Lakeshore

The facility failed multiple critical life-safety system inspections including sprinkler systems, fire alarms, smoke detectors, emergency generator, fire/smoke dampers, and had a non-functional fire door. These systemic failures in fire protection documentation and equipment maintenance represent severe violations affecting fundamental resident safety systems. The facility corrected all violations by the follow-up inspection on 08/06/2025, demonstrating a good response with timely remediation of the deficiencies within approximately 5 months.

The March 2023 inspection identified 21 fire and life safety code violations at this residential care facility, primarily involving missing documentation for required inspections (fire doors, dampers, emergency lighting, fire drills), improperly maintained fire-rated systems (9 fire doors failing to close/latch properly, unpainted fire labels, open penetrations in fire-rated walls), and overdue equipment testing (sprinkler deficiencies, smoke detector sensitivity). The facility demonstrated a good response by correcting all violations within two months, as confirmed by the May 2023 follow-up inspection showing full compliance. While the violations represented a pattern of deferred maintenance and inadequate record-keeping across multiple life-safety systems, none posed immediate danger to residents, and the facility's prompt and complete remediation demonstrates commitment to regulatory compliance.

This was a follow-up inspection conducted on 03/27/2023 that found no deficiencies, indicating all previously cited violations under WAC 388-78A-2466 had been corrected. The facility successfully addressed the deficiencies from the prior inspection and now meets all Assisted Living Facility licensing requirements. The facility demonstrated appropriate corrective action by resolving all cited issues by the follow-up inspection date, showing compliance with regulatory standards.