Inspection Report
Enforcement
Deficiencies: 1
Nov 13, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address previously cited deficiencies and enforce compliance.
Findings
The facility failed to ensure that two staff members met the required training and home care aide certification requirements, resulting in a civil fine of $300.00. This deficiency was previously cited and remains uncorrected.
Deficiencies (1)
| Description |
|---|
| Failure to ensure two staff members met training and home care aide certification requirements. |
Report Facts
Civil fine amount: 300
Number of staff members not meeting training requirements: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter regarding the civil fine. |
| Jamie Singer | Field Manager | Contact person for the facility regarding the enforcement and plan of correction. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 11, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding the fire alarm system at Olympic Place Retirement & AL Community, triggered by complaint reference #193247.
Findings
The fire alarm system on the 3rd floor was found to be non-operational and in test mode, unable to contact emergency services. Fire watch was being conducted every 15 minutes with proper documentation, and no injuries were reported.
Complaint Details
Complaint ref #193247 involved a fire alarm system failure on the 3rd floor. The system was in test mode due to multiple false alarms and was not contacting emergency services. Fire watch was in place with documentation. No injuries were reported.
Deficiencies (1)
| Description |
|---|
| Installed fire alarm system is in trouble status; alarms on the 3rd floor are not operational and system will not call emergency services. |
Report Facts
Fire watch frequency: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted complaint inspection and re-inspection |
| Michael Hawley | Owner or Authorized Representative who signed the report | |
| Holly Sirbelar | Executive Director | Owner or Owner's Representative who signed a related document |
Inspection Report
Life Safety
Deficiencies: 12
Jul 30, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Olympic Place Retirement & AL Community facility to assess compliance with fire safety codes and regulations.
Findings
The inspection identified multiple violations including blocked electrical panel clearance, lack of documentation for semi-annual hood cleaning, untethered gas kitchen stove, holes in fire rated ceiling, missing documentation for fire suppression system testing, improperly mounted fire extinguishers, missing documentation for carbon monoxide alarm testing, generator service testing, and fire drills.
Deficiencies (12)
| Description |
|---|
| Electrical panel blocked with less than three feet of working clearance in third floor storage room. |
| Facility unable to provide documentation for first and second semi-annual hood cleaning. |
| Gas kitchen stove not tethered to wall. |
| 1x2 feet hole in fire rated construction ceiling in dining room. |
| Facility unable to provide documentation for semi annual kitchen suppression system testing. |
| Fire extinguisher in staff lounge not mounted per manufactures instructions. |
| Fire extinguisher in fire alarm panel room not mounted per manufactures instructions. |
| Facility unable to provide documentation for monthly carbon monoxide alarms testing. |
| Facility unable to provide documentation for annual generator service testing. |
| Facility unable to provide documentation for monthly 30 minute load test on generator. |
| Facility unable to provide documentation for weekly visual inspection of generator. |
| Facility unable to provide documentation for the previous 12 months of fire drills. |
Report Facts
Hole size: 2
Next inspection scheduled on or after: Aug 29, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hurley | Maintenance Director | Signed as facility representative on inspection report |
| Brandon G. Brown | Deputy State Fire Marshal | Signed as inspector on inspection report |
Inspection Report
Life Safety
Deficiencies: 7
Sep 10, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection and safety codes.
Findings
The inspection found that all violations noted during previous related inspections had been corrected by the time of the 09/10/2024 inspection. Earlier inspections on 07/23/2024 and 08/22/2024 documented multiple violations related to extension cords, sprinkler system maintenance, fire extinguisher placement, emergency power system documentation, securing compressed gas cylinders, and fire drill documentation.
Deficiencies (7)
| Description |
|---|
| There was an extension cord utilized as permanent wiring in the 1st floor nurses station. |
| The sprinkler head in room 322 is sagging preventing the escutcheon plate from sealing. |
| There was a missing escutcheon plate from the sprinkler located in the kitchen. |
| Fire Extinguisher in the nurses station was not mounted in accordance with the manufacturer's installation instructions. |
| Facility is unable to provide documentation for the Monthly 30 minute full load testing of emergency and standby power systems. |
| CO2 cylinders in the kitchen office are not secured to prevent the cylinders from falling. |
| Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months; multiple drills missing across all shifts. |
Report Facts
Next inspection scheduled date: Sep 21, 2024
Next inspection scheduled date: Aug 22, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal on inspection reports |
| Jennifer Graham | Executive Director | Signed as Owner or Authorized Representative on inspection reports |
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 22, 2024
Visit Reason
The inspection was conducted in response to a complaint regarding a fire alarm at Olympic Place Retirement & AL Community.
Findings
The fire alarm was activated due to an air leak in the sprinkler system. The dry and wet sprinkler systems were found to be non-operational. No residents were evacuated and no injuries or damages were reported.
Complaint Details
Complaint ref # 142968 was investigated after a fire alarm activation on 08/15/2024. The fire alarm was triggered by an air leak in the sprinkler system. The facility was on fire watch and vendor scheduled to repair the system. No injuries or damages reported.
Deficiencies (1)
| Description |
|---|
| The dry and wet sprinkler system are not operational. |
Report Facts
Complaint reference number: 142968
Inspection date: Aug 22, 2024
Next inspection scheduled on or after: Sep 21, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted complaint inspection |
| Jennifer Graham | ED | Facility representative signing inspection documents |
Inspection Report
Follow-Up
Census: 42
Deficiencies: 0
Nov 21, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 11/21/2023 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. Previously cited deficiencies related to training, background checks, tuberculosis screening, assessments, medication administration, maintenance, and other regulatory requirements were corrected.
Report Facts
Residents reviewed during unannounced on-site visit: 6
Residents reviewed during prior full inspection: 7
Staff orientation failures: 1
Staff mental health training failures: 1
Staff background check failures: 2
Staff tuberculosis screening failures: 3
Residents with late assessments: 2
Residents with medication administration failures: 1
Residents with medication refusal not evaluated: 1
Residents with incomplete full assessment: 1
Residents with unmet care needs: 1
Residents with injury due to unmet care needs: 1
Residents at risk due to unsafe environment: 37
Residents at risk due to secondhand smoke exposure: 37
Residents at risk due to staff with disqualifying background: 2
Staff without required fingerprint background check: 2
Staff without required second step TB test: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Condyles | ALF Licensor | Department staff who did on-site verification and inspections |
| Kimberley Ripley | Field Manager | Signed letters and reports related to inspections and compliance |
| Brenda K Chambers | Administrator or Representative | Signed multiple Plan/Attestation Statements for correction of deficiencies |
| Staff C | Registered Nurse | Failed orientation, TB screening, mental health training, fingerprint background check, and second step TB test |
| Staff F | Med Tech | Failed mental health training, fingerprint background check, and second step TB test |
| Staff E | Housekeeper | Failed background check every two years |
| Staff G | Caregiver / Assistant Executive Director | Interviewed regarding staff training and background check issues |
| Staff A | Assistant Executive Director | Interviewed regarding staff training and background check issues |
| Staff B | Med Tech | Failed new employee orientation prior to providing care |
| Staff D | Med Tech | Failed mental health training, fingerprint background check, and second step TB test |
| Staff H | Assisted Living Director | Interviewed regarding staff training and medication administration issues |
| Staff J | Cook | Failed background check every two years |
| Staff I | Maintenance Director | Reported maintenance issues such as missing window screens and cabinet repairs |
Inspection Report
Annual Inspection
Deficiencies: 12
Oct 11, 2023
Visit Reason
The Office of the State Fire Marshal conducted an annual fire and life safety inspection of Olympic Place Retirement & AL Community to identify violations and ensure compliance with fire safety regulations.
Findings
The inspection identified multiple violations related to fire safety, maintenance, and documentation deficiencies. The facility failed to gain and maintain compliance, placing residents, staff, and visitors at risk. A reinspection was required due to uncorrected violations.
Deficiencies (12)
| Description |
|---|
| 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. |
| Facility has not been consistent in conducting the weekly generator inspections. |
| Unable to determine if the monthly load tests are being conducted on the emergency generator. |
| Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months; several drills are missing across shifts and quarters. |
| There is a power strip plugged into another power strip in the chart room office. |
| An extension cord was utilized as permanent wiring in the salon. |
| Facility is unable to provide documentation for the semi-annual hood cleaning. |
| Resident room #121 fire door that opens to the corridor was blocked open, preventing it from closing and latching. |
| Facility is unable to provide documentation for the semi-annual kitchen suppression system servicing. |
| The fire extinguisher in the 2nd floor cross hallway was missing. |
| The fire alarm system is in trouble status. |
Report Facts
Next inspection scheduled: Nov 10, 2023
Next inspection scheduled: Sep 29, 2023
Missing fire drills: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Graham | Executive Director | Named as facility Executive Director in relation to inspection and findings |
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and issued the report |
Inspection Report
Follow-Up
Deficiencies: 4
Sep 12, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Olympic Place Retirement and Assisted Living Community to assess compliance and address previously cited deficiencies.
Findings
The facility was found to have multiple uncorrected deficiencies related to staff training, background checks, tuberculosis screening, and resident assessments, resulting in civil fines totaling $1,200.00.
Deficiencies (4)
| Description |
|---|
| Failure to ensure one staff completed orientation and required mental health training prior to providing care. |
| Failure to ensure two staff had updated background checks every two years. |
| Failure to ensure three staff were screened for tuberculosis within three days of hire. |
| Failure to complete a full assessment for two residents within 14 days of admission. |
Report Facts
Civil fine amount: 300
Civil fine amount: 200
Civil fine amount: 300
Civil fine amount: 400
Total civil fines: 1200
Staff without orientation and mental health training: 1
Staff without updated background checks: 2
Staff without tuberculosis screening: 3
Residents with late full assessments: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the letter regarding civil fines and deficiencies |
| Kim Ripley | Field Manager | Contact person for the facility regarding the inspection and appeals |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 2
Aug 1, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations related to a named resident who experienced vomiting, diarrhea, a hypoglycemic event, and subsequent death. The investigation reviewed compliance with licensing laws and regulations concerning medication administration and family assistance with medications.
Findings
The investigation found failed provider practices related to medication administration and family assistance with medications, including failure to report communicable diseases and lack of a written plan for family assistance with medications. The facility was cited for these deficiencies and was under a plan of correction.
Complaint Details
The complaint investigation involved a named resident who had vomiting and diarrhea, experienced a hypoglycemic event with a blood sugar of 50, and subsequently passed away. The investigation found failed provider practice and cited the facility for violations related to service agreement planning and family assistance with medications and treatments.
Deficiencies (2)
| Description |
|---|
| Failure to report positive COVID cases to local health jurisdiction and Complaint Resolution Unit. |
| Failure to ensure a written plan was in place for family assistance with medications for one resident. |
Report Facts
Total residents: 38
Resident sample size: 1
Closed records sample size: 2
Hypoglycemic event blood sugar: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Glover | Investigator | Conducted the complaint investigation |
| Jodi Condyles | ALF Licensor | Performed on-site verification during follow-up inspection |
| Kimberley Ripley | Field Manager | Signed follow-up inspection letter |
| Brenda K. Chambers | Administrator or Representative | Signed plan of correction documents |
Inspection Report
Enforcement
Census: 46
Deficiencies: 1
Mar 27, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance with infection control requirements and to address previously cited deficiencies.
Findings
The facility failed to ensure required infection control measures were followed by not fit testing twenty-one staff for respirator masks, placing forty-six residents, staff, and visitors at risk of contracting a communicable illness. This was an uncorrected deficiency previously cited on February 6, 2023.
Deficiencies (1)
| Description |
|---|
| Failure to ensure required infection control measures by not fit testing twenty-one staff for respirator masks. |
Report Facts
Civil fine amount: 500
Number of staff not fit tested: 21
Number of residents, staff, and visitors at risk: 46
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
Complaint Investigation
Census: 47
Deficiencies: 4
Mar 9, 2023
Visit Reason
The inspection was conducted as a follow-up to multiple complaint investigations regarding alleged caregiver neglect, resident injuries, and elopement incidents at Olympic Place Retirement and Assisted Living Community.
Findings
The investigations identified failed provider practices including inadequate staff supervision, incomplete incident investigations, failure to ensure nurse delegation, and lack of qualified designated person during administrator absence. Several citations were written for these deficiencies. A follow-up inspection on 03/09/2023 found no deficiencies and confirmed correction of prior issues.
Complaint Details
The complaint investigations included allegations of a caregiver ignoring a resident's request for assistance after a fall, a resident found with a skin tear and blood on sheets, and a resident eloping to a local grocery store. Investigations confirmed failures in staff response, documentation, and supervision, resulting in citations.
Deficiencies (4)
| Description |
|---|
| Failure to ensure a qualified designated person was in place when the administrator was absent, resulting in inability to verify staff records. |
| Failure to ensure staff had completed required orientation, safety training, and certifications, placing residents at risk of receiving care from untrained staff. |
| Failure to fully document and investigate incidents of elopement, falls, and injuries for sampled residents, placing residents at risk of neglect and diminished quality of life. |
| Failure to ensure nurse delegation for medication administration tasks, placing residents at risk of health complications. |
Report Facts
Total residents: 47
Resident sample size: 2
Closed records sample size: 3
Investigation Date Range: 10/05/2022 through 12/21/2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Glover | Complaint Investigator | Investigator who conducted the complaint investigations and follow-up |
| Brenda Chambers | Administrator (or Representative) | Signed plan of correction attestations |
| Staff C | Assistant Executive Director | Interviewed regarding staff files and administrator absence |
| Staff A | Executive Director | Interviewed regarding staff files and administrator absence |
| Staff E | Assisted Living Director | Interviewed regarding incident reports and nurse delegation |
| Staff D | Registered Nurse | Interviewed regarding nurse delegation and medication administration |
| Staff F | Medication Technician (Med-Tech) | Employee file reviewed for orientation and training |
| Staff G | Caregiver | Employee file reviewed for orientation and training |
| Staff H | Med-Tech | Employee file reviewed for orientation and training |
Inspection Report
Complaint Investigation
Deficiencies: 3
Feb 27, 2023
Visit Reason
The inspection was conducted in response to a complaint (#71806) regarding a broken water pipe and related fire safety concerns at Olympic Place Retirement and Assisted Living Community.
Findings
The inspection found that a pipe ruptured in the dry sprinkler system causing several sprinkler heads to be non-operational. The wet sprinkler system was not operational throughout the facility, and the alarm system was in trouble status due to the sprinkler system issues. The facility was placed on fire watch with rounds every 30 minutes.
Complaint Details
Complaint #71806 alleged a broken water pipe affecting the sprinkler system. The complaint was investigated by Deputy State Fire Marshal Brandon G. Brown who interviewed the Executive Director. The complaint was substantiated with findings of sprinkler system failures and fire watch implementation.
Deficiencies (3)
| Description |
|---|
| The wet sprinkler system is not operational throughout the facility. |
| Three dry sprinkler heads are not operational in the attic. |
| The alarm system is in trouble status due to the sprinkler system not being fully operational. |
Report Facts
Complaint number: 71806
Dry sprinkler heads non-operational: 3
Fire watch rounds frequency (minutes): 30
Next inspection scheduled date: Mar 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the complaint investigation and inspection |
| Jennifer D. Graham | Executive Director | Interviewed during the complaint investigation |
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 1
Feb 6, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by an allegation that a staff member tested positive for COVID-19 and concerns about infection control practices, specifically fit testing for N-95 masks.
Findings
The facility identified one staff member who tested positive for COVID-19 and took appropriate actions including notifications and screening. However, the facility failed to provide fit testing for N-95 masks for new staff, placing residents, staff, and visitors at risk of contracting COVID-19.
Complaint Details
The complaint alleged that the facility had one staff member test positive for COVID-19. The investigation found the allegation substantiated with a failure in infection control related to fit testing for N-95 masks.
Deficiencies (1)
| Description |
|---|
| Failure to provide fit testing for N-95 masks for new staff, placing residents, staff, and visitors at risk of contracting COVID-19. |
Report Facts
Total residents: 47
Staff fit testing: 21
Staff fit testing: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Glover | Complaint Investigator | Investigator who conducted the complaint investigation |
| Christine Banta | Community Complaint Investigator | Department staff who did the on-site verification for follow-up inspection |
| Brenda Chambers | Administrator | Administrator who signed plan of correction documents |
| Staff C | Executive Director | Interviewed regarding fit testing status |
| Staff D | Assisted Living Director | Interviewed regarding fit testing status |
| Staff B | Regional Director of Operations | Interviewed regarding fit testing follow-up and records |
| Staff F | Medication Technician | Interviewed regarding fit testing status |
| Staff G | Regional Nurse Consultant | Interviewed regarding fit testing status |
| Staff H | Receptionist | Interviewed regarding fit testing status |
Inspection Report
Routine
Deficiencies: 14
Sep 14, 2022
Visit Reason
The Office of the State Fire Marshal conducted a routine fire safety inspection at the Olympic Place Retirement & AL Community facility to assess compliance with fire protection codes and regulations.
Findings
The inspection found multiple deficiencies including missing documentation for annual fire door inspections, fire and smoke damper inspections, emergency generator servicing, and fire alarm system testing. Several physical deficiencies were noted such as missing door handles on resident rooms, presence of a dry sprinkler head from 2003 in the walk-in refrigerator/freezer, and lack of carbon monoxide alarms in laundry rooms. The facility was disapproved due to these violations.
Deficiencies (14)
| Description |
|---|
| Facility is unable to provide documentation that the annual fire door inspection has been completed. |
| Resident room #308 is missing a door handle. |
| Facility is unable to provide documentation for the 4 year fire and smoke damper inspection; tested on 8/4/22 with 27 failed and 19 not accessible. |
| Dry sprinkler head dated from 2003 found inside the walk-in refrigerator and freezer. |
| Facility is unable to provide documentation for the annual servicing of the emergency generator; serviced on 3/8/22 but has 2 uncorrected deficiencies. |
| Facility is unable to provide documentation for the semi-annual hood cleaning. |
| Facility is unable to provide documentation that the annual firewall inspection has been completed. |
| Resident rooms #311, #308, and #321 are missing door handles. |
| Facility is unable to provide documentation for the semi-annual kitchen suppression system servicing. |
| Facility is unable to provide documentation for the annual fire alarm system testing. |
| No carbon monoxide alarms in or near rooms where gas-fed appliances are used in multiple laundry rooms on 1st, 2nd, and 3rd floors. |
| Facility is unable to provide documentation for the monthly carbon monoxide detector testing. |
| Facility is unable to provide documentation for weekly inspections and monthly 30-minute full load testing of emergency generator. |
| Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months; multiple shifts and quarters missing. |
Report Facts
Failed fire and smoke dampers: 27
Not accessible fire and smoke dampers: 19
Uncorrected deficiencies: 2
Missing fire drills: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Karen J. Mellott | Executive Director | Authorized Facility Representative who signed the report |
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