Sprinkler System Deficiency in Beauty Salon
Penalty
Summary
The facility failed to maintain the sprinkler system in compliance with NFPA 101 standards, as evidenced by an observation on February 4, 2025. During the inspection, it was noted that the first floor beauty salon had a missing escutcheon plate, which resulted in an opening in the ceiling. This deficiency could potentially affect the activation of the sprinkler system in that area. The maintenance supervisor confirmed the absence of the escutcheon plate during an interview conducted at the same time as the observation.
Plan Of Correction
The missing escutcheon plate was ordered during the week of the inspection. The plate will be installed when it is received. The Maintenance Director will be educated on the importance of properly installed escutcheon plates. The facility will ensure that all sprinkler heads have proper escutcheon plates installed. Audits of all escutcheon plates will be conducted 3 times a week for 4 weeks. The results of the audits will be reviewed at the facility's monthly quality assurance performance improvement meeting.