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K0372
E

Unsealed Penetration in Smoke Barrier Wall

Lima, 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 failed to maintain smoke barrier walls free of unsealed penetrations, which is a requirement for ensuring a 1/2-hour fire resistance rating. During an observation on February 4, 2025, at 10:00 a.m., it was noted that on the eleventh floor, above the smoke doors by room 1108, there was an unsealed penetration around electrical conduits. This deficiency was confirmed during an exit interview with the Maintenance Director on the same day at 1:00 p.m.

Plan Of Correction

Preparation and submission of this POC is required by State and Federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice, or any other court proceedings. K 0372 Penetration will be sealed with UL Rated Fire Stop. Fire safety supervisor or designee will monitor area weekly for 1 Quarter to ensure this condition is not replicated.

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