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K0161
C

Building Construction Type and Height Deficiency

Doylestown, Pennsylvania Survey Completed on 02-04-2025

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.

Summary

The facility was found to be non-compliant with building construction requirements as per NFPA 101 standards. During a document review and interview on December 12, 2024, it was revealed that the building is classified as a three-story, Type V(III), protected wood frame construction, which is fully sprinklered. However, this construction type is only permitted to have a maximum of one story when sprinklered, indicating that the facility exceeds the allowable story height by two stories. An onsite revisit conducted on February 4, 2025, confirmed that the issue of exceeding the maximum story height allowance had not been resolved. The Administrator acknowledged the deficiency and is in the process of obtaining a Fire Safety Evaluation System (FSES) to address the non-compliance. The deficiency affects the entire component of the building, as the construction type and story height do not meet the required standards.

Plan Of Correction

I am requesting the Department of Health do the FSES in this case. Facility is consulting Lenhardt Rodgers Architecture to assist with this citation. Facility will also be requesting a TLW.

See complete original report
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