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NFPA 72, 1-5.6. In areas that are not continuously occupied, automatic smoke detection shall be provided at the location of each fire alarm control unit(s) to provide notification of fire at that location.

Based on observation, it was determined the facility failed to protect the fire alarm panel from fire.

Findings include:

An interview with the maintenance personal during the follow up survey on 6/12/2012 revealed the fire alarm panel in the locked work room still did not have a smoke detector to protect the panel.


The finding was acknowledged by the Administrator and verified by the Maintenance Supervisor at the exit interview on 6/12/12.

NFPA 72, 1999 edition

2-3.5 Heating, Ventilating, and Air-Conditioning (HVAC).2-3.5.1*In spaces served by air-handling systems, detectors shall not be located where airflow prevents operation of the detectors.

Based on observation, it was determined the facility failed to install 2 of 64 smoke detectors away from airflow registers.

The findings included:

1. An interview with the maintenance personal during the follow up survey on 6/12/2012 revealed the resident central bath smoke detector located on the second floor had not been moved to at least 3 ft from exhaust vent.

2. An interview with the maintenance personal on 6/12/2012 revealed the phone room smoke detector by the purchasing department had not been removed at least 3 ft from the supply air vent.

The finding was acknowledged by the Administrator and verified by the Maintenance Supervisor at the exit interview on 6/12/12.

Based on observation, the facility failed to maintain fire walls.

The findings included:

1. During the follow up survey, observation of the 200 hall on 6/12/12 revealed a penetration above the fire doors by the private office had been seal with Styrofoam.


The finding was acknowledged by the Administrator and verified by the Maintenance Supervisor at the exit interview on 6/12/12.