Brookdale Silver Lake.

WAC 388-78A-2468: The facility failed to ensure that one staff member (Staff A, Executive Director) had a Washington State name and date of birth background check submitted within one business day after their date of hire on 08/04/2024. The check was not submitted until 29 days after hire, placing all residents at risk. WAC 388-78A-2466: The facility failed to ensure that one staff member (Staff F, Resident Care Partner) had a valid Washington State name and date of birth background check renewed every two years. The renewal was completed 13 days late on 03/16/2024, leaving the staff member without a cleared background check. WAC 388-78A-2481: The facility failed to ensure that two staff members (Staff A and Staff C) completed approved tuberculosis testing requirements. Staff A provided only a chest x-ray without documentation of a positive TB test, and Staff C's two-step Mantoux test was read 24 hours after administration instead of within 48-72 hours. WAC 388-78A-2480: The facility failed to ensure that three staff members (Staff A, B, and D) were screened for tuberculosis within three days of hire, placing all residents at risk for exposure to a communicable disease.

WAC 388-78A-2600 (2) (i): The facility failed to follow its policies and procedures for accounting for residents. Staff did not ensure the named resident was checked and included in headcount, resulting in the resident leaving the facility through a furnace room exit door that had come off.

WAC 246-215-03306(1)(d), WAC 388-78A-2305(1): The ALF failed to store food safely by leaving multiple food items uncovered in the walk-in cooler and on preparation tables, including cooked elbow pasta, muffins, flour, sugar, cereal, and French onions. Staff were unaware that food needed to remain covered and dated once opened or in the cooler, creating a risk of cross-contamination and foodborne illness. WAC 388-78A-2466(1)(a): One of six staff members (Staff F) did not have a current background check every two years. Staff F's background check expired on 01/24/2022 and had not been renewed, resulting in the facility allowing someone with a potentially disqualifying background to access residents. WAC 388-78A-2474(3), WAC 388-112A-0200(1): One of six staff members (Staff B, a caregiver hired on 04/04/2023) did not complete facility orientation prior to providing care. Staff B's orientation was not completed until 09/18/2023, more than five months after hire, which exceeded the seven-day timeframe, placing residents at risk for compromised care and safety.