Inspection Reports for University House Issaquah
22975 SE Black Nugget Rd, Issaquah, WA 98029, United States, WA, 98029
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Inspection Report
Follow-Up
Deficiencies: 0
Aug 20, 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 the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Yip | ALF Licensor | Department staff who did the on-site verification during the follow-up inspection. |
| Kathy Young | Licensor | Department staff who did the on-site verification during the follow-up inspection. |
Inspection Report
Life Safety
Deficiencies: 16
Jul 29, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at University House At Issaquah on 07/29/2024 to assess compliance with fire protection and safety codes.
Findings
Multiple deficiencies were identified related to open electrical terminations, application and use of power taps, cleaning, owner's responsibility for fire-resistant construction inspection, door operation, testing and maintenance of sprinkler systems, extinguishing system service, portable fire extinguishers, fire alarm and detection system maintenance, emergency lighting, power testing, chute discharge protection, emergency power systems, security of compressed gas containers, and fire door inspection and testing. Several required inspection reports and paperwork were not provided at the time of inspection.
Deficiencies (16)
| Description |
|---|
| Open junction boxes and open-wiring splices observed in multiple rooms. |
| Use of multi plugs and power strips in various locations not compliant with code. |
| Cleaning deficiencies noted; required paperwork from previous inspections not provided. |
| Facility lacks schedule for inspection of fire-resistant construction; required paperwork not provided. |
| Multiple fire doors and stairwell doors will not self-close or latch properly. |
| Sprinkler system missing wrench for replacement; kitchen missing escutcheon near ice machine; annual forward flow test paperwork not provided. |
| Automatic fire-extinguishing system inspection paperwork from 1/18/2024 and 7/25/2024 not provided. |
| Ground floor kitchen missing K fire extinguisher outside green area. |
| Fire alarm and detection system inspection and maintenance paperwork not provided. |
| Emergency lighting monthly testing paperwork not provided. |
| Battery-powered emergency lighting annual testing paperwork not provided. |
| Facility needs to perform inspection for proper closing and latching of all trash chutes. |
| Annual service report and log of weekly inspections for emergency and standby power systems not provided. |
| Loose compressed gas cylinders found in multiple locations. |
| NFPA 80 fire/smoke damper inspection and testing paperwork not provided. |
| NFPA 80 fire door inspection and testing paperwork not provided. |
Report Facts
Inspection date: Jul 29, 2024
Next inspection scheduled: Aug 28, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Susan Vahlkamp | Executive Director | Owner or Owner's Representative who signed the report |
Inspection Report
Follow-Up
Census: 43
Deficiencies: 2
Mar 14, 2024
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, indicating the facility met the Assisted Living Facility licensing requirements. The prior deficiencies related to medication administration documentation and background checks were corrected.
Deficiencies (2)
| Description |
|---|
| Failure to document medication administration assistance for 4 of 7 sampled residents, risking medication errors and potential health decline. |
| Failure to complete Washington State name and date of birth background checks every two years for 2 of 9 sampled staff, placing residents at risk of abuse or neglect. |
Report Facts
Residents sampled for review: 7
Staff sampled for background check review: 9
Medication doses with no staff signoff: 15
Antibiotic capsules documented as dispensed: 30
Days late for background check renewal: 36
Days late for background check renewal: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Forkgen | ALF Licensor | Department staff who conducted the on-site verification |
| Michelle Yip | ALF Licensor | Department staff who conducted the on-site verification |
| Staff E | Lead Resident Assistant | Named in background check deficiency and late renewal |
| Staff I | Food Server | Named in background check deficiency and late renewal |
| Staff K | Executive Director | Acknowledged late background check renewals for Staff E and Staff I |
| Staff L | Registered Nurse, Community Health Director | Interviewed regarding medication administration and documentation deficiencies |
Inspection Report
Life Safety
Deficiencies: 15
Jul 26, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at the University House At Issaquah facility on 7/26/2023.
Findings
Multiple deficiencies were cited related to fire safety systems, including storage of combustible materials, extension cords usage, cleaning and servicing of fire extinguishing systems, door operation, and testing and maintenance of fire safety equipment. Several required inspection documents and servicing records were not provided at the time of inspection.
Deficiencies (15)
| Description |
|---|
| Electrical room being used as storage. |
| Extension cords found in stairwell 4, 3rd floor. |
| First semi-annual hood cleaning paperwork not provided. |
| Facility needs to establish schedule for inspection of fire-rated construction within 30 days; annual inspection of fire-resistance-rated construction needed by end of 2023. |
| Double doors by residents in rooms 103, 144, and 128 would not latch. |
| Sprinkler system found in Yellow Status. |
| First and second semi-annual servicing and annual replacement of fusible links/auto sprinkler heads paperwork not provided. |
| Fire extinguisher not serviced over two years by outside company. |
| Missing carbon monoxide alarms from corridors/common areas and need for carbon monoxide detectors in boiler room. |
| Annual 90-minute power test had not been performed and documented. |
| Annual service, weekly inspection logs, and monthly load tests for emergency and standby power systems paperwork not provided. |
| Fire alarm circuit breaker verification needed in electrical room. |
| Fire/smoke damper 4-year inspection needs to be performed and documented. |
| Facility must establish schedule for inspection of fire doors within 30 days; annual inspection of fire doors needed by end of 2023. |
| Latching hardware, auxiliary hardware, field modifications, edge protection, and signage on fire doors need verification. |
Report Facts
Deficiencies cited: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Vahlkamp | Executive Director | Named as Owner or Authorized Representative signing the inspection report. |
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted the inspection and signed the report. |
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