Village Concepts of Auburn

The facility failed to ensure the Executive Director (Staff A) completed the required 12 hours of annual continuing education between 11/16/2024 and 11/16/2025.

Facility failed to implement systems to ensure food service compliance, specifically: smoking/vaping in the kitchen, staff eating in food preparation areas, extensive lack of cleanliness on food-contact and non-food-contact surfaces (sticky residue, dust, debris, mold/used bandages on floor mats), improper food storage (unsealed breadcrumbs), and improper temperature control/thawing of hazardous foods (44 degree sandwich station, meat defrosting in puddles).

Fire wall shows failures; missing documentation and maps for fire-rated construction.

Missing 5-year internal pipe testing, annual forward flow test, and FDC hydro testing; damaged sprinkler head and escutcheon found.

Facility failed to provide detailed documentation and maps of fire-rated construction locations, including annual inspection reports for testing, modifications, and repairs.

Compressed gas cylinders not properly stored in three separate resident rooms.

Missing documentation/maps for fire doors. Observed: multiple stairwell doors missing gasketing/seals, doors failing to latch, doors wedged open, and trash door missing gasketing/seals.

Facility failed to provide documentation showing that fire/smoke damper inspections have been performed.

Commercial laundry room missing fire extinguisher; staff could not account for a used fire extinguisher.

Trash chute has combustible material restricting it from closing and requires testing.

Missing records for 5-year internal pipe testing, 3-year dry system full flow trip test, annual forward flow test, and 5-year FDC hydro testing. Observed loaded sprinkler head and escutcheon issue.

Missing documentation for semi-annual hood cleaning.

Multiple blocked paths of egress in the 1st floor kitchen.

Missing documentation for diesel fuel testing.

Emergency light in Stair 5 (between 2nd and 3rd floor) failed to activate during battery test.

Need to verify if cooking appliances on casters have required restraining devices.

Combustible material stored in boiler rooms, mechanical rooms, or electrical rooms.

Fire door report shows failures (latching issues, missing gasketing/edge seals).

Exit sign in 1st floor dining room is hanging by electrical wires.

Missing diesel fuel testing documentation.

The licensee failed to document in four residents' Negotiated Service Agreement the care, services, and interventions to meet the resident's needs. This was a repeat of a previously cited deficiency on 2026-02-16.

Missing documentation for 5-year internal pipe test, annual forward flow test, and 5-year FDC hydro test; loaded sprinkler head observed; missing escutcheon.

Combustible material was stored in stairwells on the 3rd floor (stair 5) and 1st floor (stair 4 and stair 1).

Missing documentation/maps for fire doors; multiple stairwell doors would not latch; trash/stairwell doors missing gasketing and edge seals.

Trash chute needs to be tested by an outside vendor.

Documentation for fire/smoke dampers inspection not provided.

Diesel fuel testing documentation not provided.

Detailed documentation and maps of fire-rated construction locations, including inspection reports, were not provided.

Documentation for first and second semi-annual hood cleaning not provided.

Facility must verify that kitchen cooking appliances on casters have required restraining devices connected to the wall.