Inspection Reports for Harbour Pointe Senior Living
10200 Harbour Pl, Mukilteo, WA 98275, WA, 98275
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Capacity
Inspection Report
Follow-Up
Deficiencies: 8
Oct 31, 2025
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 on 10/31/2025 found no deficiencies and confirmed that previously cited deficiencies related to training and home care aide certification requirements were corrected.
Deficiencies (8)
| Description |
|---|
| Failed to ensure 1 of 2 staff completed Cardiopulmonary Resuscitation (CPR) and First Aid training with hands-on skills as required by OSHA guidelines. |
| Failed to ensure 2 of 2 staff completed Dementia Specialty Training and CPR/First Aid training, placing residents at risk. |
| Failed to assess 1 of 2 residents to ensure safe control and storage of self-administered medications, resulting in accessible inhalers. |
| Failed to ensure 3 of 6 staff completed facility orientation prior to providing care. |
| Failed to ensure multiple staff completed required Orientation and Safety training, 70-hour Basic training, Dementia specialty training, CPR and First Aid training, and continuing education. |
| Failed to ensure 4 of 6 staff completed initial step of two-step Tuberculosis testing within three days of hire. |
| Failed to submit Washington State background check within one business day after hire for 1 of 6 staff. |
| Failed to ensure valid Washington State background checks every two years for 2 of 4 staff and national fingerprint background check for 1 of 4 staff. |
Report Facts
Residents at risk: 97
Residents with Dementia: 44
Residents with Dementia: 38
Residents sampled: 9
Residents sampled: 1
Residents sampled: 0
Staff without orientation: 3
Staff without CPR/First Aid training: 3
Staff without Dementia specialty training: 3
Staff without TB testing within 3 days: 4
Staff without timely background check submission: 1
Staff without valid background checks: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steven Kindle | Nursing Consultant Institutional | Department staff who conducted multiple inspections and follow-ups. |
| James Sherman | Field Manager | Signed the follow-up inspection letter dated 10/31/2025. |
| Staff A | Executive Director | Named in findings related to lack of Dementia specialty training, CPR/First Aid training, and TB testing. |
| Staff B | Medication Technician | Named in findings related to lack of CPR/First Aid training, Dementia specialty training, facility orientation, TB testing, and background check delays. |
| Staff C | Caregiver | Named in findings related to lack of facility orientation, 70-hour Basic training, Dementia specialty training, CPR/First Aid training, and missing fingerprint background check. |
| Staff D | Caregiver | Named in findings related to lack of facility orientation, TB testing, and missing fingerprint background check. |
| Staff E | Medication Technician | Named in findings related to missing approved continuing education and expired background check. |
| Staff F | Caregiver | Named in findings related to missing CPR/First Aid training. |
| Staff G | Business Office Manager | Provided statements regarding lack of documentation and follow-up on staff training and background checks. |
| Staff H | Wellness Director | Provided statement regarding Resident 5's medication self-administration and lack of assessment. |
| Staff C | Memory Care Director | Provided statement regarding scheduling of Dementia specialty training. |
Inspection Report
Follow-Up
Deficiencies: 1
Sep 25, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to the Harbour Pointe Retirement & Assisted Living Center to verify correction of previously cited deficiencies.
Findings
The facility was found to have an uncorrected deficiency related to a staff member not completing required Cardiopulmonary Resuscitation (CPR) and First Aid training, resulting in a civil fine of $500.00.
Deficiencies (1)
| Description |
|---|
| Failure to ensure one staff member completed Cardiopulmonary Resuscitation (CPR) and First Aid training. |
Report Facts
Civil fine amount: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jim Sherman | Field Manager | Contact person for submission of Plan of Correction and inquiries. |
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter. |
Inspection Report
Follow-Up
Census: 93
Deficiencies: 1
Jul 31, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to verify correction of previously cited deficiencies related to staff training at Harbour Pointe Retirement & Assisted Living Center.
Findings
The facility failed to ensure that two staff completed Dementia Specialty Training and two staff completed CPR and First Aid training, resulting in uncorrected deficiencies that placed all 93 residents at risk of compromised care, services, and safety.
Deficiencies (1)
| Description |
|---|
| Failure to ensure two staff completed Dementia Specialty Training and two staff completed CPR and First Aid training. |
Report Facts
Civil fine amount: 400
Resident census: 93
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter. |
| Laurie Anderson | Field Manager | Contact person for the facility regarding the plan of correction and appeals. |
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 1
Jun 12, 2025
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility triggered by complaints regarding a resident walking outside unsupervised and staff retaliation concerns.
Findings
The investigation found that the facility allowed a resident to walk outside unsupervised, resulting in a fall, and failed to include this in the resident's assessment initially. The facility corrected the assessment and care plan. Staff reported feeling comfortable raising concerns without fear of retaliation. A consultation was issued for failure to comply with full assessment requirements.
Complaint Details
The complaint involved allegations that staff allowed a resident to walk outside unsupervised leading to a fall, and that a staff member felt retaliated against for advocating resident safety. The complaint was substantiated with a citation issued for the assessment deficiency. No failed practice was identified regarding retaliation.
Deficiencies (1)
| Description |
|---|
| Failure to include in the resident assessment their ability to leave the assisted living facility unsupervised. |
Report Facts
Total residents: 96
Resident sample size: 4
Complaint numbers: Complaint numbers referenced: 179930, 180527
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Anthony Devito | Field Services Administrator | Signed letter regarding the complaint investigation |
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 2
Apr 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that a named resident left the Assisted Living Facility unsupervised and that the facility did not administer the resident's scheduled medication.
Findings
The Assisted Living Facility failed to follow the named resident's service plan, allowing the resident to leave unsupervised, and the Medication Technician failed to administer medication due to not checking the medication supply. A citation was issued for noncompliance with WAC 388-78A-2160. The Medication Technician was retrained, warned, removed from duty, and terminated.
Complaint Details
The complaint investigation was substantiated with findings that the resident left unsupervised and medication was not administered as scheduled. The Medication Technician was terminated following the incident.
Deficiencies (2)
| Description |
|---|
| Failure to follow the Named Resident's service plan resulting in the resident leaving the facility unsupervised. |
| Medication Technician did not give the Named Resident medication due to failure to check medication supply. |
Report Facts
Total residents: 93
Resident sample size: 3
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Investigator who conducted the complaint investigation and on-site verification |
| Laurie Anderson | Community Field Manager | Signed the follow-up inspection letter |
| Staff C | Business Office Manager | Interviewed during investigation; stated care staff and front desk monitor residents |
| Staff D | Medication Technician | Failed to administer medication and was terminated |
| Staff B | Wellness Director | Provided statements about resident supervision |
| Staff A | Executive Director | Provided statements about resident supervision |
Inspection Report
Follow-Up
Census: 89
Deficiencies: 1
Mar 3, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration and record keeping.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility met licensing requirements. However, a prior complaint investigation identified failures in documenting narcotic medication administration for one resident, resulting in a citation.
Complaint Details
Complaint investigation involved allegations of missing narcotics, missed medications at admission due to inadequate documentation, untimely assessments affecting resident care, and alleged staff retaliation. The investigation found failure to document narcotic medication administration for one resident, but no evidence of missed medications at admission, untimely assessments, or retaliation. Citation was issued for noncompliance with medication record keeping.
Deficiencies (1)
| Description |
|---|
| Failure to document and maintain records for narcotic medication administration for one resident, resulting in lack of record of narcotic medications received, dispensed, and accounted for. |
Report Facts
Total residents: 89
Resident sample size: 5
Closed records sample size: 1
Compliance Determination Completion Date: Jan 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Conducted the complaint investigation and follow-up inspection |
| Kimberley Ripley | Field Manager | Signed the follow-up inspection report letter |
| Staff C | Director of Wellness | Reported assisting resident with narcotic medication administration and inability to locate narcotic log and medication administration record |
| Staff D | Medication Technician | Reported no documentation for resident's Oxycodone in narcotic count log |
| Staff E | Medication Technician | Recalled administering Oxycodone but could not find documentation |
| Staff B | Stated narcotic medications were usually logged but had no progress notes for resident |
Inspection Report
Follow-Up
Census: 74
Capacity: 74
Deficiencies: 8
Aug 7, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previous deficiencies related to fire and life safety compliance.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. However, prior inspections documented multiple uncorrected fire and life safety deficiencies placing residents at risk.
Complaint Details
Complaint investigation triggered by failure of the third Fire Marshal inspection. The Assisted Living Facility failed the third Fire Marshalls inspection and was cited for noncompliance with WAC 388-78A-2040(2).
Deficiencies (8)
| Description |
|---|
| Facility failed 3 of 3 consecutive Fire and Life Safety inspections (06/20/2023, 07/24/2023, 09/28/2023) resulting in noncompliance with Washington State Fire Marshal requirements. |
| Facility could not provide documentation for completion of twelve planned unannounced fire drills in the previous 12 months. |
| Facility unable to provide documentation that the annual fire wall inspection has been completed. |
| Facility unable to provide documentation for the 4-year fire and smoke damper inspection. |
| Facility unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25. |
| Facility unable to provide documentation for monthly single station smoke alarm testing and required smoke detector sensitivity testing. |
| Facility unable to provide documentation for the annual servicing of the emergency generator. |
| Facility unable to provide documentation for the annual 90-minute power test for emergency lights; south stairwell light on second floor was out. |
Report Facts
Residents at risk: 74
Fire and Life Safety inspections failed: 3
Residents present during inspection: 74
Total licensed capacity: 74
Resident sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Conducted the follow-up inspection and complaint investigation. |
| Kimberley Ripley | Field Manager | Signed follow-up inspection report and correspondence. |
| Staff B | Maintenance Director | Provided information regarding fire safety deficiencies and repairs. |
| Staff A | Executive Director | Provided statements regarding compliance status and repairs. |
| Collateral Contact 1 | Fire Marshal | Provided fire marshal inspection reports and compliance status. |
| Cristina Gonzalez | ALF Licensor | Conducted on-site follow-up inspection on 03/22/2024. |
| Allison Nunn | Long Term Care Surveyor | Conducted on-site follow-up inspection on 01/10/2024. |
Inspection Report
Enforcement
Census: 74
Deficiencies: 1
Jun 12, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance with fire and life safety requirements after previous failed inspections.
Findings
The facility failed three consecutive Fire and Life Safety inspections, resulting in non-compliance with Washington State Fire Marshal requirements and placing all 74 residents at risk of harm in the event of a fire. This deficiency was uncorrected and recurring from prior citations.
Deficiencies (1)
| Description |
|---|
| Failure to comply with Washington State Fire Marshal requirements after three consecutive Fire and Life Safety inspections. |
Report Facts
Civil fine amount: 2500
Resident count at risk: 74
Previous citation dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter regarding the civil fine. |
| Kim Ripley | Field Manager | Contact person for plan of correction and appeals. |
Inspection Report
Enforcement
Census: 74
Deficiencies: 1
Apr 3, 2024
Visit Reason
The Department of Social and Health Services completed a follow-up visit to the assisted living facility to assess compliance with fire and life safety requirements after previous failed inspections.
Findings
The facility failed three consecutive Fire and Life Safety inspections, resulting in non-compliance with Washington State Fire Marshal requirements and placing all 74 residents at risk of harm. This deficiency was uncorrected and recurring from prior citations.
Deficiencies (1)
| Description |
|---|
| Failure to comply with Washington State Fire Marshal requirements after failing three consecutive Fire and Life Safety inspections. |
Report Facts
Civil fine amount: 1000
Number of residents at risk: 74
Number of failed inspections: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rathana Duong | Compliance Specialist | Signed the enforcement letter regarding the civil fine. |
| Kim Ripley | Field Manager | Contact person for submission of plan of correction and inquiries. |
Inspection Report
Follow-Up
Census: 54
Deficiencies: 1
Mar 22, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to water supply and hot water temperature compliance.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to hot water temperature exceeding acceptable limits were corrected.
Complaint Details
The complaint investigation involved an alleged victim found on the floor with second degree burns on left hand, wrist, forearm, and shoulder. The investigation ruled out abuse and neglect but identified failed practice due to hot water temperature exceeding acceptable limits, resulting in a citation.
Deficiencies (1)
| Description |
|---|
| Non compliance with WAC 388-78A-2950 (6) Water supply due to hot water temperature exceeding acceptable range. |
Report Facts
Total residents: 54
Resident sample size: 4
Closed records sample size: 3
Water temperature readings: 136
Water temperature readings: 132
Water temperature readings: 133
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cristina Gonzalez | ALF Licensor | Department staff who did the on-site verification during follow-up inspection |
| Wesler Dumecquias | Community Complaint Investigator | Department staff who investigated the complaint |
| Kimberley Ripley | Field Manager | Signed follow-up inspection letter and statement of deficiencies |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 1
Jan 26, 2024
Visit Reason
The investigation was initiated due to a complaint regarding a Named Resident who fell after attempting to use the bathroom alone and called for help for an hour before staff arrived.
Findings
The Assisted Living Facility failed to respond to residents' calls using pendants and pull cords within a reasonable time, resulting in delayed medical treatment and long wait times. A citation was issued for noncompliance with communication system regulations.
Complaint Details
The complaint involved a Named Resident who fell and called for help for an hour before staff responded. The investigation substantiated issues with long waits and unreasonable response times by staff to resident calls using pendants and pull cords. A citation was issued for noncompliance with WAC 388-78A-2930(1)(b)(i).
Deficiencies (1)
| Description |
|---|
| Failed to respond to residents' requests within a reasonable time using call pendants and pull cords, causing delays in medical treatment and unmet care needs. |
Report Facts
Total residents: 41
Resident sample size: 5
Closed records sample size: 1
Longest wait time: 329
Resident 1 call button presses: 9
Response time wait: 320
Resident 1 calls: 247
Average response time: 20
Longest response time: 237
Resident 4 calls: 81
Resident 4 longest response time: 328
Resident 4 calls: 57
Resident 4 calls: 27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Conducted the on-site verification and investigation |
Inspection Report
Enforcement
Census: 77
Deficiencies: 1
Jan 17, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance and imposed a civil fine due to failure to maintain compliance with fire and life safety requirements.
Findings
The facility failed three consecutive Fire and Life Safety inspections, resulting in non-compliance with Washington State Fire Marshal requirements and placing all 77 residents at risk of harm in the event of a fire. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
| Description |
|---|
| Failure to maintain compliance with Washington State Fire Marshal requirements after failing three consecutive Fire and Life Safety inspections. |
Report Facts
Civil fine amount: 500
Residents at risk: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Kim Ripley | Field Manager | Contact person for plan of correction and appeals |
Inspection Report
Annual Inspection
Deficiencies: 23
Sep 28, 2023
Visit Reason
The Office of the State Fire Marshal conducted an annual fire and life safety inspection of Harbour Pointe Retirement & AL Center.
Findings
The inspection identified multiple violations related to fire safety, emergency preparedness, and maintenance. The facility was unable to provide documentation for required fire drills, fire wall inspections, fire alarm testing, emergency generator servicing, and other fire safety measures, placing residents, staff, and visitors at risk.
Deficiencies (23)
| Description |
|---|
| Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months. |
| Facility is unable to provide documentation that the annual fire wall inspection has been completed. |
| Facility is unable to provide documentation for the 4 year fire and smoke damper inspection. |
| Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25. |
| Facility is unable to provide documentation for the monthly single station smoke alarm testing and required smoke detector sensitivity testing. |
| Facility is unable to provide documentation for the annual servicing of the emergency generator. |
| Facility is unable to provide documentation for the semi-annual hood cleaning. |
| The boiler room needs to have the storage cleaned out of it. |
| Third floor computer room by room 309 has a fire door that does not close and latch on its own. |
| Memory care activity center fire door needs a door coordinator. |
| Memory care North West exit door does not open and needs to be repaired. |
| Fire sprinkler heads in the freezer and refrigerator in the main kitchen have a date of 2014 and require replacement every 5 years. |
| Facility is unable to provide documentation for the annual 90 minute power test for the emergency lights. |
| South stairwell on second floor light is out and needs to be fixed for proper egress illumination. |
| Facility is unable to provide documentation for the monthly 30 second activation test for the emergency lights. |
| Facility is unable to provide documentation for the annual 90 minute power test for the emergency lights. |
| Facility is unable to provide documentation for the annual sprinkler system inspection. |
| Facility is unable to provide documentation for the 5 year internal piping inspection. |
| Facility is unable to provide documentation for the 3 year dry system full flow trip test. |
| Facility is unable to provide documentation for the quarterly sprinkler system inspections. |
| Facility is unable to provide documentation for the semi-annual kitchen suppression system servicing. |
| Facility is unable to provide documentation for the monthly carbon monoxide detector testing. |
| Facility is unable to provide documentation for the annual servicing of the emergency generator. |
Report Facts
Fire drill documentation: 12
Fire sprinkler replacement interval: 5
Fire alarm power test duration: 90
Emergency light activation test duration: 30
Fire department connection hydrostatic test pressure: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Dennis | Administrator | Named as facility administrator in inspection correspondence. |
| Arthur Jesse Ward | Deputy State Fire Marshal | Conducted the inspection and issued the inspection report. |
| Yvette Klein | RN, Director of Wellness | Signed inspection documents as authorized facility representative. |
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 2
Jul 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding a Named Resident (NR) who had a change in condition, exhibiting altered mentation, nonverbal behavior, refusal of medications, and behavioral issues.
Findings
The Assisted Living Facility failed to document and address the challenging behaviors of the Named Resident, who was aggressive, combative, and refused medications for 20 days. Citations were issued for noncompliance with specific Washington Administrative Codes related to resident records, assessments, and policies.
Complaint Details
The complaint involved a Named Resident who had altered mentation, became nonverbal, exhibited behavior issues, and refused medications. The investigation found failed provider practices and citations were written.
Deficiencies (2)
| Description |
|---|
| Failure to document aggressive and combative behaviors of Resident 1, resulting in incomplete records and risk to resident's care needs and quality of life. |
| Failure to have a policy to guide staff when a resident does not have a personal physician and failure to ensure residents receive medications as prescribed when running out of medication. |
Report Facts
Total residents: 80
Resident sample size: 2
Medication refusal duration (days): 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wesler Dumecquias | Community Complaint Investigator | Investigator who conducted the complaint investigation |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 25, 2023
Visit Reason
The inspection was conducted in response to a complaint (#83438) alleging a heater fire at the facility.
Findings
The investigation found no recent fire at the facility. The facility has a policy prohibiting space heaters due to a previous fire incident on 12/15/2022, which was documented with no citations issued. No evidence of a fire or burnt appliances was found during the inspection.
Complaint Details
Complaint #83438 alleged a heater fire. The complaint was investigated by DSFM Jesse Ward on 05/25/2023. The complaint was not substantiated as no recent fire was found and no citations were issued related to the complaint.
Report Facts
Complaint number: 83438
Previous fire incident date: Dec 15, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jesse Ward | Deputy State Fire Marshal | Investigated the complaint on 05/25/2023 |
| Brandon Brown | Investigated previous fire incident on 12/15/2022 |
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 1
Feb 27, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that there was a fire in a resident's room at the assisted living facility.
Findings
The investigation determined that a fire began in a resident's room in the memory care unit caused by an oil-based portable heater that was plugged in upside down with clothing placed on top, which caught fire. A citation was issued for violation of WAC 388-78A-2990 Heating-Cooling-Temp.
Complaint Details
The complaint alleged a fire in a resident's room. The investigation substantiated the allegation and identified failed provider practice with citation.
Deficiencies (1)
| Description |
|---|
| Use of an oil-based portable heater plugged in upside down causing a fire in a resident's room. |
Report Facts
Total residents: 88
Resident sample size: 4
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberley Ripley | Investigator / Field Manager | Conducted the complaint investigation and follow-up inspection |
| Wesler Dumecquias | Community Complaint Investigator | Performed on-site verification during follow-up inspection |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 15, 2022
Visit Reason
The inspection was conducted to investigate a complaint of fire on a heater at Harbour Pointe Retirement & Assisted Living Center.
Findings
The investigation found that a resident in the memory care unit caused a fire by placing clothing on a heater, which overheated and ignited. The fire was extinguished promptly by staff with no spread beyond the immediate area, no injuries were reported, and the sprinkler system was not activated.
Complaint Details
Complaint ref # 61172 involved a fire on a heater in the memory care unit. The fire was contained and extinguished with no injuries or spread. Sprinkler system was not activated. All heaters have been removed from resident rooms.
Report Facts
Complaint reference number: 61172
Time of complaint investigation entry: 830
Date of fire incident: 1206
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted complaint investigation and signed report |
Inspection Report
Renewal
Deficiencies: 9
Jul 28, 2022
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Harbour Pointe Retirement & AL Center by the Office of the State Fire Marshal to determine compliance with applicable codes, as part of the renewal licensing process.
Findings
Multiple violations were observed including issues with power supply, broken outlet covers, lack of annual fire wall inspection records, malfunctioning fire doors, missing carbon monoxide alarms, lack of documentation for CO detector testing, missing weekly generator inspections, and incomplete fire drill records. The facility was disapproved and required to correct deficiencies before re-inspection.
Deficiencies (9)
| Description |
|---|
| The physical therapy room had a power strip connected to another power strip - Corrected at time of inspection. |
| The facility has a broken outlet cover by the stairs / Beauty shop. |
| The facility was unable to provide record of their annual fire wall inspection and/or repairs for all fire-resistant-rated construction. |
| The oxygen room door in the memory care unit did not close and latch properly when tested. |
| The facility has an escutcheon ring missing on the ceiling by room 460. |
| The facility does not have a carbon monoxide alarm in the laundry room (1st floor) where a gas fed dryer is used. |
| The facility was unable to provide documentation showing that testing of their CO detectors have been performed in the past 12 months. |
| The facility has not conducted/documented the required weekly visual inspections of the generator as required by NFPA 110 since March 2022. |
| Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months. |
Report Facts
Inspection date: Jul 28, 2022
Number of planned and unannounced fire drills required: 12
Generator inspection frequency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Conducted the inspection on 07/28/2022 |
| Cozetta Christian | Deputy State Fire Marshal | Listed as Deputy State Fire Marshal on final page |
| Roger Gunther | Building Service Director | Named as Owner's Representative on page 1 |
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