Inspection Reports for Heritage Heights at Lake Chelan
505 E HIGHLAND AVENUE, CHELAN, WA, 98816
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
12.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
98% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 11
Date: Sep 10, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Heritage Heights at Lake Chelan to assess compliance with fire protection codes and regulations.
Findings
Multiple fire code violations were identified including failure to maintain required ceiling clearance below sprinkler heads, improper use of power strips, lack of required fire suppression systems in cooking areas, missing documentation for fire-resistance inspections and fire door annual inspections, fire alarm system in supervisory status due to construction, missing sprinkler system maintenance documentation, and fire extinguishers installed exceeding height limits. All violations were noted as corrected or require ongoing documentation.
Deficiencies (11)
Failure to maintain storage 18 inches below fire sprinkler head on the top shelf in the Salon.
Seven appliances including fridges and freezers plugged into power strips not directly into approved outlets in the 2nd Floor Activities Room.
Multipul adapter at the door near the night light in Room 102.
Second floor Activities room used as temporary cooking and food preparation area without fire suppression system.
Unable to provide documentation of fire-resistance rated construction inspection within past twelve months; breaches in ceilings and walls noted.
Unable to provide documentation of fire door annual inspection within last twelve months.
Fire alarm system in supervisory status due to disabled devices in dining and kitchen area during construction.
Unable to provide documentation of annual sprinkler system maintenance testing, five-year internal pipe testing, and five-year FDC Hydro Testing.
Fire extinguishers exceeding 5 feet in height in first floor remodeling area, 2nd floor laundry room, and Water Closet.
Emergency lighting in Dining Hall inoperable when activated.
Combustibles obstructing path of egress in 2nd floor construction area; storage not stored on one side of hallway.
Report Facts
Number of appliances plugged into power strips: 7
Height clearance required below sprinkler heads: 18
Fire extinguisher height limit exceeded: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joel D. Stephens | CEO | Signed as Owner or Authorized Representative |
| Andrea Ely | Deputy State Fire Marshal | Conducted inspection |
| Mike | Stated reason for fire alarm system supervisory status due to construction |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 22, 2024
Visit Reason
The Department of Social and Health Services completed a full inspection of the Assisted Living Facility on 08/22/2024 to determine compliance with Assisted Living Facility requirements.
Findings
The facility was found not to meet Assisted Living Facility requirements due to failure to ensure that Negotiated Service Agreements contained necessary content to meet residents' needs. The facility planned to include the required components in residents' agreements.
Deficiencies (1)
Failure to ensure Negotiated Service Agreements contained necessary content to meet residents' needs.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Ramirez | Assisted Living Facility Licensor | Department staff who did the inspection and provided consultation. |
| Anna Cairns | ALF Long Term Care Surveyor | Department staff who did the inspection and provided consultation. |
| Stephanie Jenks | Community Field Manager | Department staff who did the inspection and provided consultation and signed the letter. |
Inspection Report
Life Safety
Deficiencies: 12
Date: Jul 31, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Heritage Heights at Lake Chelan residential care facility on 07/31/2023.
Findings
Multiple fire safety violations were observed including electrical hazards, improper use of multiplug adapters, lack of documentation for damper testing and sprinkler maintenance, unsecured fire extinguishers, obstructed fire alarm pull station, and failure to provide documentation for monthly testing of smoke and carbon monoxide alarms.
Deficiencies (12)
Electrical receptacle cover broken off in Resident Room 202; cover replaced during inspection.
Unfused powerstrip in use above television in Resident Room 105; corrected during inspection.
Fountain plugged into powerstrip which was plugged into another powerstrip at entrance.
Facility unable to provide documentation of damper testing within past 4 years.
Facility unable to provide documentation of testing of quick response fire sprinkler heads older than 20 years.
Fire extinguisher at top of stairs in Maintenance Department not inspected monthly since June 2023.
Fire extinguisher at top of stairs in Elevator Room not inspected monthly since June 2023.
Five fire extinguishers unsecured on floor in Maintenance Department; secured during inspection.
Pull station between soiled linen room and restroom on second floor was obstructed; obstruction removed during inspection.
Facility unable to provide documentation of monthly testing of single station smoke alarms in resident rooms.
Facility unable to provide documentation of monthly testing of single station carbon monoxide alarms after October 2022.
Two oxygen cylinders in Resident Room 216 were unsecured; secured during inspection.
Report Facts
Fire extinguishers unsecured: 5
Oxygen cylinders unsecured: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deseria Bare | Executive Director | Named as Owner or Authorized Representative signing the inspection report. |
| Barbara Maier | Deputy State Fire Marshal | Named as Deputy State Fire Marshal conducting the inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 16, 2023
Visit Reason
The inspection was conducted as an off-site complaint investigation related to a fire alarm activation and fire watch at Heritage Heights at Lake Chelan.
Complaint Details
Complaint #64209 involved investigation of fire alarm activations and response. The complaint was not substantiated as no violations were found.
Findings
The fire alarm system activated twice on December 31, 2022, with no actual fire found. The pull station that previously failed was replaced and tested on January 6, 2023. No violations were noted related to the complaint.
Report Facts
Complaint number: 64209
Dates of complaint investigation: January 5 and 16, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Maier | Deputy State Fire Marshal | Conducted the complaint investigation |
| Deseria Bare | Executive Director | Owner or Authorized Representative |
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 1
Date: Jan 10, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to complaints regarding the facility's fire alarm system malfunction.
Complaint Details
Complaint numbers 63282 and 64209 were investigated. The allegation was that the facility's fire alarm system malfunctioned and had to be taken offline. The complaint investigation concluded with no failed provider practice identified and no citation written.
Findings
The investigation found that the facility responded immediately to the fire alarm system malfunction by starting fire watch until repairs were complete. The facility failed to notify the fire marshal of the fire alarm system being taken offline, but all other notifications were made. No failed provider practice was identified and no citation was written.
Deficiencies (1)
Failed to notify the fire marshal of the fire alarm system malfunction.
Report Facts
Total residents: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Velazquez | Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Michelle Closner | Field Manager | Signed the report and provided contact information |
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