Deficiency in Sprinkler System Supervisory Signal Monitoring
Penalty
Summary
The facility failed to ensure that automatic sprinkler system supervisory attachments were properly installed and monitored for integrity in accordance with NFPA 72 requirements. During a record review, it was found that the annual dry sprinkler inspection indicated the system had been capped and failed the inspection. Additionally, review of the fire alarm control panel (FACP) revealed that supervisory and/or trouble alarms were present, indicating that a portion of the sprinkler system had been shut down. These findings were confirmed by the Maintenance Director at the time of discovery. No information about specific residents or their medical conditions was provided in the report.
Plan Of Correction
1. The facility failed to maintain the automatic sprinkler system's supervisory attachment panel in proper working condition. 2. A malfunctioning supervisory panel compromises the effectiveness of the sprinkler system, potentially placing all residents, staff, and visitors at risk during a fire emergency. 3. Corrective actions are underway as follows: - Superiorland Electronics has been contacted and has ordered a new dry pipe valve and a new control valve equipped with a tamper switch. - Once parts are installed, the system will be tested to ensure full functionality. - The Maintenance Director has been educated on the importance of maintaining a properly functioning automatic sprinkler system supervisory panel. 4. The Maintenance Director is responsible for ensuring the panel remains operational and will report system status and maintenance updates to the Quality Assurance (QA) Committee.