Aljoya Thornton Place

Facility cannot provide documentation for the completion of unannounced fire drills, one drill per shift, per quarter, in the previous 12 months.

Unable to provide documentation for the monthly single or multi station smoke alarm testing.

Documentation for semi-annual hood cleaning indicated a deficiency within the duct system; inspection reports must verify the system has no deficiencies.

Unable to provide documentation for the monthly carbon monoxide detector testing.

Unable to provide documentation for 5-year internal piping inspection and hydrostatic testing of the Fire Department Connection.

The fireside lounge balcony egress pathway is blocked by a piano.

Documentation for the facility's semi-annual hood cleaning indicated a deficiency within the duct system. Reports must verify system has no deficiencies or document that they have been corrected.

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 5-year internal piping inspection and hydrostatic testing of the fire department connection per NFPA 25.

Facility unable to provide documentation for the monthly single or multi station smoke alarm testing.

Facility unable to provide documentation for the monthly carbon monoxide detector testing.

The fireside lounge balcony egress pathway is blocked by a piano.

Facility failed to develop or document behavioral interventions in the Negotiated Service Agreement for Resident 1 following reported outbursts.

Facility failed to ensure valid Washington State name and date of birth background check for 1 of 5 sampled staff (Staff E).

Facility failed to notify physicians or evaluate negative outcomes for residents 1 and 5 when they repeatedly refused prescribed medications.

Facility failed to complete an assessment identifying known smoking and alcohol consumption behaviors for Resident 1.

The facility failed to ensure 1 of 5 staff members (Staff C) had completed their fingerprint background check within 120 days of hire.

Missing documentation for 3-year dry system full flow trip test; sprinkler heads in coolers/freezers require replacement (2009 model year); kitchen sprinkler heads are loaded and need cleaning or replacement.

Facility failed to provide documentation for monthly single station smoke alarm testing.

Facility failed to provide documentation for 12 planned and unannounced fire drills in the previous 12 months.

Kitchen hood system lacks required signage for appliance lineup.

No documentation for 5-year hydrostatic testing of the fire department connection.

Facility unable to provide documentation for the 4-year fire and smoke damper inspection.

Facilities pool chemical storage area lacks a required water-type extinguisher per NFPA 10.

No documentation for monthly carbon monoxide detector testing.

Failed to implement a system for safe medication services, resulting in a resident missing prescribed eye drops.

Hazardous chemicals and cleaning supplies were left unsecured and accessible to residents in common areas and utility rooms.

Failed to update negotiated service agreement for a resident with alcohol use issues and a history of falls.