Inspection Reports for The Hampton at Salmon Creek
2305 NE 129th St, Vancouver, WA 98686, United States, WA, 98686
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Inspection Report
Re-Inspection
Deficiencies: 7
Feb 26, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety violations.
Findings
The facility was found to have multiple unresolved fire safety violations including failure to provide instructions on fire extinguisher use, failure to conduct annual inspections of fire resistance-rated construction, lack of documentation for fire damper inspection repairs, and failure to maintain emergency power systems and fire extinguishing system inspections.
Deficiencies (7)
| Description |
|---|
| Failed to provide instructions to new employees on hiring and to all employees annually on the use of portable fire extinguishers and the manual actuation of the fire-extinguishing system. |
| Failed to provide annual inspection of fire resistance-rated construction inspection. |
| Failed to provide documentation of fire damper inspection repairs. |
| Strain protection shall be installed on portable gas appliances. |
| Failed to provide documentation of generator repairs, annual load bank testing, weekly generator inspection, monthly generator inspection report. |
| Failed to provide semi annual hood suppression system inspection. |
| Failed to provide annual hood suppression system inspection. |
Report Facts
Next inspection scheduled date: Next inspection scheduled on or after 03/28/2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal on re-inspection reports |
Inspection Report
Re-Inspection
Deficiencies: 7
Feb 26, 2025
Visit Reason
The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously noted violations that had not been corrected.
Findings
The facility was found to have multiple uncorrected fire safety violations including failure to provide instructions on fire extinguisher use, failure to provide annual inspections and documentation for fire resistance-rated construction, fire damper inspections, fire extinguishing system service, and emergency power system maintenance.
Deficiencies (7)
| Description |
|---|
| The facility failed to provide instructions to new employees on hiring and to all employees annually on the use of portable fire extinguishers and the manual actuation of the fire-extinguishing system. |
| The facility failed to provide annual inspection of fire resistance-rated construction inspection. |
| Facility failed to provide documentation of fire damper inspection repairs. |
| Strain protection shall be installed on portable gas appliances. |
| Facility failed to documentation of generator repairs, annual load bank testing, weekly generator inspection, monthly generator inspection report. |
| Facility failed to provide annual fire door inspection report for fire doors throughout the building. |
| Facility failed to provide semi annual hood suppression system inspection. |
Report Facts
Next inspection scheduled date: Mar 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Nelson | RN/DRS | Named as Owner or Owner's Representative signing the report |
| Nicholas Wolden | Deputy State Fire Marshal | Named as Deputy State Fire Marshal conducting the inspection |
| Courtney Gariboldi | Executive Director | Named as Owner or Authorized Representative signing the report on page 16 |
Inspection Report
Follow-Up
Deficiencies: 0
Mar 18, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 03/18/2024 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies, and the facility meets the Assisted Living Facility licensing requirements.
Report Facts
Compliance Determination Completion Date: Completion Date 03/18/2024 and 01/25/2024
Sample size for review: 9
Number of residents reviewed with medication discrepancies: 8
Number of staff reviewed for background checks: 5
Number of staff reviewed for tuberculosis testing: 3
Number of staff reviewed for continuing education: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Siharath | ALF Licensor | Department staff who did the on-site verification |
| Kyle Gehlen | ALF Licensor - LTC | Department staff who did the on-site verification |
| Michael Burdick | Field Manager | Signed the follow-up inspection letter and enforcement letter |
| Staff B | Director of Resident Services | Interviewed regarding background checks, TB testing, medication documentation, and resident service agreements |
| Staff D | Certified Nursing Assistant (CNA) | Background check reviewed |
| Staff E | Certified Nursing Assistant (CNA) | Background check and TB testing reviewed |
| Staff F | Certified Nursing Assistant (CNA) | TB testing reviewed |
| Staff G | Certified Nursing Assistant (CNA) | Continuing education reviewed |
| Staff H | Certified Nursing Assistant (CNA) | Continuing education reviewed |
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 1
Feb 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding a failure to report an outbreak of an infectious disease at the assisted living facility.
Findings
The facility failed to report a communicable disease outbreak to the local health jurisdiction in a timely manner, placing all 49 residents, staff, and visitors at risk. The investigation substantiated the complaint and identified deficiencies in infection control reporting practices.
Complaint Details
The complaint alleged failure to report an outbreak of an infectious disease. The investigation substantiated the complaint, identifying failed provider practice and citation(s) written.
Deficiencies (1)
| Description |
|---|
| Facility failed to report communicable disease to the local Health jurisdiction to prevent and limit the spread of infectious disease after a suspected outbreak. |
Report Facts
Total residents: 49
Resident sample size: 3
Closed records sample size: 3
Residents with related symptoms: 30
Residents tested positive: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Chitekwe | Investigator | Department staff who conducted the on-site investigation |
| Michael Burdick | Field Manager | Signed correspondence related to the inspection and enforcement |
| Staff A | Executive Director | Interviewed regarding the outbreak and reporting practices |
Inspection Report
Life Safety
Deficiencies: 12
Oct 5, 2022
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Hampton at Salmon Creek Memory Care facility on 10/05/2022.
Findings
The facility was found to have multiple deficiencies related to fire safety code compliance, including failure to provide required reports for annual fire wall inspection, fire door inspection, fire damper inspection, fire sprinkler system maintenance, fire alarm inspection, extinguishing system service, carbon monoxide detector testing, emergency lighting tests, generator inspections, and fire drill reports. The facility's approval status was disapproved due to these violations.
Deficiencies (12)
| Description |
|---|
| Facility failed to provide annual fire wall inspection report |
| Facility failed to provide annual fire door inspection report |
| Facility failed to provide 4 year fire damper inspection report |
| Facility failed to provide annual fire sprinkler inspection and 5 year internal fire sprinkler system report |
| Facility failed to provide 3 year dry system full flow and annual forward flow reports |
| Facility failed to provide annual fire alarm inspection and sensitivity testing report |
| Facility failed to provide 6 month hood system suppression system inspection report |
| Facility failed to provide monthly carbon monoxide detector testing report |
| Facility failed to provide monthly emergency light testing report |
| Facility failed to provide annual emergency light testing report |
| Facility failed to provide annual generator inspection, monthly generator inspection, and weekly generator inspection reports |
| Facility failed to provide fire drill reports |
Report Facts
Next inspection date: Nov 4, 2022
Provider Number: 2227
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Wolden | Deputy State Fire Marshal | Signed as Deputy State Fire Marshal conducting the inspection |
| Tristan Brown | Physical Plant Director | Named as Owner or Authorized Representative |
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