Failure to Maintain Portable Fire Extinguishers
Penalty
Summary
The facility failed to maintain portable fire extinguishers in accordance with NFPA 10 standards, as evidenced by a lack of documentation for annual maintenance and service technician certification. During a survey conducted on February 6, 2025, at 10:25 a.m., document review and observation revealed that the facility could not provide the necessary documentation for the fire extinguishers in two of two building components. An interview with the maintenance supervisor at the same time confirmed these deficiencies.
Plan Of Correction
The maintenance director provided supporting documentation to the inspector on 02/10/2025. Documentation was added to the survey readiness binder. The life safety checklist will be reviewed in the quarterly QAPI meeting. The maintenance director provided supporting documentation to the inspector on 02/10/2025. Documentation was added to the survey readiness binder. The life safety checklist will be reviewed in the quarterly QAPI meeting.