Fire Alarm System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain its fire alarm system, as evidenced by the document review and interview conducted during the survey. The annual fire alarm inspection report from September 2024 identified several deficiencies that remained uncorrected by the time of the survey in December 2024. Specifically, the A-wing strobes were out of synchronization, requiring immediate investigation and correction. Additionally, the two 12V9AH batteries in the Main Fire Alarm Control Panel (FACP) failed and needed replacement as soon as possible. Furthermore, the system was overdue for sensitivity testing, which also required prompt attention. These deficiencies were confirmed during the exit interview with the Administrator and Maintenance Director.
Plan Of Correction
A wing strobes adjusted to be in synchronization, batteries in the main FACP replaced, and sensitivity testing completed. Maintenance Staff and vendor educated to timely repairs following inspections. Maintenance Director will schedule all repairs with vendor immediately following inspections so repairs will be made timely.