Inspection Reports for University House Wallingford
4400 Stone Way N, Seattle, WA 98103, United States, WA, 98103
Back to Facility Profile
Inspection Report
Annual Inspection
Deficiencies: 0
Sep 3, 2024
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 09/03/2024.
Findings
The inspection found no deficiencies at the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sunny Kent | Licensor | Department staff who did the inspection |
| Scottie Sindora | ALF Licensor | Department staff who did the inspection |
| Jamie Singer | Field Manager | Signed the letter as Field Manager |
Inspection Report
Complaint Investigation
Census: 16
Deficiencies: 1
Feb 27, 2024
Visit Reason
The inspection was conducted due to a complaint alleging that the Assisted Living Facility had a positive influenza A case.
Findings
The investigation found that the facility sought medical treatment for the resident with influenza A and tested other residents for exposure. However, the facility had not developed a respiratory protection program for fit-testing staff, which was identified as a deficient practice.
Complaint Details
Complaint investigation regarding a positive influenza A case at the facility. Deficient practice was identified and citation(s) were written.
Deficiencies (1)
| Description |
|---|
| Failure to develop a respiratory protection program for fit-testing of staff. |
Report Facts
Total residents: 16
Resident sample size: 16
Health Care Workers (HCWs): 26
Fit tests conducted: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hayley Pinkham | ALF Licensor | Investigator who conducted the complaint investigation. |
| Jamie Singer | Field Manager | Signed the report and correspondence related to the investigation. |
| Staff A | Executive Director | Facility administrator who confirmed findings regarding fit-testing of HCWs. |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 31
Deficiencies: 8
Nov 14, 2023
Visit Reason
The inspection was an unannounced on-site complaint investigation conducted on 11/14/2023 to assess compliance following allegations related to fire and life safety deficiencies.
Findings
The facility failed to provide required documentation for multiple fire and life safety inspections and maintenance, including the 4-year fire and smoke damper inspection, hydrostatic testing of the fire department connection, signage for the fire extinguishing system, repairs to the kitchen system, monthly smoke alarm and carbon monoxide detector testing, annual emergency generator servicing, and the emergency plan did not meet regulatory requirements.
Complaint Details
The complaint investigation was based on allegations from the Washington State Fire Marshall facility visits regarding multiple documentation and compliance failures related to fire and life safety inspections and maintenance. The investigation included review of 21 current residents, interviews with administration, staff, and the State Fire Marshall, and record reviews of Fire Marshall Inspection and Revisit reports. The complaint was substantiated with failed provider practice identified and citations written.
Deficiencies (8)
| Description |
|---|
| Facility unable to provide documentation for the 4 year fire and smoke damper inspection. |
| Facility unable to provide documentation that the Fire department Connection has been hydrostatically tested in accordance with NFPA 25. |
| Signage needed on the exhaust hood or system cabinet, indicating the type and arrangement of cooking appliances protected by the automatic fire extinguishing system. |
| At the last service the kitchen system was yellow tagged. The facility is unable to show documentation of system repairs. |
| Facility is unable to provide documentation for the monthly single station smoke alarm testing. |
| Facility is unable to provide documentation for the monthly carbon monoxide detector testing. |
| Facility is unable to provide documentation for the annual servicing of the emergency generator. |
| The existing emergency plan does not meet the requirements of WAC 212-12-040 and needs to be expanded to more clearly state sections 1-4 of this code. |
Report Facts
Total residents: 21
Licensed capacity: 31
Complaint number: 104558
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Department staff who conducted the on-site verification and investigation. |
| Phyllis Fischer | Administrator | Signed the Plan of Correction and attestation statement. |
| Staff A | Maintenance Director | Reported on 11/14/2023 that some repairs were done and some were pending vendor scheduling. |
Inspection Report
Re-Inspection
Deficiencies: 26
Oct 5, 2023
Visit Reason
The Office of the State Fire Marshal conducted a reinspection of University House at Wallingford to verify correction of previously identified fire and life safety violations.
Findings
The reinspection found that one or more violations identified during the initial inspection remained uncorrected, resulting in the facility failing to gain and maintain compliance with state law. Multiple deficiencies related to fire safety documentation and maintenance were noted.
Deficiencies (26)
| Description |
|---|
| Facility is unable to provide documentation for the 4 year fire and smoke damper inspection. |
| Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25. |
| Signage shall be provided on the exhaust hood or system cabinet indicating the type and arrangement of cooking appliances protected by the automatic fire extinguishing system; facility failed to provide approved signage. |
| At the last service the kitchen system was yellow tagged; facility unable to show documentation of system repairs. |
| Facility unable to provide documentation for the monthly single station smoke alarm testing. |
| Facility unable to provide documentation for the monthly carbon monoxide detector testing. |
| Facility unable to provide documentation for the annual servicing of the emergency generator. |
| Facility cannot provide documentation for the completion of unannounced fire drills, one drill per shift, per quarter, in the previous 12 months. |
| Facility unable to provide documentation for the semi-annual hood cleaning. |
| Facility unable to provide documentation that the annual fire wall inspection has been completed. |
| Facility unable to provide documentation that the annual fire door inspection has been completed. |
| Fire doors in the 3rd and 4th floor corridors are not closing properly. |
| Facility unable to provide documentation for the annual sprinkler system inspection. |
| Facility unable to provide documentation for the 5 year internal piping inspection. |
| Facility unable to provide documentation for the 3 year dry system full flow trip test. |
| Facility unable to provide documentation for the quarterly sprinkler system inspections. |
| Facility unable to provide documentation for the 5 year standpipe test. |
| Facility unable to provide documentation for the annual backflow forward flow test. |
| Facility unable to provide documentation for fire pump testing in the last year. |
| Facility unable to provide documentation for monthly fire extinguisher visual inspections. |
| Facility unable to provide documentation for the monthly single station smoke alarm testing. |
| Facility unable to provide documentation for the monthly carbon monoxide detector testing. |
| Facility unable to provide documentation for the annual fire alarm system testing. |
| Facility unable to provide documentation for the monthly 30 second activation test and 90 minute power test for emergency lights. |
| Facility unable to provide documentation for the weekly inspections and monthly 30 minute full load testing of emergency lights. |
| Facility unable to provide documented emergency plan in accordance with WAC 212-12-040. |
Report Facts
Reinspection date: Oct 5, 2023
Initial inspection date: Aug 30, 2023
Next inspection scheduled: Nov 4, 2023
Next inspection scheduled: Sep 29, 2023
Next inspection scheduled: Aug 24, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jarret Fournick | Maintenance Director | Named in relation to inspection and findings |
| Arthur Jesse Ward | Deputy State Fire Marshal | Issued inspection reports and enforcement letters |
| Jeff Osprea | Owner or Authorized Representative | Signed inspection documents |
Inspection Report
Annual Inspection
Deficiencies: 0
May 17, 2023
Visit Reason
The Department completed a full inspection of the Assisted Living Facility on 05/17/2023 as part of a compliance determination.
Findings
The inspection found no deficiencies in the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Scottie Sindora | ALF Licensor | Department staff who conducted the inspection |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who conducted the inspection |
Loading inspection reports...
