Chandler's Square

Extension cords were being used as permanent wiring in the nurse's annex and 3rd floor library.

Facility unable to provide inventory list of annual fire door inspection.

Deficiencies in annual sprinkler testing, missing hydraulic calculations, missing NFPA 25 annual forward flow test, missing quarterly inspection records, and improper sprinkler head installation in beauty shop.

Power breaker #19 in panel EM-1 for the fire alarm system was missing a locking device.

Facility unable to provide documentation for the annual 90-minute power test.

Facility unable to provide inventory list for annual fire-resistance rated construction material inspection.

Multiple fire-rated doors (elevators #2, #3, room #328, and cross-corridor door near #228) failed to close and latch from a fully open position.

Kitchen suppression system had uncorrected deficiencies.

Facility unable to provide documentation for monthly 30-second activation tests.

Facility could not provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.

Facility failed to ensure 1 of 6 staff members completed 70-hour Basic training within 120 days of hire. Staff B completed training 156 days after hire (36 days late).

The facility failed to complete a Washington state name and date of birth background check for the Director of Culinary Services, resulting in an employee without a cleared background check having access to the facility.

Facility is unable to provide an inventory list of for the annual fire resistance rated construction material inspection.

Annual sprinkler testing has uncorrected deficiencies, hydraulic calculation data is blank, and facility lacks documentation for annual forward flow test and quarterly inspections.

Facility is unable to provide documentation for the monthly 30 second activation test for the emergency lights.

The fire rated cross corridor door near room #228 would not close and latch from the fully open position.

Kitchen suppression system had uncorrected deficiencies; scheduled for update on 9/18/2024.

Use of multiplug adapters without overcurrent protection in maintenance office and business office manager's office.

Two electrical outlets in activities office missing faceplates.

Resident room #110 fire door blocked open by wedge.

Missing documentation for 4-year fire and smoke damper inspection.

Missing semi-annual kitchen suppression documentation; damaged/missing foil seals on nozzles.

Missing documentation for monthly carbon monoxide detector testing.

Missing documentation for 12 planned fire drills; missing specific drills for 2nd shift (Q3, Q4) and 3rd shift (Q1, Q2).

Missing breakers without protective coverings in 3rd floor trash room and maintenance office panels.

Extension cord used for permanent wiring in the maintenance office.

Missing documentation for semi-annual hood cleaning.

Cross corridor door near room #228 failed to close and latch from full open position.

Missing annual sprinkler inspection and 5-year internal piping inspection documentation; improper escutcheon plate in dining room.

Missing documentation for monthly single station smoke alarm testing.

Multiple emergency egress lights failed to illuminate during testing.

The facility failed to conduct a thorough investigation into an allegation of financial exploitation involving a resident, failing to interview necessary staff or residents.

The facility failed to immediately report an allegation of financial exploitation to the Complaint Resolution Unit (CRU), delaying the investigation.