Unsupervised Sprinkler System Valves
Penalty
Summary
The facility failed to ensure that the sprinkler system was electronically supervised in accordance with NFPA 101, 2012 Edition, Section 19.3.5.1 and section 9.7. During an observation, it was found that the domestic and sprinkler riser water line shared the same main water line from the city. The sprinkler system's water line had two unsupervised outside screw and yoke (OS&Y) valves. Without supervisory devices on these OS&Y valves, the nursing home staff would not be alerted if the sprinkler system was impaired, such as if the water flow was cut off. This deficiency had the potential to affect 88 residents. The main water riser room for both the nursing home and corporate offices was located in a corporate office storage room. During an interview, it was confirmed that the unsupervised OS&Y valves were on the water line for the facility's sprinkler system.
Plan Of Correction
Two tamper switches and two fire sprinkler control valve signs on the OS&Y valves coming from the street were installed. All residents have the potential to be affected. The Maintenance Director will make monthly rounds to ensure all the automatic sprinkler system supervisory attachments are properly installed. The Maintenance Director will report the results of these audits to the Administrator on a monthly basis. The Maintenance Director will review the findings of the monthly audits at the Quarterly QAPI Meeting for the next 2 quarters.