor Television Room, 1st Floor Employee Restroom, and Kitchen corridor.
Dried wreath on door in Resident Room 219 prohibited in restricted occupancies.
Fire extinguishers had not had monthly inspections performed after annual servicing in multiple locations including Kitchen by manager's office and Corridor by Administration.
Facility unable to provide documentation of annual service of fire alarm system within past twelve months.
Single station smoke alarms in resident rooms greater than ten years old must be replaced.
Carbon monoxide alarm disabled in 3rd Floor Mechanical across from Laundry.
Emergency exits obstructed in 1st Floor Fireplace Room and Dining Room.
Elevator emergency operation testing incomplete for Elevator 1 and Elevator 2.
Facility unable to provide documentation of annual service and monthly load tests of emergency generator, including tri-annual four hour load test.
Unsecured helium tank in Life Enrichment Office and unsecured oxygen cylinders in Resident Room 112.
Report Facts
Next inspection scheduled: Dec 9, 2022 Next inspection scheduled: Oct 20, 2022 Fire extinguisher monthly inspections missing since: 2022 Emergency generator monthly load tests missing: 4
Employees Mentioned
NameTitleContext
Barbara MaierDeputy State Fire MarshalSigned the inspection report

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