Aegis of Issaquah

This inspection identified 21 fire and life safety violations at a residential care facility, including severe issues such as fire doors propped open and coming apart, missing fire drill documentation, untested emergency lighting systems, and gaps in required fire protection system maintenance (5-year hydrostatic testing, carbon monoxide detector testing). The facility corrected 7 violations during inspection but was unable to provide documentation for critical safety requirements including quarterly fire drills and monthly emergency lighting tests. The facility demonstrated partial responsiveness by making immediate corrections on-site, but systemic documentation failures and unaddressed life safety maintenance requirements indicate inadequate ongoing compliance processes.

This residential care facility had recurring fire safety documentation and equipment maintenance violations across three inspections (12/18/2024, 2/26/2025, 6/30/2025). Primary issues included missing emergency evacuation drill records, incomplete fire suppression system maintenance documentation, non-functional fire doors in resident rooms, and missing protective covers on kitchen fire suppression nozzles. The facility demonstrated a good response by systematically correcting most violations between inspections, with all deficiencies resolved by the final 6/30/2025 inspection resulting in approval status.

This residential care facility exhibited a systemic pattern of fire and life safety violations across multiple critical systems, including missing emergency evacuation drill documentation, failures in fire suppression system maintenance (missing protective covers on kitchen fire suppression nozzles, unadjusted nozzles over deep fryer), fire alarm system deficiencies (yellow vendor status), malfunctioning fire doors in resident rooms that would not close and latch, and unsecured compressed gas cylinders. The facility demonstrated a moderate response by correcting several violations between the December 2024 and February 2025 inspections (carbon monoxide detection, emergency lighting tests, compressed gas security, fire door issues), but failed to address recurring documentation gaps for required testing and maintenance across multiple life safety systems, indicating inadequate follow-through on comprehensive corrective action.

The facility had multiple moderate compliance violations across maintenance (unsafe water temperatures at 8 sinks, non-functional ventilation in 6 areas), care planning (incomplete service plans for 4 residents including missing medication side-effect monitoring and fall prevention), staff requirements (missing TB tests for 2 staff, incomplete CPR training for 1 staff), and a missing controlled medication that was not properly investigated. While the facility staff acknowledged awareness of some issues during the inspection, many deficiencies went undetected by management, indicating gaps in quality oversight systems. The facility's investigation of the missing narcotic medication was initiated but remained incomplete without proper follow-through, safety measures, or required notifications.

The inspection identified 19 fire safety violations including combustible materials stored in egress routes and mechanical rooms, inadequate maintenance records for fire suppression systems, improper electrical equipment clearances, and non-compliant fire doors. All violations were corrected during or shortly after the inspection, demonstrating the facility's responsiveness to safety concerns. The violations represented a pattern of maintenance and documentation deficiencies rather than immediate life-safety threats, with the facility taking appropriate corrective actions to achieve compliance. No residents were harmed and the facility maintained its approved operational status.

The facility failed to implement their required respiratory protection program for 23 staff members, violating infection control practices and placing all residents at risk of contracting potentially life-threatening infectious diseases. This was an uncorrected repeat violation previously cited on February 28, 2023, resulting in a $500 civil fine. The facility's failure to correct this systemic infection control issue after prior citation demonstrates an inadequate response to a serious health and safety concern affecting the entire resident population.

This facility underwent multiple fire safety inspections revealing recurring violations including missing documentation for fire alarm systems, sprinkler inspections, generator maintenance, and fire-rated construction inspections, along with physical deficiencies such as open junction boxes, improperly closing fire doors, and compromised fire barriers. The facility demonstrated a good response by correcting most physical violations promptly during re-inspections and scheduling required maintenance, though persistent documentation gaps across multiple inspections indicate systemic record-keeping challenges. While violations primarily involved life safety systems rather than immediate care delivery, failure to maintain critical fire protection documentation and equipment in a residential care setting poses moderate risk. By the final inspection in May 2023, all violations were corrected and the facility achieved approved status.