Inspection Reports for The Legacy of Bothell
305 240th St SW, Bothell, WA, 98021
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Follow-Up
Census: 30
Deficiencies: 3
Date: Dec 17, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 12/17/2024 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. The prior deficiencies related to safe storage of supplies, background checks, and licensing responsibilities were corrected.
Deficiencies (3)
Failed to ensure safe storage of potentially hazardous supplies and equipment, including unsecured manicure sets and housekeeping carts accessible to residents.
Failed to ensure contracted employee had completed a state background check.
Failed to obtain a Medical Testing Site Waiver/Clinical Laboratory Improvement Amendments (MTSW/CLIA) waiver certificate by the deadline.
Report Facts
Residents at risk: 30
Residents reviewed: 5
Residents with dementia behaviors: 17
Apartments: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Scottie Sindora | ALF Licensor | Department staff who did the on-site verification. |
| Sunny Kent | Licensor | Department staff who did the on-site verification. |
| Jamie Singer | Field Manager | Signed the follow-up inspection letter. |
| Staff F | Registered Nurse | Interviewed regarding safe storage of hazardous supplies. |
| Staff G | Housekeeper | Interviewed regarding housekeeping cart security. |
| Staff H | Contracted Activities Employee | Failed to have completed background check. |
| Staff D | Administrator | Interviewed regarding background check and MTSW/CLIA waiver status. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jul 21, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 07/21/2023 to verify correction of previous deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies cited in various WAC regulations were corrected.
Report Facts
Compliance Determination Completion Dates: Compliance Determinations 26990 completed on 07/21/2023 and 24404 completed on 05/31/2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Scottie Sindora | ALF Licensor | Department staff who did the on-site verification |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification |
Inspection Report
Life Safety
Capacity: 15
Deficiencies: 10
Date: Nov 3, 2022
Visit Reason
The Office of the State Fire Marshal conducted an initial construction review inspection at the new 15-bed memory care facility, Legacy of Bothell Phase II, to assess compliance with fire protection and safety codes.
Findings
The inspection found multiple violations including missing sprinkler system documentation, missing escutcheon ring on a sprinkler head, fire extinguishers not mounted per manufacturer instructions, absence of carbon monoxide alarms in several areas with gas appliances, and emergency exit doors equipped with prohibited key-operated dead bolts.
Deficiencies (10)
Facility failed to provide a list of sprinklers installed within the facility to be located within the sprinkler cabinet as per 2016 NFPA 13 6.2.9.7.
No hydraulic calculation nameplate located on the sprinkler system.
One sprinkler head in the basement kitchen storage was missing the escutcheon ring.
Fire extinguishers throughout the facility are not mounted in accordance with the manufacturer's installation instructions.
No carbon monoxide alarms in the laundry room or near the laundry room where a gas fed dryer is used.
No carbon monoxide alarms in the workshop or near the workshop where gas fed appliances are used.
No carbon monoxide alarms in the upstairs kitchen or near the upstairs kitchen where gas fed appliances are being used.
No carbon monoxide alarms in the downstairs kitchen or near the downstairs kitchen where gas fed appliances are being used.
The labeled emergency exit door on the 1st floor north side to the courtyard has a key operated dead bolt on the door.
The labeled emergency exit door on the basement south side to the courtyard has a key operated dead bolt on the door.
Report Facts
Total licensed capacity: 15
Next inspection scheduled: Dec 3, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Theresa Frigillana | Facility Contact / Administrator | Facility contact person mentioned in the report |
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