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K0353
F

Deficiency in Sprinkler System Maintenance and Documentation

Harbor Springs, Michigan Survey Completed on 06-16-2025

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 ensure that automatic sprinkler and standpipe systems were inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Required records of system design, maintenance, inspection, and testing were not maintained in a secure location and were not readily available for review. The report also notes missing information regarding the date the sprinkler system was last checked, the provider of the system test, and the water system supply source. Additionally, there is no information provided in the remarks section regarding coverage for any non-required or partial automatic sprinkler system. These omissions resulted in noncompliance with regulatory requirements for fire protection system maintenance and documentation.

See complete original report
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