Inspection Report
Life Safety
Deficiencies: 2
May 20, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Horizon House facility to assess compliance with fire safety regulations.
Findings
The inspection found that all violations noted during previous related inspections had been corrected. The facility is upgrading its wet system to UL300. Multiple fire safety requirements were reviewed and corrected, including emergency evacuation drills, application and use of power taps, cleaning, door operation, testing and maintenance of sprinkler and extinguishing systems, and fire door inspections.
Deficiencies (2)
| Description |
|---|
| Fire/smoke damper inspection will need to be performed and documented; inspection reports must verify no deficiencies or document corrections. |
| Horizontal fire-rated accordion type sliding doors in front of elevator in memory care area would not activate. |
Report Facts
Next inspection scheduled on or after: Mar 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean McMahan | Chief Engineer | Named as Owner's Representative and signatory on inspection reports |
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted the inspection and signed the reports |
Inspection Report
Follow-Up
Census: 66
Deficiencies: 1
Apr 24, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to food sanitation.
Findings
The follow-up inspection on 04/24/2025 found no deficiencies, confirming that the facility corrected the prior issue with food sanitation involving ice machine cleanliness.
Deficiencies (1)
| Description |
|---|
| Failed to ensure one of two ice machines remained clean and free of splash and spray from beverages or other liquids, placing 42 of 66 residents at risk for foodborne illness. |
Report Facts
Residents at risk: 42
Current residents: 66
Sample size: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sunny Kent | Licensor | Department staff who conducted the on-site verification |
| Scottie Sindora | ALF Licensor | Department staff who conducted the on-site verification |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 68
Deficiencies: 1
Feb 20, 2025
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation due to the Assisted Living Facility failing their third fire and life safety inspection and receiving a Letter of Non-compliance from the Deputy State Fire Marshal.
Findings
The facility failed to correct violations from previous fire and life safety inspections dated 07/11/2024 and 09/25/2024, as well as a follow-up inspection on 02/03/2025. Deficiencies were found related to fire/smoke damper inspection and extinguishing system service. The facility was in the process of upgrading the kitchen fire system.
Complaint Details
The complaint investigation was based on the facility's failure to pass fire and life safety inspections, resulting in a Letter of Non-compliance from the Deputy State Fire Marshal. The investigation confirmed the facility had not corrected violations from previous inspections.
Deficiencies (1)
| Description |
|---|
| Failed to ensure compliance with Washington State Patrol Office of State Fire Marshal fire and life safety inspections, including deficiencies in extinguishing system service and missing fire/smoke damper inspection documentation. |
Report Facts
Total residents: 67
Resident sample size: 2
Licensed capacity: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hauk | Complaint Investigator | Conducted the on-site complaint investigation |
| Jamie Singer | Field Manager | Signed follow-up inspection letter confirming no deficiencies on 05/21/2025 |
| Louis Warfield-Lawson | Administrator | Named as Administrator in Plan of Correction and interview regarding compliance |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 1
Dec 16, 2024
Visit Reason
The investigation was conducted due to a complaint alleging that a staff member (NS#1) spoke aggressively to another staff member (NS#2) in front of a resident (NR) at the Assisted Living Facility.
Findings
The investigation found that NS#1 did speak aggressively to NS#2, but the resident did not suffer emotional harm. The facility followed policy by suspending NS#1 and investigating. No abuse or neglect was substantiated. However, it was found that NS#1 worked with expired credentials, placing all 63 residents at risk.
Complaint Details
Complaint investigation regarding aggressive speech by NS#1 to NS#2 in front of a resident. No abuse or neglect substantiated. Citation issued for expired credentials of NS#1.
Deficiencies (1)
| Description |
|---|
| Failure to ensure credentials were active for 1 of 3 sampled staff (Staff B), placing 63 residents at risk of receiving care from uncredentialled staff. |
Report Facts
Total residents: 63
Resident sample size: 2
Days Staff B worked without active credential: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Hauk | Complaint Investigator | Conducted the complaint investigation and on-site verification |
| Jamie Singer | Field Manager | Signed follow-up inspection letter |
| Staff B | Certified Nursing Assistant | Worked with expired credentials from 09/11/2024 to 12/06/2024 |
| Staff E | Staffing Coordinator | Interviewed regarding credential checks and staff schedules |
| Staff A | Chief Operating Officer | Confirmed Staff B provided care without active credential |
| Lauri Warfield-Larson | Administrator (or Representative) | Signed Plan/Attestation Statement to correct deficiency |
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 2
Nov 8, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to complaint number 101425 to determine compliance with Assisted Living Facility requirements.
Findings
The facility was found not to meet Assisted Living Facility requirements due to deficiencies including failure to complete a national fingerprint background check for a staff member and failure to coordinate care with a Primary Care Physician for a resident. A consultation was also provided regarding unsafe storage of toxic solutions.
Complaint Details
Complaint number 101425 triggered the inspection. The facility was found non-compliant with licensing requirements. The report references enforcement actions and expects correction within the accepted timeframe.
Deficiencies (2)
| Description |
|---|
| Failure to ensure that 1 of 3 sampled staff members completed a national fingerprint background check, placing all 68 residents at risk. |
| Failure to coordinate care with a Primary Care Physician to discontinue a treatment order for a resolved skin issue for 1 resident, resulting in inappropriate continued treatments. |
Report Facts
Residents present during inspection: 68
Sample size for review: 10
Total residents: 68
Staff members sampled: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keiko Kitano | Licensor | Department staff who inspected the Assisted Living Facility. |
| Alma Duran | Licensor | Department staff who inspected the Assisted Living Facility. |
| Jamie Singer | Field Manager | Field Manager who authored the report and correspondence. |
| Staff B | Elder Care Assistant/Certified Nursing Assistant | Staff member who failed to complete the required national fingerprint background check. |
| Staff K | Director of Human Resources | Confirmed absence of national fingerprint background check for Staff B. |
| Staff J | Director of Resident Care | Interviewed regarding resident care and treatment documentation. |
Inspection Report
Life Safety
Deficiencies: 17
Jun 28, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at Horizon House to assess compliance with fire safety codes and regulations.
Findings
Multiple deficiencies were identified related to fire safety including use of multiplug adapters, lack of required inspection paperwork, door operation issues, maintenance and testing deficiencies, broken exit signs, and incomplete fire door inspection documentation. The facility was disapproved due to these deficiencies but all violations noted during previous inspections were corrected.
Deficiencies (17)
| Description |
|---|
| Power extension cord in EVS room, 2nd floor east tower |
| Missing paperwork for annual inspection of fire-rated construction |
| 3rd floor electrical room, north tower - penetration issues |
| 3rd floor electrical south side, north tower - penetration issues |
| 3rd floor trash room/soiled utility, center tower - penetration issues |
| 2nd floor electrical room by room 243, East tower - penetration issues |
| 2nd floor electrical room by 226, north tower - penetration issues |
| 3rd floor double doors by room 301, center tower do not close and latch automatically |
| 2nd floor double doors by room 228, north tower do not close and latch automatically |
| 2nd floor double doors by room 217, north tower do not close and latch automatically |
| Bent or dirty sprinkler head under hood in kitchen |
| Missing paperwork for first and second semi-annual servicing and annual replacement of sprinkler heads |
| Broken detector next to elevator in kitchen |
| Broken exit sign next to 'exit stairway' in kitchen |
| Missing documentation showing all deficiencies have been corrected for NFPA 80 Fire/Smoke Dampers Inspection and Testing |
| Missing documentation showing all deficiencies have been corrected for NFPA 80 Fire Door Inspection and Testing |
| Facility needs to identify and establish schedule for inspection of fire doors and fire-rated construction within 30 days |
Report Facts
Next inspection scheduled on or after: Jul 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean McMahan | Chief Engineer | Signed as facility representative on inspection report |
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted the inspection and signed the report |
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