Inspection Reports for Ida Culver House Ravenna
2315 NE 65th St, Seattle, WA 98115, USA, WA, 98115
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 9, 2024
Visit Reason
This document is the result of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in a Statement of Deficiencies (SOD) report dated July 29, 2024.
Findings
After review of all materials, oral statements, and records, the decision was made not to change the original SOD report dated July 29, 2024. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.
Report Facts
Correction timeframe: 45
Disputed deficiencies response timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staci Dilg | IDR Program Manager | Signed the IDR results letter. |
| Jamie Singer | Field Manager | Contact person for mailing Plan/Attestation Statement. |
Inspection Report
Follow-Up
Deficiencies: 3
Aug 27, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 08/27/2024 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to training, tuberculosis testing, and relocation notification were corrected.
Deficiencies (3)
| Description |
|---|
| Failed to ensure 1 of 5 sampled staff completed in-person First Aid training, placing residents at risk. |
| Failed to ensure 1 of 1 staff with positive tuberculosis testing results received a chest x-ray within seven days, placing residents at risk of exposure. |
| Failed to notify the Department at least 30 days prior to relocating residents during construction, resulting in unawareness of 9 residents moved out and placing residents at risk. |
Report Facts
Sampled staff: 5
Residents moved without notification: 9
Residents receiving assistance: 8
Staff shifts per week: 4.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Lead Resident Assistant | Named in deficiencies related to incomplete First Aid training and tuberculosis testing compliance |
| Staff D | Executive Director | Documented last resident move and confirmed training and testing deficiencies |
| Sunny Kent | Licensor | Department staff who conducted inspections |
| Scottie Sindora | ALF Licensor | Department staff who conducted inspections |
| Jamie Singer | Field Manager | Signed inspection and follow-up letters |
| Sh Betz | Administrator (or Representative) | Signed plan of correction and attestation statements |
Inspection Report
Life Safety
Deficiencies: 14
Aug 2, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Ida Culver House Ravenna facility to assess compliance with fire safety codes and regulations.
Findings
The facility was disapproved due to multiple fire safety violations including lack of documentation for fire drills, electrical hazards, deficiencies in fire door operation, sprinkler system maintenance, and fire alarm testing. Several systems require repairs or replacement, and documentation for required inspections and tests was not provided.
Deficiencies (14)
| Description |
|---|
| Facility cannot provide documentation for completion of unannounced fire drills in the previous 12 months. |
| Several instances of extension cords and multi outlet surge protectors daisy chained throughout the building. |
| Extension cord used in permanent wiring running out the window, which is not allowed. |
| Fire door on the Third-floor library is not closing properly. |
| Facility unable to provide documentation for annual fire door inspection. |
| Facility unable to provide documentation for 4-year fire and smoke damper inspection. |
| Facility unable to provide documentation for annual sprinkler system inspection, 3-year dry system full flow trip test, and quarterly sprinkler system inspections. |
| Facility unable to provide documentation that Fire Department Connection has been hydrostatically tested as required. |
| Sprinkler heads in cooler are over five years old and need replacement due to hazardous environment. |
| Loading on sprinkler heads in parking garage requires cleaning or replacement. |
| Signage missing on exhaust hood or system cabinet for commercial cooking system. |
| Facility unable to provide documentation for monthly single station smoke alarm testing. |
| Facility unable to provide documentation for monthly carbon monoxide detector testing. |
| Facility unable to provide documentation for monthly 30 second activation test for emergency lights. |
Report Facts
Inspection date: Aug 2, 2023
Inspection date: Sep 11, 2023
Inspection date: Nov 27, 2023
Fire Department Connection hydrostatic test pressure: 150
Fire Department Connection hydrostatic test duration: 2
Sprinkler head replacement interval: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Betz | Executive Director | Named as Owner or Authorized Representative signing inspection documents |
| Arthur Jesse Ward | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Notice
Deficiencies: 0
Ida Culver House Ravenna 2660 44489 072924 IDR Sched Ltr 0824
Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute a citation from a Statement of Deficiencies dated July 29, 2024.
Findings
The document does not contain inspection findings but focuses on scheduling the IDR meeting and identifying the citation under dispute (WAC 388-78A-2860).
Report Facts
Citation date: Jul 29, 2024
IDR meeting date: Aug 21, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Betz | Administrator | Facility representative participating in the IDR process |
| Nisan Harel | Chief Operating Officer | Facility representative participating in the IDR process |
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