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K0341
E

Improper Smoke Detector Placement Near Airflow Source

St. Louis, Michigan Survey Completed on 03-25-2025

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

A deficiency was identified when a smoke detector was observed to be installed within three feet of direct airflow from an air return or supply on the ceiling near Exit Door H. This installation does not comply with the requirements of NFPA 70 and NFPA 72, which govern the proper placement and installation of fire alarm system components. The issue was confirmed during an interview with Facility Maintenance at the time of observation. The deficient practice could affect 30 occupants in the event of a fire emergency.

Plan Of Correction

Maintenance Director moved the smoke detector to an area more than 3 feet away from the air/return supply on the ceiling. All other areas were reviewed with no concerns noted. Maintenance Director was educated on K341 tag to ensure proper placement of smoke detectors from direct airflow to an air return/supply. Maintenance Director will complete facility rounds to ensure concerns observed will be addressed at the time of observation. Results of audits will be reported to QAPI Monthly x3 and PRN. Administrator is responsible for maintaining compliance of K345.

See complete original report
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