Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 67
Deficiencies: 6
May 21, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 05/21/2025 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements. The original inspection identified multiple deficiencies related to safe storage of supplies, staff training and certification, signing of service agreements, food sanitation, and medication storage.
Deficiencies (6)
| Description |
|---|
| Hazardous supplies were not safely secured in the first-floor hair salon, placing residents at risk of harm or poisoning. |
| Two of five sampled staff members lacked current food worker cards, risking foodborne illness. |
| The facility failed to ensure negotiated service agreements were signed annually by residents or their representatives for 2 of 9 sampled residents. |
| Ready-to-eat food was not labeled, dated, unexpired, or safe for consumption, placing all 67 residents at risk for foodborne illness. |
| Opened food items in refrigerators were expired or unlabeled, including milk, sauces, and juices. |
| Medications for one resident were not securely stored, with unsecured medication bottles found in the resident's room. |
Report Facts
Residents present during inspection: 67
Sample size for review: 9
Staff without food worker cards: 2
Residents at risk for foodborne illness: 67
Residents without signed service agreements: 2
Unsecured medication bottles: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification |
| Judith Mellon | RN, Licensor | Department staff who did the on-site verification |
| Faith Le | NCI | Department staff who did the on-site verification |
| Wendy Klupe | Administrator | Administrator who signed plan of correction and attestation statements |
| Staff H | Maintenance Coordinator | Interviewed regarding hair salon door being left unlocked |
| Staff F | Business Office Coordinator | Confirmed care manager job responsibilities and food handler card records |
| Staff G | Executive Director | Confirmed lack of signed service plans and medication storage issues |
| Staff K | Resident Care Director | Confirmed medication storage issues |
| Staff J | Dining Services Coordinator | Reported opened food contents should be labeled and dated |
| Staff A | Care Manager | Hired staff member lacking food worker card |
| Staff D | Care Manager | Hired staff member lacking food worker card |
Inspection Report
Follow-Up
Census: 64
Deficiencies: 3
Oct 5, 2023
Visit Reason
The Department completed a follow-up inspection on 10/05/2023 to verify correction of previously cited deficiencies and found no deficiencies. The prior full inspection and complaint investigation occurred on 09/05/2023 due to noncompliance with Assisted Living Facility licensing requirements.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior inspection identified deficiencies related to tuberculosis skin testing and respiratory protection program compliance, placing 64 residents at risk of exposure to communicable diseases.
Complaint Details
The full inspection on 09/05/2023 included a complaint investigation referencing complaint number 95953. The facility was found not in compliance with licensing laws and regulations.
Deficiencies (3)
| Description |
|---|
| Failure to ensure 2 of 5 sampled staff completed required one-step tuberculosis skin test (TST), placing 64 residents at risk of exposure to communicable disease. |
| Failure to ensure 1 of 5 sampled staff completed required second step tuberculosis skin test (TST), placing 64 residents at risk of exposure to communicable disease. |
| Failure to implement Respiratory Protection Program (RPP) and ensure 2 of 4 sampled staff had medical evaluation before fit-testing respirators, placing 64 residents at risk of exposure to COVID-19. |
Report Facts
Residents at risk: 64
Sampled staff: 5
Sampled staff: 4
Complaint number: 95953
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Scottie Sindora | ALF Licensor | Conducted on-site verification and inspection |
| Jamie Singer | Field Manager | Signed inspection and follow-up reports |
| Wendy Klupe | Administrator or Representative | Signed plan of correction and attestation statements |
| Staff A | Executive Director | Named in tuberculosis skin testing deficiency |
| Staff B | Care Manager | Named in respiratory protection program deficiency |
| Staff C | Dishwasher | Named in tuberculosis skin testing deficiency |
| Staff D | Lead Care Manager | Named in tuberculosis skin testing and respiratory protection program deficiencies |
| Staff F | Business Office Coordinator | Interviewed regarding tuberculosis skin testing and respiratory protection program compliance |
| Faith Le | NCI | Assisted in inspection |
Inspection Report
Life Safety
Deficiencies: 6
Sep 27, 2022
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Sunrise of Edmonds facility to assess compliance with fire safety code requirements, specifically focusing on fire door operation.
Findings
The inspection found that multiple fire doors on the 3rd floor failed to close and latch properly, including doors to the sitting room, Reminicient coordinator's office, laundry room, electrical closet, resident room #220 (held open by a magnet not connected to the alarm system), and staff lounge.
Deficiencies (6)
| Description |
|---|
| The door to the 3rd floor sitting room failed to close and latch. |
| The door to the 3rd floor Reminicient coordinator's office failed to close and latch. |
| The door to the 3rd floor laundry room failed to close and latch. |
| The double doors into the 3rd floor electrical closet failed to close and latch. |
| The door to resident room #220 is held open by a magnet not connected to the alarm system. |
| The door to the staff lounge failed to close and latch. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Don West | Deputy State Fire Marshal | Signed the inspection report and noted as Deputy State Fire Marshal conducting the inspection. |
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