Stairway and Smokeproof Enclosure Deficiencies
Penalty
Summary
The facility failed to maintain exit stairways and smokeproof enclosures in compliance with NFPA 101 standards. On February 3, 2025, observations revealed two deficiencies: storage was found in the stairwell of the 5th main floor, and a gap greater than 1/8 inch was identified between smoke doors in the stairwell enclosure in the crossover between 4 Main and 4 East. These deficiencies were confirmed during an interview with the Facility Administrator and Maintenance Director on February 4, 2025.
Plan Of Correction
1. The 5 totes located in the 5 main stairwell were moved to activities storage location. The greater than 1/8" gap in smoke doors in stairwell enclosure in the 4 main and 4 east cross over was corrected. 2. An ongoing audit is conducted and reviewed by the Director of maintenance or Designee to assess doors across the campus to ensure they have gaps less than 1/8". 1. The greater than 1/8" gap in smoke doors in stairwell enclosure in the 4 main and 4 east cross over was corrected. 2. An ongoing audit is conducted and reviewed by the Director of maintenance or Designee to assess doors across the campus to ensure they have gaps less than 1/8".