Inspection Reports for
Redmond Heights Senior Living

WAC 388-112A-0600 (1) What is continuing education and what topics may be covered in continuing education? WAC 388-112A-0611 (10(a)(iii) Who in an assisted living facility is required to complete continuing education training each year, how many hours of continuing education are required, and when must they be completed? WAC 388-112A-0720 (2)(a) What are the CPR and first-aid training requirements? WAC 388-78A-2474 (2)(d)(e) Training and home care aide certification requirements. The licensee failed to ensure three staff members completed the required training prior to providing care to residents, resulting in three staff members not completing First Aid training.

WAC 388-78A-2466 (1)(a) Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely. The licensee failed to ensure one staff member had a valid Washington State name and date of birth background check completed every two years.

WAC 388-112A-0600 Continuing education is annual training designed to promote professional development and increase a long-term care worker's knowledge, expertise, and skills. The facility failed to ensure 3 of 3 staff completed required training prior to providing care, including first aid training with hands-on components.

WAC 388-78A-2466 The facility must ensure all administrators, caregivers, staff, volunteers, and students submit a new DSHS background authorization form every two years. The facility failed to ensure 1 of 3 staff had a valid Washington State name and date of birth background check completed every two years.

WAC 388-112A-0400 What is specialty training and who is required to take it? The facility failed to ensure 2 of 3 sampled staff completed specialized training for mental health as required.

WAC 388-78A-2510 Specialized training for dementia. The facility failed to ensure 1 of 3 sampled staff completed specialized training for dementia within 120 days of hire.

WAC 388-78A-24681 Background checks Employment Provisional hire Pending results of national fingerprint background check. The facility failed to ensure 5 of 8 sampled staff completed a national fingerprint background check within 120 days of hire.

WAC 388-112A-0600 What is continuing education and what topics may be covered in continuing education? The facility failed to ensure 2 of 2 sampled staff completed all continuing education training as required.

WAC 388-78A-2210 Medication services. The facility failed to implement and provide safe medication service for one sampled resident, placing the resident at risk for medication errors and harm.

WAC 388-112A-0400 (4)(c) What is specialty training and who is required to take it? The licensee failed to ensure two staff completed the specialized training for mental health as required.

WAC 388-112A-0400 (4)(b) What is specialty training and who is required to take it? The licensee failed to ensure one staff received Specialty Training for Dementia within 120 days of hire.

WAC 388-112A-0600 (1) What is continuing education and what topics may be covered in continuing education? The licensee failed to ensure two staff completed all required trainings for continuing education.

WAC 388-78A-2700 Emergency and disaster preparedness. The assisted living facility must maintain the premises free of hazards. Resident 8 smoked inside their apartment contrary to facility policy, placing all 57 residents at risk of fire, smoke inhalation, and compromised health.

WAC 388-78A-2570 Notification of change in administrator. The licensee must notify the department in writing within ten calendar days of the effective date of a change in the assisted living facility administrator. The notice must include the full name of the new administrator and the effective date of the change. The facility failed to notify the Department within 10 days for 2 of 2 sampled staff, placing residents at risk.

IFC 405.2 (2018) Drills shall be held at unexpected times and under varying conditions to simulate unusual fire conditions. Facility failed to provide documentation for twelve planned and unannounced fire drills in the previous 12 months and had scheduling issues with fire drills.

IFC 405.8 (2021) Emergency evacuation drills shall be initiated by activating the fire alarm system. Facility failed to provide documentation that drills between 6:00 am to 9:00 pm used the fire alarm during all emergency drills.

IFC 603.1.1 (2021) Electrical equipment, wiring, devices and appliances shall be tested and maintained. IT room had two broken receptacles at time of inspection.

IFC 606.3.3 (2021) Hoods, grease-removal devices, fans, ducts and other appurtenances shall be cleaned at required intervals. Hood cleaning was past due and exhaust fan blade was not accessible; heavy build-up was observed on hood area and filters.

IFC 610.1.2 (2021) Clothes dryer exhaust systems shall be maintained to prevent lint accumulation. Heavy lint build-up was found on upper back of dryers.

IFC 701.6 (2021) Owner shall maintain an inventory of required fire-resistance-rated construction and inspections. Only a portion of the building showed being inspected and paperwork was incomplete.

IFC 703.1 (2021) Materials and firestop systems shall be maintained to resist passage of smoke. Penetration found in ceiling of Memory Care Spa room.

IFC 903.5 (2021) Sprinkler systems shall be tested and maintained. Annual forward flow test paperwork was missing; kitchen hood suppression system and sprinkler heads need vendor correction; loaded heads found in laundry room; escutcheon missing in kitchen above serving area.

IFC 904.5.2 (2021) Fixed temperature-sensing elements shall be maintained. Vendor must perform heat test to verify correct link temperatures; paperwork showed 3 links at 450 degrees.

IFC 906.9.1 (2021) Portable fire extinguishers shall be installed properly. Laundry room fire extinguisher was installed above 5 feet.

IFC 1203.4 (2021) Emergency and standby power systems shall be maintained. Fuel test report and annual report showing battery due to age were missing.

NFPA 80 Fire Door Inspection and Testing Inspection and testing shall be performed not less than annually. Only a portion of the building was inspected; fire door by room 230 did not latch; other door hardware and signage requirements were not fully documented.

RCW 70.129.140 Quality of life -- Rights. The facility must promote care for residents in a manner and environment that maintains or enhances each resident's dignity and respect. WAC 388-78A-2660 Resident rights. The assisted living facility must comply with long-term care resident rights and promote and protect residents' exercise of all rights granted under chapter 70.129 RCW. The facility failed to protect one sampled resident from verbal abuse and neglected their dignity and right to be respected, causing emotional and psychological harm.

WAC 388-78A-2650 Reporting fires and incidents. The assisted living facility failed to notify the department of the temporary disruption in food services related to a plumbing issue affecting all 64 residents.

WAC 388-78A-2300 (1)(c)(vi)(2)(a)(i)(ii) Food and nutrition services. The licensee failed to ensure menu items were not repeated within a three-week timeframe and failed to maintain a licensed dietician approved dietary manual. These failures placed residents at risk of receiving food services without meeting current nutritional standards.

WAC 388-78A-3090 (1)(a)(b)(c) Maintenance and housekeeping. The licensee failed to provide a safe and well-maintained environment, placing all residents at risk of injury and diminished quality of life.

WAC 388-78A-2170 (1) Required assisted living services. The licensee failed to ensure four residents' side bed rails were free of entrapment hazards, placing them at risk of harm or death from unsafe medical equipment.

WAC 388-78A-2930 (1)(a)(i)(ii)(iii) Communication system. The licensee failed to provide memory care residents with means to summon on-duty staff assistance, placing eight residents at risk of unmet care needs.

WAC 388-78A-2180 (1)(a)(b)(2) Activities. The licensee failed to provide group activities for eight residents, placing residents at risk for decreased quality of life.