Sprinkler System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain its sprinkler system in accordance with NFPA 25 standards, as evidenced by observations and interviews conducted during a survey. Specifically, the kitchen dishwashing area was found to have sprinkler heads that were dust-covered, dirty, and corroded. Additionally, the facility did not have the required sprinkler wrench available at the time of the survey. These deficiencies were confirmed through an interview with the maintenance supervisor.
Plan Of Correction
Sprinkler heads in kitchen area to be replaced. Sprinkler wrench to also be replaced. Cleanliness of sprinkler heads to be monitored by Environmental Services Supervisor or designee weekly for one month. Findings to be discussed at Quality Assurance Performance Improvement meeting.