Aegis of Bellevue

This residential care facility had repeated systemic fire safety violations across multiple inspections, including critical life-safety systems: missing sprinkler system testing documentation, incomplete fire alarm maintenance, non-functional fire doors, improper emergency evacuation drill records, and electrical hazards. The facility demonstrated a good response by correcting all 21 violations identified in the February 2025 inspection by the March follow-up, and achieving full compliance by June 2025, showing commitment to resolving the pattern of fire code non-compliance through systematic corrective action.

The facility failed to ensure a staff member with a positive TB skin test obtained a chest x-ray within the required 7-day timeframe, completing it instead after 11 days. This represents a procedural violation of tuberculosis screening requirements with minimal immediate resident impact since the x-ray ultimately showed negative results. The facility's response was moderate - they did ensure the chest x-ray was completed and corrective action was taken, though the delay indicates room for improvement in their health screening protocols. A citation was appropriately issued for this failed practice.

The September 2024 inspection identified multiple moderate compliance violations including failure to maintain respiratory protection program requirements (no fit-testing/medical clearances for staff), incomplete emergency manual, expired staff credentials, missing national fingerprint background checks for two caregivers, and failure to post previous inspection reports. The facility acknowledged all deficiencies and submitted corrective action plans with completion dates, and a November 2024 follow-up inspection confirmed all violations were corrected and the facility returned to full compliance with licensing requirements.

The facility failed to conduct a required DSHS background inquiry within one day of hire for one staff member, representing a procedural violation of WAC 388-78A-2468-1. The facility took appropriate corrective action following the initial inspection on 06/28/2023. A follow-up inspection on 08/11/2023 confirmed all deficiencies were corrected and the facility met all licensing requirements, demonstrating effective remediation of the background check process.

The facility failed to implement their Respiratory Protection Program for eleven staff with direct resident contact, placing 78 residents at risk of contracting and spreading potentially life-threatening diseases. This violation was particularly serious as it was an uncorrected repeat deficiency previously cited in March 2023, demonstrating a pattern of non-compliance. The facility's response was inadequate, evidenced by the failure to correct the issue over a three-month period despite prior citation, resulting in a $300 civil fine and formal enforcement action. No evidence of meaningful corrective action was documented between the initial March citation and the June follow-up visit.

The February 2023 inspection identified 17 fire and life safety code violations at this residential care facility, including missing documentation for critical safety systems (sprinkler inspections, hood cleaning, fire door inspections), physical deficiencies (penetrations in fire-rated construction, doors failing to latch properly, yellow-tagged kitchen suppression system), and missing carbon monoxide detectors near gas fireplaces. The facility responded appropriately by correcting all violations, as confirmed by the April 2023 follow-up inspection showing full compliance. While the violations represented systemic documentation gaps and multiple fire-safety maintenance issues that could compromise resident safety in an emergency, none posed immediate life-threatening danger and the facility demonstrated good follow-through with comprehensive remediation within two months.