Inspection Report
Follow-Up
Census: 56
Deficiencies: 2
Oct 23, 2024
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 10/23/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to tuberculosis skin testing and resident records were corrected.
Deficiencies (2)
| Description |
|---|
| Failure to complete tuberculosis two-step skin testing for staff within three days of hire. |
| Failure to maintain an accurate and current resident characteristic roster documenting care needs and services for residents. |
Report Facts
Residents reviewed: 7
Residents with inaccurate records: 14
Staff with late TB testing: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kyle Gehlen | ALF Licensor - LTC | Department staff who did the on-site verification and inspection |
| Jennifer Siharath | ALF Licensor | Department staff who did the on-site verification and inspection |
| Richard Westom | NCI, ALF Complaint Investigator | Department staff who inspected the Assisted Living Facility |
| Michael Burdick | Field Manager | Signed the follow-up inspection letter |
Inspection Report
Annual Inspection
Deficiencies: 12
Aug 31, 2023
Visit Reason
The Office of the State Fire Marshal conducted an annual fire and life safety inspection of Highgate Senior Living Vancouver to identify violations and ensure compliance with fire safety regulations.
Findings
The inspection identified multiple violations including improper use of power taps, open electrical wiring, failure to have kitchen cooking appliances inside hood suppression systems, failure to provide required fire door inspection reports, failure to maintain hold-open devices and door closers, failure to provide required fire damper testing, sprinkler system testing deficiencies, and failure to provide fire alarm and fire department connection inspections and testing.
Deficiencies (12)
| Description |
|---|
| Non approved power tap in nurse station |
| Facility failed to plug power strip directly into outlet in nurse station |
| Open electrical wiring in break room adjacent to kitchen |
| Facility failed to have kitchen cooking appliance inside hood suppression system; appliance about 2 inches outside of hood on left and right side |
| Facility failed to provide annual fire door inspection reports |
| Laundry room door fails to be self closing by maintenance office |
| Resident room 207 door fails to self close as required |
| Facility failed to provide 4 year fire damper testing |
| Facility fails to provide annual forward flow testing of sprinkler system |
| Facility fails to provide quarterly fire sprinkler inspections |
| Facility failed to provide annual fire alarm inspection |
| Facility failed to provide 5 year fire department connection (FDC) hydro testing |
Report Facts
Next inspection scheduled date: Sep 30, 2023
Next inspection scheduled date: Aug 24, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Issued the inspection report and contact for enforcement and follow-up |
Inspection Report
Re-Inspection
Deficiencies: 10
Aug 31, 2023
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously noted violations.
Findings
The facility failed to correct multiple violations including failure to provide annual forward flow testing of the sprinkler system, failure to have kitchen cooking appliance hood suppression system, open electrical wiring, failure to provide annual fire door inspection reports, hold-open devices and closers not functioning properly, failure to provide 4 year fire damper testing, and failure to provide quarterly fire sprinkler inspections.
Deficiencies (10)
| Description |
|---|
| Facility fails to provide annual forward flow testing of sprinkler system |
| Facility failed to have kitchen cooking appliance inside hood suppression system. Appliance are about 2 inches outside of hood on left and right side |
| Non approved power tap in nurse station |
| Facility failed to plug power strip directly into outlet in nurse station |
| Open electrical wiring in break room adjacent to kitchen |
| Facility failed to provide annual fire door inspection reports |
| Laundry room door fails to be self closing by maintenance office |
| Resident room 207 fails to self close as required |
| Facility failed to provide 4 year fire damper testing |
| Facility fails to provide quarterly fire sprinkler inspections |
Report Facts
Next inspection scheduled on or after: Sep 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
| Ryan Davis | Maint Manager | Named as Owner or Owner's Representative |
Loading inspection reports...
