Deficiencies (last 2 years)
Deficiencies (over 2 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 9
Date: Jul 19, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Panorama City residential care facility on 07/19/2023.
Findings
The inspection found multiple violations related to fire and life safety, including lack of documentation for kitchen hood cleanings, unprotected penetrations in corridor walls, missing fire/smoke damper inspection records, missing fire sprinkler system documentation, missing fire suppression system servicing reports, missing fire alarm system servicing documentation, missing generator fuel testing records, and fire door deficiencies such as painted labels and a door failing to self-close and latch.
Deficiencies (9)
Unable to provide reports showing that kitchen hood cleanings were performed in the past 12 months.
Multiple unprotected penetrations found throughout the building's corridor walls; no life safety plans present to identify fire-resistance rating.
Unable to provide test documentation showing that fire/smoke damper inspection and testing has been performed in the last four years.
Facility was unable to provide fire sprinkler system documentation for quarterly inspections, last annual confidence test, last 3-year full flow trip test, last 5-year inspection/test, and last annual forward flow test.
Unable to provide reports showing that two semi-annual suppression system servicings were performed in the past 12 months.
Unable to provide documentation showing that annual servicing of the fire alarm system has been performed in the past 12 months.
Unable to provide documentation of annual generator fuel testing in the past 12 months.
Found painted fire door labels throughout the facility.
Door to resident room #236 failed to self-close and latch when tested.
Report Facts
Next inspection scheduled date: Aug 21, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed the inspection report dated 09/18/2023 |
| Lysandra Davis | Deputy State Fire Marshal | Signed the inspection report dated 07/19/2023 |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 1
Date: Dec 20, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility on 12/20/2022 due to a complaint regarding failure to report a resident fall with significant injury within 24 hours.
Complaint Details
Complaint number 57985 involved allegations of failure to report a resident fall with significant injury. The complaint investigation found the facility did not meet Assisted Living Facility requirements and identified a failed provider practice with citations written.
Findings
The facility failed to notify the department within 24 hours when a resident experienced a fall with significant injury. The Executive Director stated this was not typical and that staff education would be provided to prevent reoccurrence.
Deficiencies (1)
Facility failed to notify the department within 24 hours when a resident experienced a fall with significant injury.
Report Facts
Total residents: 42
Resident sample size: 2
Closed records sample size: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Aube | ALF NCI | Department staff who did the inspection and provided consultation |
| Cory Cisneros | Field Manager | Signed letter regarding the complaint investigation |
Viewing
Loading inspection reports...
