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Source: WA Dept. of Social & Health Services
Staff B had worked at the facility for 361 days without completing the required basic training and Home Care Aide certification.
Facility failed to ensure 1 of 6 staff (Staff B) completed required client de-escalation training.
Facility failed to ensure 2 of 6 staff (Staff B and Staff D) completed required training provided by a licensed pharmacist.
Facility failed to ensure 6 of 6 staff members completed required quarterly staff education.
Facility failed to ensure 1 of 6 staff (Staff B) completed basic training and home care aide certification.
A subsequent follow-up inspection on 04/21/2026 (Compliance Determination 76158) found that all deficiencies were corrected.
Facility failed to ensure 6 of 6 staff completed required quarterly staff education training.
Facility failed to ensure 1 of 6 staff (Staff B) completed required de-escalation training.
Facility failed to ensure 2 of 6 staff (Staff B and Staff D) completed required training provided by a licensed pharmacist.
Facility failed to ensure 1 of 6 staff (Staff B) completed required basic training and Home Care Aide certification.
The inspection report dated 02/25/2026 notes that all violations from previous inspections have been corrected, changing the status to Approved.
Monthly 30-second activation testing not performed and documented.
Annual 90-minute power test not performed and documented.
Missing documentation/maps of CO detector locations and monthly reports.
Missing detailed documentation and maps of fire-rated construction locations and maintenance records.
Fire/smoke damper inspection not performed and documented.
Annual forward flow test and system yellow status need documentation.
Deficiency noted in log of weekly inspections/Diesel fuel testing.
Rolling fire doors at front desk and med room require testing.
Appliance on casters connected to gas is missing a restraining device.
Power strip plugged into a power strip in main office room 103.
Missing documentation for first and second semi-annual hood cleaning.
Extension cord in use plugged into an appliance in the kitchen.
Missing detailed documentation and maps of fire door locations and inspection reports.
Question regarding size of fusible link used; documentation missing.
Facility status is Disapproved. Next inspection scheduled on or after 02/13/2026.
Annual 90-minute power test not performed or documented.
Missing detailed documentation and maps of carbon monoxide detector locations and maintenance records.
Gas-fired appliance on casters is missing a restraining device.
Power strip plugged into another power strip in main office room 103.
Facility failed to provide detailed documentation and maps of fire-rated construction locations and maintenance/inspection reports.
System is in a yellow status; missing documentation for annual forward flow test.
Missing documentation for diesel fuel testing.
Facility failed to provide detailed documentation and maps of fire door locations and maintenance/inspection reports.
Inspector questioned the size of the fusible link being used.
Smoke detector sensitivity report not provided.
Fire alarm system in a yellow status.
Fire/smoke damper inspection documentation not provided.
Extension cord in use plugged into an appliance in the kitchen.
Rolling fire doors at the front desk and medication room need to be tested.
Monthly 30-second activation testing not performed or documented.
Missing documentation for first and second semi-annual hood cleaning.
Plan of correction dates are indicated as 10/9/24, signed by the Administrator on 9/3/24.; The document includes a cover letter dated 08/27/2024 referencing the inspection completed on 08/26/2024.
Facility failed to complete initial person-centered service plans for 6 of 6 residents prior to admission and failed to obtain informed consent.
Facility failed to complete required comprehensive assessments for 6 of 6 sampled residents, missing required documentation elements.
Facility failed to ensure 1 of 4 staff (Staff D) had a completed Washington state BGI and national fingerprint background check.
Facility failed to ensure 4 of 4 staff (Staff A, B, C, D) were screened for Tuberculosis (TB) upon hire.
Facility failed to maintain copies of person-centered service plans signed by the department case manager for 6 of 6 residents.
Kitchen staff failed to have disposable drying towels readily available at the handwashing sink.
Facility failed to ensure 4 of 4 staff (Staff A, B, C, D) completed required specialty training for residents with developmental disabilities.
Facility failed to obtain a current Medical Test Site Waiver (MTSW) certificate and failed to display the facility license in a conspicuous place.
Facility failed to provide medication-related training to 24 of 24 staff by a licensed pharmacist.
Facility failed to provide a person-centered service planning team for each of the 6 sampled residents.
Resident accessible telephone in the phone room had a cord connected to the headset, posing a ligature risk.
Facility lacked documented policies/procedures for laundry/linen management and sanitation of bathing facilities.
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