Washington State Patrol Fire Protection Bureau Phone: (360)596-3900 Business Name Address City, State, Zip Aegis Senior Inn 10421 SE248TH Kent, WA 98031 of Kent ST, Provider Number Approval Status Facility Type 1944 Approved Residential Care On 02/20/2018 the Office of the State Fire Marshal conducted an inspection at your facility. All violations noted during previous related inspection(s) have been corrected. Own^r t>r Owner's Retbresentative tl HcAy.- /^l --^^ Signature Print Name and Title Deputy State Fire Marshal Dylan Montgomery 2505 112THSTE TacomaWA 984455104 (360) 742-8148 ^^- Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12. 1 of 1 Initials of Authorized Facility Representative:
Transcript
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Aegis Senior Inn
10421 SE248TH
Kent, WA 98031
of Kent
ST,
Provider Number
Approval Status
Facility Type
1944
Approved
Residential Care
On 02/20/2018 the Office of the State Fire Marshal conducted an inspection at your facility.
All violations noted during previous related inspection(s) have been corrected.
Own^r t>r Owner's Retbresentative
tl HcAy.- /^l --^^Signature Print Name and Title
Deputy State Fire Marshal Dylan Montgomery2505 112THSTETacomaWA 984455104(360) 742-8148
^^-
Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12.
1 of 1 Initials of Authorized Facility Representative:
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Aegis Senior Inn of Kent
10421 SE248THST,
Kent, WA 98031
Provider Number
Approval Status
Facility Type
1944
Disapproved
Residential Care
On 1/18/2018 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
1 Admin New Requirements
For your information:
703.2 Opening protectives. Opening protective shall bemaintained in an operative condition in accordance with NFPA80.
NFPA80 Chapter 19 Installation, Testing, and Maintenance ofFire Dampers.19.4 Periodic Inspection and Testing.19.4.1 Each damper shall be tested and inspected 1 year afterinstallation.19.4.1.1 The test and inspection frequency shall then be every4 years, except in hospitals, where the frequency shall be every6 years.
EFFECTIVE JULY 1,2018.907.10 National Institute for Certification in EngineeringTechnologies.907.10.1 Scope. This section shall apply to new and existingfire alarms systems.907.10.2 Design review. All construction documents shall bereviewed by a NICET III in fire alarms or a licensed professionalengineer (PE) in Washington prior to being submitted forpermitting. The reviewing professional shall submit a stamped,signed, and dated letter; or a verification method approved bythe local authority having jurisdiction indicating the system hasbeen reviewed and meets or exceeds the design requirementof the Washington and the local jurisdiction (effective July 1 ,2018).907.10.3 Testing/maintenance: All inspection, testingmaintenance and programing not defined as "electrical trade"by chapter 19.28 RCW shall be completed by a NICET II in firealarms (effective July 1, 2018).
Facility failed to produce documentation of 4 year fire/smokedamper testing
1 of 5 Initials of Authorized Facility Representative:
1Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Aegis Senior Inn of Kent
10421SE248THST,
Kent, WA 98031
Provider Number
Approval Status
Facility Type
1944
Disapproved
Residential Care
On 1/18/2018 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
2 Maintenance
Emergency and standby power systems shall be maintained inaccordance with NFPAHOand NFPA111 such that thesystem is capable of supplying service within the time specifiedfor the type and duration required.
(IFC 0604.4, 2015)
Facility failed to produce documentation of annual generatortest report
3 Extension Cords.
Extension cords and flexible cords shall not be a substitute forpermanent wiring. Extension cords and flexible cords shall notbe affixed to structures, extended through walls, ceilings orfloors, or under doors or floor coverings, nor shall such cordsbe subject to environmental damage or physical impact.Extension cords shall be used only with portable appliances.
(IFC 605.5)
Facility has extension cords as permanent wiring in thefollowing locations:
Lobby TVKitchen officeMain entry overhang
4 Power Supply.
Extension cords shall be plugged directly into an approvedreceptacle, power tap or multiplug adapter and, except forapproved multiplug extension cords, shall serve only oneportable appliance.
(IFC 605,5.1)
Facility had extension cords and power strips plugged intopower strips or multi plug adapters in the following rooms:
Main LobbyRSD OfficeGeneral Manager OfficeKitchen Office
5 Fire walls, fire barriers and fire partitions.
Required fire walls, fire barriers and fire partitions shall bemaintained to prevent the passage of fire. All openingsprotected with approved doors or fire dampers shall bemaintained in accordance with NFPA80.
(IFC 703.1.3 2015)
Facility has a penetration in the lobby wall under the TV.
6 Door Operation
Swinging fire doors shall close from the full-open position andlatch automatically. The door closer shall exert: enough force toclose and latch the door from any partially open position.
IIFC 703.2.3)
Facility failed to have kitchen cross corridor fire door latchunder it's own power.
2 of 5 Initials of Authorized Facility Representative:
B.BJWASHINGTON STATE PATROL
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Aegis Senior Inn
10421SE248TH
Kent, WA 98031
of Kent
ST,
Provider Number
Approval Status
Facility Type
1944
Disapproved
Residential Care
On 1/18/2018 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
7 Inspection, testing and maintenance.
Fire detection, alarm, and extinguishing systems, mechanicalsmoke exhaust systems, and smoke and heat vents shall bemaintained in an operative condition at all times, and shall bereplaced or repaired where defective. Nonrequired fireprotection systems and equipment shall be inspected, testedand maintained or removed.
(IFC 901.6 2012,2015)
Facility failed to produce documentation for the followingreports:
Annual Fire AlarmAnnual Automatic SprinklerAnnual Back flow
3 of 5 Initials of Authorized Facility Representative;
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Aegis Senior Inn of Kent
10421 SE248THST,
Kent, WA 98031
Provider Number
Approval Status
Facility Type
1944
Disapproved
Residential Care
On 1/18/2018 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
8 Portable Fire Extinguishers - General Requirements
Portable fire extinguishers shall be selected, installed andmaintained in accordance with this section and NFPA 10.
Exceptions:
1. The distance of travel to reach an extinguisher shallnot apply The travel distance to reach an extinguisher shall notapply to the spectator seating portions of Group A-5occupancies.
2. Thirty-day inspections shall not be required andmaintenance shall be allowed to be once every three years fordry-chemical or halogenated agent portable fire extinguishersthat are supervised by a listed and approved electronicmonitoring device, provided that all of the following conditionsare met:
2.1. Electronic monitoring shall confirm that extinguishersare properly positioned, properly charged and unobstructed.
2.2. Loss of power or circuit continuity to the electronicmonitoring device shall initiate a trouble signal.
2.3. The extinguishers shall be installed inside of abuilding or cabinet in a noncorrosive environment.
2.4. Electronic monitoring devices and supervisorycircuits shall be tested every three years when extinguishermaintenance is performed.
2.5. A written log of required hydrostatic test dates forextinguishers shall be maintained by the owner to verify thathydrostatic tests are conducted at the frequency required byNFPA10.
3. In Group 1-3, portable fire extinguishers shall bepermitted to be located at staff locations.
IFC 906.2 2015
Facility failed to produce documentation of the annual fireextinguisher report.
4 of 5 Initials of Authorized Facility Representative:
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Aegis Senior Inn of Kent
10421 SE248THST,
Kent, WA 98031
Provider Number
Approval Status
Facility Type
1944
Disapproved
Residential Care
On 1/18/2018 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
9 Projections Into Clear Width
There shall not be projections into the required clear widthlower than 34 inches (864 mm) above the floor or ground.Projections into the clear opening width between 34 inches(864 mm) and 80 inches (2032 mm) above the floor or groundshall not exceed 4 inches (102 mm).
Exception: Door closers and door stops shall be permitted to be78 inches (1980 mm) minimum above the floor.
IFC 1010.1.1.1 2015
Facility has carts in the exit corridor of the back hallway, failingto maintain minimum width of clearance.
Next inspection scheduled on or after: 2/17/2018
Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12.
Ow/ifer dh Authori;
\MSignature
presentative
^^ |J^\ G\/^Print Name and Title
Deputy State Fire Marshal Dylan Montgomery2505 112THSTETacomaWA 984455104(360) 742-8148
^J!^=^^Tature
5 of 5 Initials of Authorized Facility Representative:
