Inspection Reports for The Gardens at Marysville
9802 48th Dr NE, Marysville, WA 98270, WA, 98270
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Inspection Report
Life Safety
Deficiencies: 11
Jul 23, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at The Gardens at Marysville, Independent Living & AL facility on 07/23/2025.
Findings
The inspection found multiple fire safety violations including open electrical junction boxes, improper use of extension cords, fire doors blocked open or not latching, a painted sprinkler head requiring replacement, lack of annual maintenance on a fire extinguisher, obstructed manual pull station, scooter blocking emergency exit, emergency egress light not illuminating, missing instructions near emergency exit keypad, and unsecured oxygen cylinder.
Deficiencies (11)
| Description |
|---|
| Open junction box in the corridor near room 321 exposing inner electrical wiring. |
| Extension cords used as permanent wiring in maintenance storage room, kitchen behind refrigerator, and business office. |
| Fire doors opening to corridor blocked open preventing closing and latching at multiple locations. |
| Fire doors near rooms 321, 318, 315, 314, 219, and 118 would not close and latch from fully open position. |
| Sprinkler head in kitchen office is painted and must be replaced. |
| Portable fire extinguisher in electrical room behind maintenance office did not receive annual maintenance. |
| Manual pull station at main entrance door obstructed by a sign. |
| Scooter blocking emergency exit in garden dining room. |
| Emergency egress light near room 108 would not illuminate when tested. |
| No instructions posted within 6 feet of keypad to open emergency exit door near room 108. |
| Oxygen cylinder in room 215 is not secured to prevent falling. |
Report Facts
Provider Number: 2476
Next inspection scheduled: Aug 22, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed inspection report |
| Falon Messer | ED | Facility Owner or Authorized Representative signing inspection report |
Inspection Report
Follow-Up
Census: 70
Capacity: 70
Deficiencies: 2
Jan 30, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to staff orientation and tuberculosis testing were corrected.
Deficiencies (2)
| Description |
|---|
| Failure to ensure 4 of 6 staff completed facility orientation prior to providing care. |
| Failure to ensure 5 of 6 staff were screened for Tuberculosis within three days of employment and 2 of 6 staff received a second test one to three weeks after the first test. |
Report Facts
Residents sampled for review: 9
Current residents census: 70
Total licensed capacity: 70
Staff without completed orientation: 4
Staff without timely TB screening: 5
Staff without second TB test within required timeframe: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Failed to complete facility orientation and had delayed TB testing |
| Staff E | Caregiver | Failed to complete facility orientation and lacked TB testing documentation |
| Staff F | Caregiver | Failed to complete facility orientation and had delayed TB testing |
| Staff G | Caregiver | Failed to complete facility orientation and lacked TB testing documentation |
| Staff H | Medication Technician | Lacked TB testing documentation |
| Staff I | Medication Technician | Had delayed TB testing |
| Cristina Gonzalez | ALF Licensor | Conducted on-site verification |
| Melissa Phillips | Long Term Care Surveyor | Conducted on-site verification |
Inspection Report
Life Safety
Deficiencies: 12
Jul 25, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at The Gardens at Marysville, Independent Living & AL facility to assess compliance with fire protection and safety codes.
Findings
The facility was found to have multiple fire safety violations including failure to provide documentation for annual fire resistance inspections, malfunctioning fire doors that would not close and latch properly, blocked fire doors, open electrical junction boxes, inadequate clearance around electrical equipment, missing or sagging sprinkler escutcheon plates, and failure to conduct required fire drills and alarm testing.
Deficiencies (12)
| Description |
|---|
| Facility is unable to provide documentation that the annual fire resistance rated construction material inspection has been completed. |
| The cross corridor fire rated door near room 208 would not close and latch from a fully open position. |
| Open junction boxes exposing inner wiring in the staff lounge ceiling and hallway ceiling near the copy room. |
| Supplies and equipment blocking access to the electrical panel in the electrical room. |
| Facility is unable to provide documentation for the semi-annual hood cleaning. |
| Unsealed penetration in corridor near room 309 and holes in ceiling of maintenance office not repaired. |
| Resident fire doors opening to corridor blocked open preventing closing and latching (rooms 115, 112, 121). |
| Cross corridor fire rated door near room 308 and resident room #208 fire door would not close and latch from fully open position. |
| Facility unable to provide documentation for annual forward flow sprinkler test; sprinkler head 321 sagging; missing escutcheon plates in room 220 and hallway near copy room; painted sprinkler head in staff lounge. |
| Facility unable to provide documentation for monthly single station smoke alarm testing. |
| Emergency egress light near private dining would not illuminate when test button pressed. |
| Facility is not using the installed fire alarm system to conduct drills on day and swing shifts. |
Report Facts
Inspection date: Jul 25, 2024
Next inspection scheduled: Sep 27, 2024
Rooms with blocked fire doors: 3
Holes in ceiling: 2
Fire drills frequency: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the fire safety inspection |
| Falon Messer | Executive Director | Signed inspection document on 08/28/2024 |
| Stephen Sybrant | MD | Owner or Owner's Representative signature on 09/30/2024 inspection |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 18, 2024
Visit Reason
The inspection was conducted in response to a complaint (#114470) regarding broken water pipes at The Gardens at Marysville, Independent Living & Assisted Living facility.
Findings
An inspection and interview with the Facility Maintenance Director revealed a pipe rupture in the entryway. The main water was secured, and the sprinkler system control valve was secured. Repairs had not been completed, but no injuries or violations were observed. Fire watch rounds were being conducted every 15 minutes by a trained person.
Complaint Details
Complaint #114470 involved broken water pipes. The complaint was investigated by phone and on-site inspection. No injuries or violations were found, and fire watch was implemented.
Report Facts
Complaint number: 114470
Time of phone inspection: 1400
Time of pipe rupture discovery: 1545
Fire watch rounds frequency: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the phone inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 4
Dec 5, 2023
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation due to allegations that the facility failed two fire and life safety inspections by the State Fire Marshal.
Findings
The facility had uncorrected violations from two fire and life safety inspections conducted on 08/16/2023 and 09/26/2023, placing residents at risk of harm in the event of a fire. The violations included issues with sprinkler heads, emergency egress lighting, and fire doors. The facility provided a letter to the Fire Marshal's office detailing corrections and was awaiting final inspection.
Complaint Details
The complaint investigation was based on the facility failing two fire and life safety inspections by the State Fire Marshal. The investigation confirmed uncorrected violations from the inspections on 08/16/2023 and 09/26/2023. The facility was cited under WAC 388-78A-2040 (2) Other requirements.
Deficiencies (4)
| Description |
|---|
| Sprinkler heads near rooms #321 and #313 were sagging too low in the ceiling. |
| Emergency egress light near room #321 did not illuminate when the test button was pressed. |
| Fire door in resident room #313 would not close and latch from the fully open position. |
| Fifteen resident room fire doors throughout the facility were blocked open by various items, preventing closing and latching. |
Report Facts
Total residents: 63
Resident sample size: 0
Closed records sample size: 0
Number of fire doors blocked open: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Glover | Complaint Investigator | Investigator who conducted the complaint investigation |
| Allison Nunn | Long Term Care Surveyor | Department staff who did the off-site verification |
| Joshua Ford | Executive Director | Signed the Plan/Attestation Statement confirming correction of deficiencies |
Inspection Report
Life Safety
Deficiencies: 10
Sep 26, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at The Gardens at Marysville, Independent Living & AL facility on 09/26/2023.
Findings
Multiple fire safety violations were observed including blocked resident room fire doors, fire doors that would not close and latch properly, sagging sprinkler heads, and inability to provide documentation for fire and smoke damper inspections and smoke detector sensitivity testing. Some violations were corrected while others remained outstanding.
Deficiencies (10)
| Description |
|---|
| 15 resident room fire doors throughout the facility were blocked open by various items, preventing them from closing and latching. |
| Resident room #313 fire door would not close and latch from the fully open position. |
| Fire rated door from the 1st floor laundry room to the corridor near memory care would not close and latch from a fully open position. |
| Sprinkler head near room #321 is sagging to low in the ceiling. |
| Sprinkler head near room #313 is sagging to low in the ceiling. |
| Emergency egress light near room 321 would not illuminate when the test button was pressed. |
| Portable fire extinguisher in kitchen was obstructed by brooms, mops, and aprons. |
| Facility unable to provide documentation for the 4 year fire and smoke damper inspection. |
| Facility unable to provide documentation for the required smoke detector sensitivity testing. |
| Installed Emergency Exit Sign does not have a secondary power source to ensure continued illumination in case of primary power loss near room #205, 1st floor stairwell B, and in kitchen. |
Report Facts
Number of resident room fire doors blocked open: 15
Next inspection scheduled on or after: 2023-10-26 (not numeric but date provided)
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
| Scott Martin | Maint. Dir. | Facility representative signing the inspection report |
Inspection Report
Annual Inspection
Deficiencies: 18
Sep 26, 2023
Visit Reason
The Office of the State Fire Marshal conducted an annual fire and life safety inspection of The Gardens at Marysville, Independent Living & AL on September 26, 2023.
Findings
The inspection identified multiple fire and life safety violations including blocked fire doors, sagging sprinkler heads, obstructed fire extinguishers, and issues with emergency power and exit signs. A reinspection was conducted on the same day, and some violations remained uncorrected, placing residents, staff, and visitors at risk.
Deficiencies (18)
| Description |
|---|
| 15 resident room fire doors throughout the facility were blocked open by various items, preventing them from closing and latching. |
| Resident room #313 fire door would not close and latch from the fully open position. |
| Fire rated door from the 1st floor laundry room to the corridor near memory care would not close and latch from a fully open position. |
| Sprinkler head near room #321 is sagging too low in the ceiling. |
| Sprinkler head near room #313 is sagging too low in the ceiling. |
| Emergency egress light near room 321 would not illuminate when the test button was pressed. |
| Combustible material stored within 18 inches of the ceiling in the storage near room #307. |
| Electrical outlet without a faceplate in break room, exposing inner electrical fixture. |
| Facility unable to provide documentation for semi-annual hood cleaning. |
| Resident room #313 fire door would not close and latch from the fully open position (reinspection). |
| Fire rated door from the dining room to the corridor near the kitchen would not close and latch from a fully open position. |
| Facility unable to provide documentation for the 4 year fire and smoke damper inspection. |
| Portable fire extinguisher in kitchen was obstructed by brooms, mops, and aprons. |
| Smoke detector head located in the follow area installed within 36 inches of an air supply diffuser or return air opening, preventing proper operation. |
| Facility unable to provide documentation for required smoke detector sensitivity testing. |
| Two emergency egress lights near copy room would not illuminate when the test button was pressed. |
| Emergency egress light near fireplace room would not illuminate when the test button was pressed. |
| Installed Emergency Exit Sign does not have a secondary power source to ensure continued illumination in case of primary power loss near room #205, 1st floor stairwell B, and kitchen. |
Report Facts
Number of resident room fire doors blocked open: 15
Reinspection date: Sep 26, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Scott Martin | Maintenance Director | Named as facility representative signing inspection documents |
| Brandon G. Brown | Deputy State Fire Marshal | Conducted inspection and signed inspection documents |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 7, 2023
Visit Reason
The inspection was conducted in response to a complaint (#84812) regarding facial burns from smoking in a resident's room while on oxygen.
Findings
The investigation found that a resident suffered facial burns caused by a cigarette igniting while the resident was on oxygen. The resident had a smoking plan in place and no violations were observed during the inspection.
Complaint Details
Complaint #84812 involved a resident with facial burns from smoking while on oxygen. The resident was intoxicated, had a smoking plan, and no prior cigarette smoke smells were noted. The fire department responded, and the resident was transported to the ER. No violations were found.
Report Facts
Complaint reference number: 84812
Inspection date: Jun 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Follow-Up
Deficiencies: 0
Jan 31, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements.
Report Facts
Compliance Determination Completion Dates: Completion dates for Compliance Determinations 18426 (01/31/2023) and 14961 (10/25/2022)
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberley Ripley | Assisted Living Facility Licensor | Department staff who did the off-site verification |
| Jayne Hill | Field Manager | Signed the follow-up inspection letter |
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