Inspection Reports for Wesley Lea Hill
32049 109th Pl SE, Auburn, WA 98092, WA, 32049
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12
6
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Inspection Report
Life Safety
Deficiencies: 22
Jul 28, 2025
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted by the Office of the State Fire Marshal to determine compliance with applicable codes.
Findings
Multiple violations were observed including uncovered electrical junction boxes, obstructed electrical panels, lack of fire resistance materials, missing documentation for fire and safety system inspections, and deficiencies in fire extinguishing system maintenance and operation.
Deficiencies (22)
| Description |
|---|
| The patio area had an uncovered electrical junction box. |
| The electrical closet had multiple items in front of electrical panels impeding required 36" clearance. |
| Gas fired wheeled appliances in the kitchen were not tethered to the wall. |
| Electrical closet had penetrations in walls without fire resistance rated material installed. |
| Facility was unable to provide documentation that the annual fire door inspection had been performed. |
| The fire door near the dining area did not latch from a fully open position. |
| Facility was unable to provide documentation that the 4 year fire/smoke damper inspection had been performed. |
| Facility was unable to provide documentation that sprinkler system testing had been performed including 5-year internal pipe testing, 3-year dry system full flow trip test, annual trip test, annual forward flow test, and 5-year FDC hydro testing. |
| Multiple sprinkler heads in main kitchen and laundry room were loaded with dust and/or grease. |
| Facility was unable to provide documentation that the second semi-annual kitchen suppression servicing had been performed in the last 12 months. |
| Hood suppression system sprinkler heads were missing grease caps. |
| Hood suppression system sprinkler head nozzles were not pointed toward fuel fire appliances. |
| Facility was unable to provide documentation for annual fire extinguisher servicing and monthly fire extinguisher inspection log. |
| Fire extinguisher near room 155 was obstructed. |
| Facility was unable to provide documentation that monthly smoke detector testing had been performed and a report or log was created. |
| Smoke detector near cooking appliances in the kitchen was heavily covered in grease. |
| Facility was unable to provide documentation for sensitivity test and nuisance log for smoke detectors. |
| Facility was unable to provide documentation for monthly carbon monoxide alarm and detector testing. |
| Facility was unable to provide documentation for 30 second monthly exit and emergency lighting activation test. |
| Facility was unable to provide documentation for 90 minute annual exit and emergency lighting power test. |
| Facility was unable to provide documentation for annual servicing, weekly inspections log, and monthly 30 minute load test for emergency and standby power systems. |
| Facility was unable to provide documentation that fire drills were performed one per shift, per quarter over the last 12 months. |
Report Facts
Next inspection scheduled date: Aug 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alan Harlan | Deputy State Fire Marshal | Signed the inspection report |
Inspection Report
Follow-Up
Deficiencies: 0
Mar 17, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 03/17/2025 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. Previous deficiencies were corrected as per the licensing laws and regulations.
Report Facts
Residents reviewed during unannounced inspection: 6
Residents at risk due to CPR training deficiency: 14
Residents at risk due to medication assistance deficiency: 1
Residents at risk due to ventilation deficiency: 14
Residents at risk due to negotiated service agreement deficiency: 3
Residents at risk due to medical device assessment deficiency: 2
Residents at risk due to bed rail use deficiency: 2
Residents at risk due to tuberculosis testing deficiency: 16
Residents at risk due to fingerprint background check deficiency: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in CPR training deficiency for not completing in-person CPR skills portion. | |
| Staff F | Named in CPR training deficiency for lacking first aid certification and providing care in memory care unit. | |
| Staff B | Memory Care Manager/Licensed Practical Nurse | Interviewed regarding CPR training, medication administration, wound care backup plan, tuberculosis testing, and fingerprint background check deficiencies. |
| Staff G | Environmental Services Manager | Interviewed regarding non-functioning ventilation system in common bathrooms. |
| Staff H | Wesley Home Care Aide | Interviewed regarding bed rail use by Resident 3. |
| Jane Hermano | NCI | Department staff who did the on-site verification. |
| Kathy Young | Licensor | Department staff who did the on-site verification. |
| Laurie Anderson | Community Field Manager / Field Manager | Signed multiple letters and correspondence related to the inspection and follow-up. |
Inspection Report
Life Safety
Deficiencies: 6
May 2, 2023
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Wesley Homes Lea Hill by the Washington State Patrol, State Fire Marshal's Office to determine compliance with applicable fire and life safety codes.
Findings
The inspection found multiple violations including lack of records for annual fire wall inspections and repairs, missing door closure on a storage room door, misaligned kitchen fire suppression nozzles, missing documentation for annual generator report and monthly load tests, and a yellow-tagged generator pending repairs.
Deficiencies (6)
| Description |
|---|
| Facility was unable to provide record of their annual fire wall inspection and/or repairs for all fire-resistant-rated construction. |
| The storage room door by room 147 is missing its door closure. |
| The kitchen suppression nozzles over the deep fat fryer and part of the griddle do not line up with the appliances; currently facing outward toward the back of the appliances. |
| Facility was unable to provide documentation for their annual generator report. |
| The generator is yellow tagged; facility stated they are working on scheduling repairs. |
| Facility was unable to provide documentation for their monthly load tests; stated tests were performed but not documented. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the fire and life safety inspection and signed the report. |
| Mike Bailey | Owner or Authorized Representative who signed the inspection report. |
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