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K0353
D

Failure to Maintain Sprinkler System in Compliance with NFPA Standards

North Miami Beach, Florida Survey Completed on 04-03-2025

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 its automatic sprinkler system in accordance with NFPA 101 standards. During a Life Safety Survey tour conducted between 11:30 am and 2:30 pm on April 3, 2025, it was observed that there was no spare dry sprinkler available for the freezer, nor was there a means to restore service. This deficiency was identified during the survey tour with the Maintenance Director present. The Maintenance Director acknowledged the absence of the spare dry sprinkler during a staff interview conducted at the same time as the survey. This finding was also discussed and acknowledged by the Administrator during the exit conference. The lack of a spare dry sprinkler for the freezer indicates a failure to comply with the necessary maintenance and testing requirements as outlined in NFPA 101 and NFPA 25 standards.

See complete original report
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