Failure to Maintain Automatic Sprinkler System
Penalty
Summary
The facility failed to maintain the automatic sprinkler system, which affected the entire facility. During an observation on January 28, 2025, at 9:10 a.m., it was noted that the automatic sprinkler gauges located in the rear of the maintenance shop in the basement were dated 2019. The facility was unable to provide documentation that these gauges had been replaced or calibrated within the last five years. This deficiency was confirmed during an interview with the Facility Administrator and Maintenance Director on the same day at 10:00 a.m.
Plan Of Correction
The facility will maintain the automatic sprinkler system at all times. The automatic sprinkler gauges in the rear of the maintenance shop in the basement will be replaced or calibrated within as part of the facility's five-year internal sprinkler system inspection. Documentation will be stored and maintained by the facility.