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K0100
F

Failure to Obtain Approval for Fire Alarm System Replacement

Cranberry Township, Pennsylvania Survey Completed on 01-29-2025

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 deficient in maintaining general requirements as it failed to submit plans to the State Plan Review and obtain occupancy approval from the Life Safety Division for the replacement of the fire alarm system. This deficiency was identified during an observation on January 29, 2025, at 10:25 a.m., which revealed that the facility had not received the necessary approval for the new fire alarm system, including all devices and the remote annunciator panel. The maintenance supervisor confirmed this deficiency during an interview conducted at the same time as the observation.

Plan Of Correction

Fire panel was replaced. DOH was not notified for plan review. No negative outcomes noted. Maintenance supervisor educated on need for plan review before any changes to current systems. NHA will audit any construction or changes of current systems to ensure compliance. Audits will be completed biweekly. Results will be reviewed at the QAPI meeting.

See complete original report
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