Deficiencies per Year
24
18
12
6
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Life Safety
Deficiencies: 12
Nov 10, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection, alarm, and emergency power system requirements.
Findings
Multiple violations were observed including failure to provide documentation for annual and semi-annual fire alarm system inspections, missing or unsecured fire alarm circuit breakers, lack of documentation for emergency generator inspections and testing, and issues with delayed egress locking systems and fire exit hardware. Some violations were corrected on site while others remain uncorrected.
Deficiencies (12)
| Description |
|---|
| Facility unable to provide documentation of annual forward flow testing within the last twelve months. |
| Facility failed to provide documentation that the annual fire alarm system inspection, testing, and maintenance was completed within the past twelve months. |
| Facility failed to provide documentation that the semi-annual fire alarm system inspection, testing, and maintenance was completed within the past twelve months. |
| Fire alarm circuit breaker on 1st floor at panel 1-D was not locked to prevent accidental disconnection. |
| Facility unable to provide documentation of weekly inspections for both emergency generators. |
| Facility unable to provide documentation of monthly 30-minute full load testing for both emergency generators. |
| Facility failed to provide documentation of second semi-annual hood suppression system service within past twelve months. |
| Double doors in Dining Room exceeded minimum 15 lbs of pressure to release. |
| Kitchen exit door exceeded minimum 15 lbs of pressure to release. |
| Memory Care unit doors exceeded minimum 15 lbs of pressure to release: Exit Door #7 and Exit Door #19. |
| Missing signs for delayed egress on Memory Care unit doors: Exit Door #7, Door to Garden area, and Main Exit door. |
| East corridor exit door panic hardware frame was broken but door was operational. |
Report Facts
Next inspection scheduled: Jul 31, 2026
Next inspection scheduled: Oct 8, 2025
Next inspection scheduled: Aug 23, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ely | Deputy State Fire Marshal | Signed inspection reports for both The Chesterly and Cascades of Chesterly facilities |
| Christina Sanchez | Business Office Manager | Authorized representative signing for The Chesterly facility |
| David Roybal | Authorized representative signing for Cascades of Chesterly facility | |
| Virginia B Villenez | Executive Director | Authorized representative signing for Cascades of Chesterly facility |
Inspection Report
Re-Inspection
Census: 55
Deficiencies: 4
Sep 17, 2025
Visit Reason
The facility was inspected due to failing their fire marshal re-inspection, as part of a complaint investigation.
Findings
The facility failed to maintain compliance with Washington State Fire Marshal requirements, including failure to provide documentation for annual forward flow testing, annual fire alarm system inspection, locking the fire alarm circuit breaker, and monthly full load testing for emergency generators.
Complaint Details
The visit was complaint-related due to the facility failing their fire marshal re-inspection. The complaint number is 194079. The investigation concluded that a failed provider practice was identified and citations were written.
Deficiencies (4)
| Description |
|---|
| Failed to provide documentation of the annual forward flow testing within the last twelve months. |
| Failed to provide documentation that the annual fire alarm system inspection, testing, and maintenance was completed within the past twelve months. |
| Failed to lock the fire alarm circuit breaker to prevent accidental disconnection. |
| Failed to provide documentation of the monthly 30-minute full load testing for both emergency generators. |
Report Facts
Total residents: 55
Resident sample size: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Felicia Cantu | Community Complaint Investigator | Investigator who conducted the on-site verification and complaint investigation. |
Inspection Report
Life Safety
Deficiencies: 21
Sep 8, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire protection and life safety inspection at the Cascades of Chesterly residential care facility on 09/08/2025.
Findings
Multiple fire safety violations were observed including unsecured electrical panels, missing or broken fire exit hardware, failure to provide documentation for fire alarm and suppression system inspections and maintenance, and issues with delayed egress locking systems. Many violations were corrected on site, while others remained uncorrected or had documentation deficiencies.
Deficiencies (21)
| Description |
|---|
| Fridge plugged into a power strip in the Dining Room Office on the 1st floor. |
| Electrical panels located in various rooms were unsecured or broken. |
| Power strip plugged into a power strip in the Life Enrichment Office. |
| Extension cords in use in Room 202 and Room 215 on the 2nd floor. |
| Facility unable to provide documentation of fire-resistance rated wall inspections within the past twelve months. |
| Penetrations behind doors and behind equipment in various rooms on 1st and 2nd floors. |
| Manual hooks installed in RCC and DNS Offices not tied into fire alarm system. |
| Main entrance door and Dining Room door in Memory Care unit failed to close and latch automatically. |
| Facility unable to provide documentation of annual forward flow testing within the past twelve months. |
| Missing escutcheon cap in Christmas Room on 2nd floor. |
| Facility failed to provide documentation of semi-annual hood suppression system service within past twelve months. |
| Facility failed to provide documentation of annual fire alarm system inspection, testing, and maintenance within past twelve months. |
| Curtains hanging on doors in Life Enrichment Office not compliant with NFPA 701 flame resistant requirements. |
| Double doors in Dining Room and Kitchen exit doors exceeded minimum pressure to release. |
| Missing signs for delayed egress doors in Memory Care unit. |
| East corridor exit door panic hardware frame broken but door operational. |
| Facility unable to provide documentation of annual service and maintenance for emergency generators within past twelve months. |
| Facility unable to provide documentation of fuel sample testing on emergency diesel generator within past twelve months. |
| Facility unable to provide documentation of weekly inspections and monthly 30-minute full load testing for emergency generators. |
| Facility failed to provide documentation of four-year load bank testing for emergency generators. |
| Facility unable to locate two emergency shut off buttons for emergency generators. |
Report Facts
Provider Number: 2465
Next inspection scheduled on or after: Next inspection date 2025-10-08 (page 10)
Next inspection scheduled on or after: Next inspection date 2025-08-23 (page 19)
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ely | Deputy State Fire Marshal | Signed inspection report |
| Virginia B Villenez | Executive Director | Signed inspection report as Owner or Authorized Representative |
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