Ciel Senior Living of Issaquah

This is an administrative procedural letter denying the facility's Informal Dispute Resolution request because it was submitted 8 days past the required deadline (April 30 vs April 22). The letter does not constitute an inspection report and contains no findings, violations, or deficiencies. This document references a previous Statement of Deficiencies dated March 27, 2025, but does not describe those deficiencies. No event assessment or facility response evaluation is possible from this administrative correspondence alone.

The facility failed to ensure three staff members had required 70-hour long-term care worker basic training credentials, placing all 39 residents at risk of receiving care from unqualified staff. This was an uncorrected repeat violation previously cited on January 29, 2025, resulting in a $400 civil fine. The facility's response was inadequate, as evidenced by the recurrence of the same staffing credential deficiency after initial citation, demonstrating failure to implement effective corrective actions. The State imposed enforcement action due to continued non-compliance with fundamental staff qualification requirements.

The facility had multiple medication administration errors including giving medication to the wrong resident and finding unidentified pills in common areas, indicating systemic failures in medication safety protocols. The facility responded with staff retraining and in-service education, monitored the affected resident without adverse effects, and corrected deficiencies by the follow-up inspection date. While the response was timely and appropriate, the pattern of repeated medication errors despite initial training demonstrated gaps in implementation requiring closer supervision and monitoring systems.

The August 2024 inspection identified 14 fire safety deficiencies, primarily routine documentation gaps (missing inspection records for sprinklers, fire alarms, emergency lighting, CO detectors, fire doors, and dampers) and minor physical issues (missing electrical cover, daisy-chained power strips, space heater plugged into power strip, two fire doors not latching properly). The facility demonstrated an exemplary response by correcting all violations by the October 2024 follow-up inspection, which found zero deficiencies and granted approval status. All issues were low-severity maintenance and procedural items with no immediate danger to residents.

The July 2023 fire inspection cited multiple routine fire safety documentation and maintenance deficiencies: missing fire drill records across all shifts, power strip daisy-chaining, an extension cord in use, an open junction box, and missing documentation for hood cleaning, sprinkler system testing, fire-rated construction inspections, and fire door inspections. The facility responded exemplarily, correcting all violations by the August 2023 follow-up inspection, which confirmed zero outstanding deficiencies and granted full approval.