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Delayed-egress locks complying with 7.2.1.6.1 shall be permitted on exterior doors only. Approved, listed, delayed-egress locking systems shall be permitted to be installed on door assemblies serving low and ordinary hazard contents in buildings protected throughout by an approved, supervised automatic fire detection system in accordance with Section 9.6 or an approved, supervised automatic sprinkler system in accordance with Section 9.7, and where permitted in Chapters 11 through 43, provided that all of the following criteria are met:
(1) The door leaves shall unlock in the direction of egress upon actuation of one of the following:
(a) Approved, supervised automatic sprinkler system in accordance with Section 9.7
(b) Not more than one heat detector of an approved, supervised automatic fire detection system in accordance with Section 9.6
(c) Not more than two smoke detectors of an approved, supervised automatic fire detection system in accordance with Section 9.6
(2) The door leaves shall unlock in the direction of egress upon loss of power controlling the lock or locking mechanism.
(3) An irreversible process shall release the lock in the direction of egress within 15 seconds, or 30 seconds where approved by the authority having jurisdiction, upon application of a force to the release device required in 7.2.1.5.10 under all of the following conditions:
(a) The force shall not be required to exceed 15 lbf (67 N).
(b) The force shall not be required to be continuously applied for more than 3 seconds.
(c) The initiation of the release process shall activate an audible signal in the vicinity of the door opening.
(d) Once the lock has been released by the application of force to the releasing device, relocking shall be by manual means only.
(4) A readily visible, durable sign in letters not less than 1 in. (25 mm) high and not less than 1? 8 in. (3.2 mm) in stroke width on a contrasting background that reads as follows shall be located on the door leaf adjacent to the release device in the direction of egress:
PUSH UNTIL ALARM SOUNDS
DOOR CAN BE OPENED IN 15 SECONDS
(5) The egress side of doors equipped with delayed-egress locks shall be provided with emergency lighting in accordance with Section 7.9.
The provisions of 7.2.1.6.2 for access-controlled egress door assemblies shall not apply to door assemblies with delayed-egress locking systems.

Access-controlled egress locks complying with 7.2.1.6.2 shall be permitted. Where permitted in Chapters 11 through 43, door assemblies in the means of egress shall be permitted to be equipped with electrical lock hardware that prevents egress, provided that all of the following criteria are met:
(1) A sensor shall be provided on the egress side, arranged to unlock the door leaf in the direction of egress upon detection of an approaching occupant.
(2) Door leaves shall automatically unlock in the direction of egress upon loss of power to the sensor or to the part of the access control system that locks the door leaves.
(3) Door locks shall be arranged to unlock in the direction of egress from a manual release device complying with all of the following criteria:
(a) The manual release device shall be located on the egress side, 40 in. to 48 in. (1015 mm to 1220 mm) vertically above the floor, and within 60 in. (1525 mm) of the secured door openings.
(b) The manual release device shall be readily accessible and clearly identified by a sign that reads as follows: PUSH TO EXIT.
(c) When operated, the manual release device shall result in direct interruption of power to the lock - independent of the locking system electronics - and the lock shall remain unlocked for not less than 30 seconds.
(4) Activation of the building fire-protective signaling system, if provided, shall automatically unlock the door leaves in the direction of egress, and the door leaves shall remain unlocked until the fire-protective signaling system has been manually reset.
(5) The activation of manual fire alarm boxes that activate the building fire-protective signaling system specified in 7.2.1.6.2(4) shall not be required to unlock the door leaves.
(6) Activation of the building automatic sprinkler or fire detection system, if provided, shall automatically unlock the door leaves in the direction of egress, and the door leaves shall remain unlocked until the fire-protective signaling system has been manually reset.
(7) The egress side of access-controlled egress doors, other than existing access-controlled egress doors, shall be provided with emergency lighting in accordance with Section 7.9.
19.2.2.2.4, 7.2.1.5.10, 7.2.1.6.1, 7.2.1.6.2

The facility failed to ensure exit access is readily accessible at all times.

Observation determined the facility had not ensured that doors in the means of egress were not locked against egress when the building was occupied.

The double set of cross-corridor doors in the exit corridor near the Admissions Office were equipped with access-controlled locks that required a key fob or pushing a button at the admissions office to release in the direction of egress from the lobby and admissions area.

Failure to maintain the means of egress to be available at all times increases the risk of death or injury due to fire.

The deficiency affected egress from one (1) of two (2) exits from the Admissions area.

Any hazardous areas shall be safeguarded by a fire barrier having a 1-hour fire resistance rating or shall be provided with an automatic extinguishing system. Where the sprinkler option is used, the areas shall be separated from other spaces by smoke-resisting partitions and doors. The doors shall be self-closing or automatic-closing. 19.3.2.1

The facility failed to ensure hazardous areas in existing health care occupancies were separated from other spaces by 1-hour fire rating and were equipped with self-closing and latching doors.

Observation determined the Kitchen Storage room was over 50 sq. ft. and stored combustible materials. The door separating the Storage room from the Kitchen was not equipped with a self-closing device.

Failure to ensure hazardous areas are separated from other spaces by self-closing doors increases the risk of death or injury due to fire.

The deficiency affected one (1) of numerous hazardous areas in the facility.

The facility failed to install cooking equipment in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations.

A readily accessible means for manual activation shall be located between 1067 mm and 1219 mm (42 in. and 48 in.) above the floor, be accessible in the event of a fire, be located in a path of egress, and clearly identify the hazard protected. 19.3.2.5.1, 9.2.3, NFPA 96 10.5.1.

Observation determined the manual actuation device for the fire-extinguishing system serving the Kitchen exhaust hood was mounted at a height of more than forty-eight (48) inches above the floor. The manual pull was 61 inches above the floor.

Failure to inspect, maintain, and install the wet chemical extinguishing system in accordance with NFPA 96 increases the risk of injury or death due to fire.

This deficiency affected one (1) of one (1) wet chemical extinguishing system in the facility.

Ground-fault circuit-interruption for personnel shall be provided as required. The ground-fault circuit-interrupter shall be installed in a readily accessible location. All 125-volt, single-phase, 15- and 20-ampere receptacles located in bathrooms, kitchens, rooftops, outdoors, indoor wet locations, locker rooms with associated showering facilities, garages and where receptacles are installed within 6 ft. of the outside edge of the sink shall have ground-fault circuit-interrupter protection for personnel. 19.5.1.1, 9.1.2, NFPA 70, 210.8, 210.8(B)

The facility failed to ensure electrical wiring and electrical equipment met the requirements of NFPA 70, National Electrical Code.

Observation determined numerous electrical receptacles in the Kitchen were not ground-fault circuit-interrupter protected.

Failure to provide electrical wiring and equipment in accordance with NFPA 70 increases the risk of injury or death due to fire.

The deficiency affected numerous electrical receptacles in the facility.

The facility failed to test the emergency power generator in accordance with NFPA 110, Standard for Emergency Power and Standby Systems.

Record review determined the diesel emergency power generator was not exercised under load for 4 continuous hours in the past 36 months.

Failure to test the emergency power generator in accordance with NFPA 110 increases the risk of injury or death due to fire.

This deficiency affected one (1) of one (1) emergency power generator in the facility. The emergency power generator serves the entire facility.