Failure to Maintain Fire Extinguishing System
Summary
The facility failed to ensure that all components of the building's extinguishing system were tested and maintained in accordance with the 2011 NFPA 25 standards. During a life safety survey conducted on January 16, 2025, it was observed that the fire hoses located in the facility's three stairwells, specifically on the 11th floor and the basement, were stamped with a date of April 2014. There was no evidence that these hoses had been tested or replaced within the five years prior to the survey. This deficiency was confirmed through staff interviews, where the facility's Administrator acknowledged the oversight and stated that the hoses would be replaced.
Plan Of Correction
Plan of Correction: Approved January 23, 2025 Immediate Corrective Action Safety Fire Sprinkler company inspected the stairwell fire hoses on 1/23/2025 and sent a proposal to supply and replace by 2/28/2025, 24 - 1.5 x 25' rack fire hose with NYFD couplings and 48 - 1.5 x 50' rack fire hoses with NYFD couplings. Identification of Other Residents All residents were potentially affected by this deficiency. Systemic Changes The Administrator reviewed and revised the fire safety policy to include bi-annual inspections on all stairwell fire hoses. The Director of Environmental Services will add to the preventive maintenance schedule a bi-annual inspection on all stairwell fire hoses. The Director of Environmental Services will ensure, as part of the preventive maintenance schedule, to have all fire hoses tested by the fire sprinkler company once every 5 years. Quality Assurance The Administrator will review the fire prevention preventive maintenance book for fire hose inspections every 6 months and will report the findings during the quarterly QAPI committee meeting. All negative findings will be addressed immediately.
Penalty
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