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Based on observation and interview, it was determined the facility failed to maintain building construction requirements in one location, affecting one of three floors.

Findings include:

1. Observation on May 22, 2024, at 11:55 a.m., revealed the second floor Bathroom/Shower Room area structural steel, lacked fireproofing, located above the monolithic ceiling assembly.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the building construction deficiency.

Based on observation and interview, it was determined the facility failed to maintain building construction requirements in one location, affecting two of three floors.

Findings include:

1. Observation on May 22, 2024, at 9:55 a.m., revealed the Main Foyer stair treads compromised the integrity of the two-hour, floor slab assembly, located between basement and first floor levels.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the building construction deficiency.

Based on observation and interview, it was determined the facility failed to provide the required building construction type, affecting the entire component

Findings include:

1. Observation on May 23, 2024, at 10:00 a.m., revealed the building is a Type II (000) construction type, and lacks the complete automatic sprinkler system protection that is required for this type of construction.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the component requires a complete automatic sprinkler system protection.

Based on observation and interview, it was determined the facility failed to maintain vertical openings in two locations, affecting two of two floors.

Findings include:

1. Observation on May 23, 2024, between 11:12 a.m., and 11:23 a.m., revealed the following:

a. 11:12 a.m., the 2014 pipe chase door, and door frame assembly labels were painted over.
b. 11:23 a.m., the B-4 pipe chase door frame assembly lacked labeling.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the vertical opening deficiencies.

Based on observation and interview, it was determined the facility failed to maintain corridor openings in two locations, affecting one of two floors.

Findings include:

1. Observation on May 23, 2024, between 11:10 a.m., and 11:40 a.m., revealed the following:

a. 11:10 a.m., the second floor, Bedroom One door did not latch.
b. 11:40 a.m., the second floor, Special Care Room door was not smoke-tight.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the corridor opening deficiencies.

Based on observation and interview, it was determined the facility failed to maintain three corridor openings, affecting one of one floor.

Findings include:

1. Observation on May 23, 2024, between 10:00 a.m., and 10:32 a.m., revealed the following:

a. 10:00 a.m., the Main Dining Room door 1080 lacked positive latching capabilities (roller latches).
b. 10:06 a.m., the Main Dining Room door B-27 lacked positive latching capabilities (hardware removed).
c. 10:32 a.m., the Resident Room door 15-18 door was not smoke-tight.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the corridor opening defciencies.

Based on observation and interview, it was determined the facility failed to maintain smoke barrier separation doors in one location, affecting one of one floor.

Findings include:

1. Observation on May 23, 2024, at 9:40 a.m., revealed the 1038 smoke barrier separation door failed to close when released from the magnetic hold-open device, due to contact with the floor.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the smoke barrier door deficiency.

Based on observation and interview, it was determined the facility failed to maintain the generator set in one instance, affecting three of three floors.

Findings include:

1. Observation on May 22, 2024, at 10:05 a.m., revealed the generator set lacked an externally-located, emergency stop/shut-off, switch/button.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the generator set deficiency.

Based on observation and interview, it was determined the facility failed to maintain the generator set in one instance, affecting three of three floors.

Findings include:

1. Observation on May 22, 2024, at 11:20 a.m., revealed the generator set lacked an externally-located, shut-off/stop, switch/button.

Exit interview with the Facility C.O.O., the Facility Administrator, and the Facilities Manager on May 23, 2024, between 12:45 p.m., and 1:00 p.m., confirmed the generator set deficiency.