NY State Tag
E

Fire Alarm System Maintenance Deficiency

Canterbury WoodsWilliamsville, New York Survey Completed on 01-08-2025

Summary

The fire alarm system in the facility was not maintained according to required standards, as the batteries associated with the system were not load voltage tested semi-annually. This deficiency affected both the North Unit and West Unit of the facility. Observations revealed that a fully addressable fire alarm system was installed throughout the facility, and inspection reports indicated that the system was inspected and tested annually. However, the reports did not document semi-annual load voltage testing of the batteries. During an interview, the Facilities Director confirmed that the contractor responsible for inspecting and testing the fire alarm system did not conduct the required semi-annual load voltage testing, and there was no documentation to show that such testing had been performed in 2023 and 2024.

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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