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K0372
E

Unsealed Penetrations in Smoke Barrier Walls

Scranton, Pennsylvania Survey Completed on 01-14-2025

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 to provide at least a two-hour fire resistance rating, affecting two of six smoke compartments. During an observation on January 14, 2025, at 11:43 a.m., it was noted that there were two unsealed penetrations in the two-hour fire/smoke wall above the ceiling near Resident Room 512 in the 500 Hall. The unsealed penetrations were identified around orange PVC sprinkler piping and red fire alarm wire. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager on the same day at 12:00 p.m.

Plan Of Correction

Unsealed penetration around orange PVC sprinkling piping and around the red fire alarm wire were fire caulked to provide at least a two-hour fire resistance. Other hallways will have sprinklers checked for any penetrations and repaired. The Maintenance Director was educated on if contractors do repairs or installations the area worked on will be checked to assure no penetrations. The Maintenance Director will add a contractor log to verify areas worked on by contractors has no penetration areas when work is completed.

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