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Source: WA Dept. of Social & Health Services
A separate follow-up letter dated 10/20/2025 confirms that deficiencies for WAC 388-78A-2474-2-b, 388-78A-2474-3, and 388-78A-2474-4 were corrected and the facility meets licensing requirements.
Facility failed to ensure 1 sampled staff member completed required Home Care Aide or Nursing Assistant training and certification within 120 days of hire. Staff member provided care to residents for over 483 days without proper qualifications.
Letter confirms that deficiencies from prior compliance determinations (64706 and 61475) were corrected and facility currently meets licensing requirements.; Consultation provided for WAC 388-78A-2305 (Food sanitation) and WAC 246-217-015 (Food worker card requirements); no formal plan of correction required for these consultation items.; This is page 3 of 3 of a document containing information regarding Informal Dispute Resolution (IDR) procedures. The document indicates that deficiencies were found.
Failed to ensure 3 of 4 sampled care staff completed required training; one staff member had an expired first aid card.
Failed to submit background authorization forms within one business day for 6 of 19 sampled staff.
Failed to complete national fingerprint background checks for 2 of 19 sampled staff.
Failed to update service plans for 2 of 6 sampled residents (Resident 2 and 3) following changes in needs.
Failed to ensure one staff member with a positive TB test result completed a chest X-ray within seven days.
Failed to complete TB skin or blood testing within three days of hire for 4 of 14 sampled staff.
Civil fine of $800.00 imposed. This is an uncorrected deficiency previously cited on 2025-05-06 and 2025-03-06.
The licensee failed to ensure two care staff completed all training, as required.
The licensee failed to ensure two care staff completed all training, as required.
The licensee failed to ensure two care staff completed all training, as required.
A follow-up inspection on 08/26/2025 indicated that all previous deficiencies were corrected.
Facility failed to complete a one-step TB test for 1 of 1 sampled staff (Staff B) within three days of hire.
Facility failed to maintain staff TB test records on-site for 14 of 14 sampled staff.
Letter details imposition of civil fines totaling $1,200.00 ($400 for WAC 388-112A-0611, 0720, 388-78A-2474; $500 for WAC 388-78A-2484; $300 for WAC 388-78A-2485). Reference is made to an attached Statement of Deficiencies (SOD) for additional violations.
The licensee failed to ensure two staff completed all continuing education training as required.
The licensee failed to ensure two staff completed all training as required.
The licensee failed to complete three staff's skin test or blood test for Tuberculosis within three days of hire. Uncorrected deficiency from March 6, 2025.
The licensee failed to ensure one staff completed all requirements for Tuberculosis screening following a positive result to a TB skin test. Uncorrected deficiency from March 6, 2025.
The licensee failed to ensure two staff completed all training as required. Uncorrected deficiency from March 6, 2025.
The inspection on 12/20/2023 was 'Disapproved'. A follow-up on 1/8/2024 noted that 'All violations noted during previous related inspection(s) have been corrected'.
Multiple emergency lights out in all stairwells.
3rd floor exit sign by south stairwell not working.
Missing required testing/inspection reports (annual, 5-year internal pipe, 3-year dry system, annual forward flow, FDC hydro, quarterly); many sprinkler heads painted over.
Annual inspection of fire-resistance-rated construction not performed and documented.
Fire/smoke damper 4-year inspection not performed and documented.
Multiple doors on 1st, 2nd, and 3rd floors will not latch; emergency door in front of elevators needs checking.
Missing monthly testing documentation; missing CO alarms in corridors/common areas with HVAC duct work and areas near fossil fuel appliances.
Fire-resistance-rated construction penetrations in 3rd floor east stairwell, 2nd floor IT room, and 2nd floor east stairwell need repair.
Missing semi-annual servicing, annual replacement of fusible links/sprinkler heads, and NAFED certification; broken kitchen filters and blocked pull station.
Annual fire door inspection schedule not identified or performed.
Missing annual report, sensitivity testing, monthly station alarm test, and NICET/ES/NTS certification; requires system sensitivity verification.
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