Brookdale Canyon Lakes

Facility failed to maintain compliance with Washington State Patrol Fire Protection Bureau; multiple fire code violations observed including missing door hardware, doors propped open, improperly latching doors, and painted sprinkler heads.

1) Double fire doors near maintenance office missing hardware on crash bar. 2) Room 129 propped open w/ door wedge.

The double fire door near room 15 would not latch from a fully opened position

Room # 135 had painted sprinkler heads.

Fire drill documentation does not include all required information.

Power panel in kitchen was missing breaker #25 and protective covering.

Two extension cords were plugged into each other in the housekeeping laundry.

Fire rated door to 2nd floor elevator #3 has a broken closure.

Missing documentation for annual forward flow test; missing escutcheon plate near room 131; mixed sprinkler types in dining room; walk-in cooler has incorrect head type.

Annual maintenance not completed/needed for extinguishers at water heater, staff lounge, and near room 15.

Exit sign near room 241 was not illuminated on normal power.

Power breaker #14 for fire alarm system is missing locking device.

Level 1 backup generator has a natural gas source but lacks a secondary fuel source required by NFPA 110.

The facility failed to maintain compliance with the Washington State Patrol Fire Protection Bureau; multiple fire/life safety violations remained uncorrected from an inspection on 10/28/2024, including improper fire drill documentation, missing annual forward flow test records, an inoperative exit sign, and lack of a secondary fuel source for the back-up generator.

Facility failed to ensure caregivers met the long-term care worker training requirements.

Facility failed to ensure staff who worked unsupervised with residents completed the dementia specialty training within the required time frame.

Facility failed to ensure 3 of 4 staff (Staff B, D, and F) completed the 70-hour long-term care worker training within the required timeframe, allowing them to work with residents unsupervised.

Facility failed to ensure staff who worked unsupervised with residents completed the mental health specialty training within the required time frame.

The facility failed to comply with the Washington State Patrol Office of State Fire Marshal inspection requirements. Specifically, they failed to provide documentation of annual backflow testing and documentation of repairs/retesting for a failed east wing fire sprinkler system backflow.

Failed to provide documentation for annual backflow testing within the past 12 months; April 2024 report indicates east wing backflow failed and documentation of repairs/retesting is missing.

Unable to provide documentation of smoke detector sensitivity testing within the past five years.

Doors found blocked open; disabled self-closer.

Failed damper in basement; no documentation of repair or retesting.

Missing second semi-annual kitchen hood suppression service report.

Missing documentation of smoke detector sensitivity testing for past five years.

Missing documentation for annual, monthly, and weekly emergency generator maintenance and testing.

Failed to provide documentation of annual fire alarm service; August 2023 report indicated 19 heat detectors were older than 15 years.

Missing documentation of rated door inspections; delaminating elevator and corridor doors; penetration in cross corridor door; non-functional panic hardware.

Multiple doors failed to close and latch when tested.

Missing backflow and 2023 fire sprinkler reports; outdated sprinkler heads; uncorrected tamper switch failure; loaded/missing sprinkler heads.

Missing documentation of fire alarm service and smoke alarm testing; missing smoke detection in kitchen.

Missing documentation of monthly carbon monoxide alarm testing.