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K0374
E

Smoke Barrier Doors Failed to Fully Close

Ishpeming, Michigan Survey Completed on 05-19-2025

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

During an observation conducted on May 19, 2024, at approximately 1:11 PM, it was found that the main entrance cross corridor smoke barrier doors did not fully close as required by the Life Safety Code (LSC). The doors are intended to be 1-3/4-inch thick solid bonded wood-core or of equivalent fire-resistant construction, and must be self-closing or automatic-closing to maintain the integrity of the smoke barrier. The failure of these doors to completely close was confirmed at the time of discovery by the Maintenance Director. This deficiency could potentially affect 20 occupants in the event of a fire, as the doors did not meet the required standards for smoke barrier subdivision.

Plan Of Correction

Element 1: Doors in the entry hallway failed to completely close. Doors and air flow were adjusted for complete closure. Element 2: This deficient practice has the potential to impact the 20 staff near those doors in the event of a fire. Element 3: On 06/03/2025, Automated Comfort Controls were at the facility readjusted the air flow to allow for complete closure of fire doors. Element 4: Physical Plant Manager will be responsible for sustained compliance. Audits will be done weekly x 8 weeks then monthly and brought to QAPI.

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