Deficiencies per Year
24
18
12
6
0
Unclassified
Inspection Report
Life Safety
Deficiencies: 14
Jun 18, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility located at 31200 23RD AVE S, Federal Way, WA on 06/18/2025.
Findings
The inspection identified multiple fire safety violations including issues with ceiling clearance, combustible material storage, electrical hazards, extension cords, portable electric heaters, fire door inspection and testing, and maintenance of fire alarm and sprinkler systems. Many violations were corrected, but some findings such as fire/smoke damper inspection and failure to provide documentation for fire department connection and generator inspections were noted.
Deficiencies (14)
| Description |
|---|
| 3rd floor storage room next to room 303 had storage less than 18 inches from sprinkler head. |
| Combustible material being stored in electrical/fire alarm panel room on 1st floor. |
| Room 309 and 313 have electrical outlets with broken grounds; facility-wide inspection recommended. |
| Executive Director's office has a power strip connected to another power strip. |
| Wellness Director's office has extension being used. |
| Executive Director's office has a heater plugged into a power strip; portable heaters must be plugged into approved outlets. |
| Kitchen dry storage room has penetration in the back corner of the room. |
| Fire/smoke damper 4 year inspection required. |
| Facility failed to provide documentation showing fire department connection 5-year hydrostatic test. |
| Fire alarm report from 4/1/2024 states deficiencies that shall be corrected; report did not state whether roll down or sliding doors were inspected by fire alarm company. |
| 1st floor activity room had a basketball hoop game blocking exit door. |
| Exit sign in piano room did not work when tested. |
| Facility failed to provide documentation showing weekly inspections of generator. |
| Kitchen dry storage room door does not latch and is being propped open by can of food. |
Report Facts
Inspection date: Jun 18, 2025
Next inspection scheduled: Jul 3, 2025
Next inspection scheduled: Apr 4, 2025
Fire alarm report date: Apr 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed the inspection report |
| Angelo Abela | Executive Director | Named as owner or authorized representative signing the report |
Inspection Report
Complaint Investigation
Census: 72
Deficiencies: 6
Sep 11, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that four named residents tested positive with COVID-19 and concerns about infection control practices at the assisted living facility.
Findings
The facility failed to implement infection control policies and the required respiratory protection program, placing all 72 residents at risk for cross contamination and spread of infection. Multiple deficiencies were cited including failure to secure medications, incomplete service plans, lack of veterinary certification for pets, and inadequate ventilation.
Complaint Details
Complaint investigation related to four named residents testing positive for COVID-19. The investigation found substantiated failures in infection control and other regulatory requirements.
Deficiencies (6)
| Description |
|---|
| Failed to implement infection control policies and respiratory protection program to protect all 72 residents. |
| Facility administrator failed to complete required department training and home care certification. |
| Failed to document service plans for residents, placing residents at risk for unmet care needs. |
| Failed to ensure 4 of 4 pets were certified by a veterinarian to be free of diseases transmissible to humans. |
| Failed to secure medications in locked compartments in 2 rooms, placing all 72 residents at risk. |
| Failed to ensure proper ventilation in 2 rooms, placing all 72 residents at risk of diminished quality of life and respiratory illness. |
Report Facts
Total residents: 72
Resident sample size: 3
Pets uncertified: 4
Medication rooms unsecured: 2
Rooms with ventilation issues: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Hermano | Investigator | Conducted the complaint investigation. |
| Steven Garrett | LTC Licensor | Department staff who inspected the facility. |
| Laurie Anderson | Field Manager | Signed enforcement and follow-up letters. |
| Staff B | Wellness Director | Interviewed regarding infection control and hand hygiene practices. |
| Staff G | Memory Care Caregiver Medication Technician | Interviewed about wound care and infection monitoring. |
| Staff J | Medication Technician/Caregiver | Observed handling medications and infection control practices. |
| Staff A | Executive Director | Interviewed regarding pet policy and ventilation issues. |
| Staff H | Maintenance Director | Interviewed regarding ventilation system and maintenance. |
Inspection Report
Life Safety
Deficiencies: 23
Feb 6, 2023
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Gencare Lifestyle Federal Way at Steel Lake by a representative of the Washington State Patrol, State Fire Marshal's Office to determine compliance with all applicable codes.
Findings
Multiple fire and life safety code violations were observed, including storage in egress paths, unapproved multi-plug adapters, extension cord misuse, open wiring, penetrations in fire doors, malfunctioning door latches, missing fire/smoke damper testing documentation, missing fire extinguisher maintenance records, unsecured fire alarm breaker, missing smoke detector sensitivity test reports, missing carbon monoxide detector testing documentation, and failure to provide documentation for fire drills and generator inspections.
Deficiencies (23)
| Description |
|---|
| Storage in the path of egress at 1st floor exit stairwell by room 105 |
| Unapproved multi plug adapters in Marketing Directors Office and Wellness Center |
| Extension cord in use in Vitality Director's Office |
| Open cable box behind/under table in Employee Lounge - 1st floor |
| Missing or broken receptacle plates in Vitality Director's office, Telehealth Center, and Peak Kitchen |
| Holes in walls in Hallway ceiling by room 311 and Resident Laundry |
| Penetrations in fire doors in Staff Laundry room and Resident Laundry |
| Doors did not close/latch properly in multiple resident rooms, staff laundry, business office, wellness center, memory care, and corridors |
| Unable to provide documentation for last fire/smoke damper testing |
| Escutcheon ring missing in hallway by room 306 |
| Unable to provide documentation for quarterly fire sprinkler inspections |
| Unable to provide service reports for kitchen suppression system servicing in past 12 months |
| Suppression system nozzle not lined up to protect new grease fryer |
| Fire extinguisher in elevator room no longer in green and needs re-pressurizing or replacement |
| Fire extinguisher cabinet taped shut in Peak Kitchen Memory Care |
| Fire extinguisher on 3rd floor mounted above 5 feet |
| Class K fire extinguisher in kitchen mounted above 5 feet |
| Fire alarm breaker not securely locked out in electrical panel |
| Unable to provide documentation for last smoke detector sensitivity test report |
| Unable to provide documentation showing testing of CO detectors in past 12 months |
| Cross corridors 2G/2H have painted fire labels |
| Unable to provide documentation for completion of twelve planned and unannounced fire drills in previous 12 months |
| Facility has oxygen bottles stored in outside storage area with combustible materials |
Report Facts
Fire drills required: 12
Fire drills required per shift: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim McBride | Maintenance Director | Named as Owner or Authorized Representative signing the inspection report |
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report |
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