HospitalInspections.org

Based on observation, this facility is not providing a firewall with a two-hour rating between the public health building and hospital. The wall is penetrated above the lay-in ceiling tile with building services (cables). This facility has a capacity of 25 and a census of 9 patients at the time of the survey.

Findings include:

Observations on 1/14/10, revealed the two-hour fire wall located between the public health building and the hospital had gaps (up to 1 inch in size) around numerous cables above the lay-in ceiling tile. According to Maintenance Staff A, this was a two-hour fire wall intended to separate the occupancies.

Based on observation and staff interview, the facility failed to provide an interior finish of corridors and exitways, including exposed interior surfaces of building such as fixed or movable walls, partitions, columns, and ceilings with a flame spread rating of Class A for Class B. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations of some of the corridor walls on 3rd Floor and the area of the corridor by the two hour fire wall on 1/14/10, revealed the corridor walls
consisted of wood paneling that had been painted. Review of facility records did not indicate any flame spread rating for the paneling and Maintenance Staff A was unable to find any documentation for the flame spread rating for the paneling.
2. Observations on 1/14/10, revealed the corridor area where the 2 hour fire wall is located consisted of wood paneling that had been painted. Review of facility records did not indicate any flame spread rating for the paneling and Maintenance Staff A was unable to find any documentation for the flame spread rating for the paneling.

Maintenance Staff A confirmed these observations.

Based on observation and staff interview, the facility failed to provide an interior finish for rooms and spaces not used for corridors or exitways, including exposed interior surfaces of buildings such as fixed or movable walls, partitions, columns and ceilings has a spread rating of Class A or Class B. This facility has a capacity of 25 and a census of 9.

Findings include:

Observations of the walls of some offices and other rooms on 1st and 3rd Floor on 1/14/10, revealed that the walls were covered with wood paneling that had been painted. Review of facility records did not indicate any flame spread rating for the paneling and Maintenance Staff A was unable to find any documentation for the flame spread rating for the paneling.

Maintenance Staff A confirmed these observations.

Based on observation, the facility is not ensuring that doors to resident rooms, offices and other ancillary areas are free of impediments that would prevent the doors from being closed or that the doors are provided with suitable hardware that keeps the doors shut tightly into their frames. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations on 1/14/10, revealed the Restroom door on 3rd Floor failed to close and latch properly when tested
2. Observations on 1/14/10, revealed the 1st Floor Housekeeping Break Room corridor door was being propped open with a door wedge.
3. Observations on 1/14/10, revealed 2 holes (approximately ? inch in size) in the corridor door of the Controller ' s Office.
4. Observations on 1/14/10, revealed the Waiting Room door on Level A failed to close and latch properly when tested.
5. Observations on 1/14/10, revealed the door to the Radiology Director ' s Office did not close and latch properly when tested.
6. Observations on 1/14/10, revealed the corridor door to the Radiology Director ' s Office was being propped open with a door wedge.
7. Observations on 1/14/10, revealed the door to ER Exam #2 did not close and latch properly when tested.
8. Observations on 1/14/10, revealed the door to the ER Waiting Room did not close and latch properly when tested.
9. Observations on 1/14/10, revealed a hole (approximately ? inch in size) in the corridor door of the Oxygen Storage Room on Level A.
10. Observations on 1/14/10, revealed numerous kick-down hold-open devices on corridor doors located throughout the entire building.

Maintenance Staff A verified these observations.

Based on observations, the facility failed to provide separation of hazardous areas from other compartments. The facility has a capacity of 25 and at the time of the survey the census was 9 patients.

Findings include:

1. Observations on 1/14/10, revealed the following rooms on 3rd Floor were greater than 50 square feet and used for storage and did not contain a self-closing device on the door: Auxiliary Storage Rooms (2), LTC Activity Storage, Non-Stock Management Storage and Business Office Records.
2. Observation on 1/14/10, revealed the HR Storage Room on 1st Floor was greater than 50 square feet and used for storage and did not have a self-closing device on it.
3. Observations on 1/14/10, revealed the double doors to the Clean Laundry Room did not close and latch properly when tested.
4. Observation on 1/14/10, revealed the corridor door to the Kitchen by the dish machine did not have a self-closing device on it.
5. Observations on 1/14/10, revealed the Nursing Storage Room on Level 1 was greater than 50 square feet and used for storage and did not have a self-closing device on it.

Maintenance Staff A verified these observations.

Based on observation and staff interview, this facility is not providing an all-weather surface from each exit to a public way (an area of safety). This facility has a capacity of 25 and a census of 9 patients.

Findings include:

Observations and staff interview on 1/14/10, revealed the path of egress from the South Exit from the stairs between Level 1 and Level A ended at a concrete path with no all-weather surface leading to a public way. The cement pad located directly outside this door is approximately 4 ' x20 ' . Maintenance Staff A indicated that at one time this was a smoking area for staff. This door is labeled as an exit door.

Based on record review and interview, the facility failed to test and document the emergency battery back-up lighting monthly and annually. This facility has a capacity of 25 patients and at the time of the survey the census was 9.

Findings include:

Observations and staff interview on 1/14/10, revealed the absence of documentation for the testing of the emergency battery back-up lights in the building. Maintenance Staff A stated that these emergency lights are not tested since the entire facility would be powered by the generator if power is lost. There was no documentation to show that either the monthly or 90 minute annual checks were performed on the emergency lights.

Maintenance Staff A verified these observations.

Based on observation, the facility failed to install and maintain the sprinkler system in accordance with the National Fire Protection Association (NFPA) Standard 13, Standard for the Installation of Sprinkler Systems, 1999 edition. This facility has a capacity of 25 patients and a census of 9 patients.

Findings include:

Observations on 1/14/10, revealed the walk-in cooler and freezer, which are connected to the building are not equipped with sprinkler heads.

Maintenance Staff A verified these observations.

Based on observation, the facility failed to maintain the sprinkler system in accordance with the 1998 edition of NFPA 25, by ensuring that sprinkler heads are free of corrosion, paint or other foreign material. This could affect the operation of the heads by obstructing the spray patterns and delaying the response time and causing the heads to be inoperable. This facility has a capacity of 25 patients and a census of 9.

Findings include:

1. Observations on 1/14/10, revealed numerous sprinkler heads in the Dining Room had foreign material (dust build-up) which could prevent them from functioning properly.
2. Observations on 1/14/10, revealed a missing escutcheon ring in the OB Supply Room.
3. Observations on 1/14/10, revealed a missing escutcheon ring in the corridor outside of room 136.
4. Observations on 1/14/10, revealed a missing escutcheon ring in the corridor by the North Fire Exit in the patient wing.
5. Observations on 1/14/10, revealed a missing escutcheon ring in the Level A Gift Shop.

Maintenance Staff A verified these observations.

Based on observations and record review, the facility failed to provide a commercial cooking suppression system that is tested and maintained as required in accordance with National Fire Protection Association (NFPA) 96. This facility has 25 certified beds and at the time of the survey the facility census was 9.

Findings include:

1. Observations and record review on 1/14/10, revealed the facility failed to have the commercial cooking suppression system inspected two times per year. The only inspection report within the last year was dated 6/16/09. The system is overdue for a semi-annual inspection which should have been conducted in December 2009.
2. Observations and record review on 1/14/10, revealed the facility failed to have a hydrostatic test which was noted due on the inspection report dated 6/16/09.

Maintenance Staff A verified these observations.

Based on observation, the facility failed to maintain the means of egress free of all obstruction or impediments to full instant use in the case of a fire or other emergency. No furnishings, decorations, or other objects shall obstruct exits, access thereto, egress there from, or visibility thereof. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

Observations on 1/14/10, revealed the East exit door on 3rd Floor had a roll down shade in front of the exit doors, obstructing the ability to exit this door without removing it or rolling it up.

Maintenance Staff A verified this observation.

Based on observation and staff interview, the facility failed to provide draperies, mini-blinds and curtains that were flame resistant in accordance with provisions of National Fire Protection Association (NFPA) 101, 10.3. The facility could not provide documentation that window coverings throughout the facility were flame resistant. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations on 1/14/10, revealed the curtains in the New Opportunities Office on 3rd Floor were not tagged as being flame retardant.
2. Observations on 1/14/10, revealed the curtains in the Housekeeping Break Room on 1st Floor were not tagged as being flame retardant.
3. Observations on 1/14/10, revealed the curtains in the DON Office were not tagged as being flame retardant.
4. Observations on 1/14/10, revealed the curtains in the Quiet Room on 1st Floor were not tagged as being flame retardant.
5. Observations on 1/14/10, revealed the curtains in the Patient Accounts Office were not tagged as being flame retardant.
6. Observations on 1/14/10, revealed the curtains in the Business Office/Reception Area were not tagged as being flame retardant.
7. Observations on 1/14/10, revealed the fabric on the wall and shelf in the Accounts Payable Office were not tagged as being flame retardant.
8. Observations on 1/14/10, revealed plastic mini-blinds on the door in the Dietary Staff Office.
9. Observations on 1/14/10, revealed the curtains in the Dietary Manager ' s Office were not tagged as being flame retardant.
10. Observations on 1/14/10, revealed plastic mini-blinds in the Dietary Manager ' s Office.
11. Observations on 1/14/10, revealed the curtains in the Dining Room were not tagged as being flame retardant.
12. Observations on 1/14/10, revealed the curtains in the Conference Room across from the quiet room on 1st Floor were not tagged as being flame retardant.
13. Observations on 1/14/10, revealed the curtains in the following patient rooms were not tagged as being flame retardant: 131, 132, 133, 134, 161, 162, 163, 164, 165, 166, 167, 170, 171, 173, and 175.
14. Observations on 1/14/10, revealed plastic mini-blinds in Trauma Room #1.
15. Observations on 1/14/10, revealed plastic mini-blinds at the Outpatient desk on Level 1.

Maintenance Staff A verified these observations.

Based on observations, it was determined the facility failed to maintain the buildings electrical wiring system in accordance with National Fire Protection Association (NFPA) Standard 70, National Electrical Code, 1999 edition. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations on 1/14/10, revealed two open junction boxes located near the two-hour fire wall above the lay-in ceiling tile.
2. Observations on 1/14/10, revealed a microwave and clothes iron plugged into a surge protector in the Housekeeping Break Room on 1st Floor.
3. Observations on 1/14/10, revealed a refrigerator and toaster plugged into a surge protector in the Employee Lounge.
4. Observations on 1/14/10, revealed a fan plugged into a surge protector in the Patient Accounts Office.
5. Observations on 1/14/10, revealed a fan plugged into a surge protector in the Business Office/Reception Area.
6. Observations on 1/14/10, revealed a toaster and microwave plugged into a surge protector in the Center Office in the Business Area.
7. Observations on 1/14/10, revealed a refrigerator plugged into a surge protector in Office 135.
8. Observations on 1/14/10, revealed a refrigerator plugged into a surge protector in Office 138.
9. Observations on 1/14/10, revealed Christmas tree lights plugged into a surge protector in the Level A Waiting Area.

Maintenance Staff A verified these observations.

Based on staff interview and record review, this facility is not assuring that a policy is in place regarding the procedures to be taken in the event that the sprinkler system is out of service for more than four hours in any twenty-four hour period. The lack of procedures could affect the actions taken by staff in the event of an emergency. This deficient practice affects all occupants of the building including staff, visitors and patients. This facility has a capacity of 25 with a census of 9 patients.

Findings include:

When reviewing this outage policy on 1/14/10, it failed to address contacting all authorities having jurisdiction (AHJ). The State Fire Marshal ' s Office was not included in the list of contacts to notify in case of a sprinkler system outage.

Maintenance Staff A verified this observation.

Based on staff interview and record review, this facility is not assuring that a policy is in place regarding the procedures to be taken in the event that the fire alarm system is out of service for more than four hours in any twenty-four hour period. The lack of procedures could affect the actions taken by staff in the event of an emergency. This deficient practice affects all occupants of the building including staff, visitors and patients. This facility has a capacity of 25 with a census of 9 patients.

Findings include:

When reviewing this outage policy on 1/14/10, it failed to address contacting all authorities having jurisdiction (AHJ). The State Fire Marshal ' s Office was not included in the list of contacts to notify in case of a fire alarm system outage.

Maintenance Staff A verified this observation.

Based on observation, this facility is not providing a firewall with a two-hour rating between the public health building and hospital. The wall is penetrated above the lay-in ceiling tile with building services (cables). This facility has a capacity of 25 and a census of 9 patients at the time of the survey.

Findings include:

Observations on 1/14/10, revealed the two-hour fire wall located between the public health building and the hospital had gaps (up to 1 inch in size) around numerous cables above the lay-in ceiling tile. According to Maintenance Staff A, this was a two-hour fire wall intended to separate the occupancies.

Based on observation and staff interview, the facility failed to provide an interior finish of corridors and exitways, including exposed interior surfaces of building such as fixed or movable walls, partitions, columns, and ceilings with a flame spread rating of Class A for Class B. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations of some of the corridor walls on 3rd Floor and the area of the corridor by the two hour fire wall on 1/14/10, revealed the corridor walls
consisted of wood paneling that had been painted. Review of facility records did not indicate any flame spread rating for the paneling and Maintenance Staff A was unable to find any documentation for the flame spread rating for the paneling.
2. Observations on 1/14/10, revealed the corridor area where the 2 hour fire wall is located consisted of wood paneling that had been painted. Review of facility records did not indicate any flame spread rating for the paneling and Maintenance Staff A was unable to find any documentation for the flame spread rating for the paneling.

Maintenance Staff A confirmed these observations.

Based on observation and staff interview, the facility failed to provide an interior finish for rooms and spaces not used for corridors or exitways, including exposed interior surfaces of buildings such as fixed or movable walls, partitions, columns and ceilings has a spread rating of Class A or Class B. This facility has a capacity of 25 and a census of 9.

Findings include:

Observations of the walls of some offices and other rooms on 1st and 3rd Floor on 1/14/10, revealed that the walls were covered with wood paneling that had been painted. Review of facility records did not indicate any flame spread rating for the paneling and Maintenance Staff A was unable to find any documentation for the flame spread rating for the paneling.

Maintenance Staff A confirmed these observations.

Based on observation, the facility is not ensuring that doors to resident rooms, offices and other ancillary areas are free of impediments that would prevent the doors from being closed or that the doors are provided with suitable hardware that keeps the doors shut tightly into their frames. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations on 1/14/10, revealed the Restroom door on 3rd Floor failed to close and latch properly when tested
2. Observations on 1/14/10, revealed the 1st Floor Housekeeping Break Room corridor door was being propped open with a door wedge.
3. Observations on 1/14/10, revealed 2 holes (approximately ? inch in size) in the corridor door of the Controller ' s Office.
4. Observations on 1/14/10, revealed the Waiting Room door on Level A failed to close and latch properly when tested.
5. Observations on 1/14/10, revealed the door to the Radiology Director ' s Office did not close and latch properly when tested.
6. Observations on 1/14/10, revealed the corridor door to the Radiology Director ' s Office was being propped open with a door wedge.
7. Observations on 1/14/10, revealed the door to ER Exam #2 did not close and latch properly when tested.
8. Observations on 1/14/10, revealed the door to the ER Waiting Room did not close and latch properly when tested.
9. Observations on 1/14/10, revealed a hole (approximately ? inch in size) in the corridor door of the Oxygen Storage Room on Level A.
10. Observations on 1/14/10, revealed numerous kick-down hold-open devices on corridor doors located throughout the entire building.

Maintenance Staff A verified these observations.

Based on observations, the facility failed to provide separation of hazardous areas from other compartments. The facility has a capacity of 25 and at the time of the survey the census was 9 patients.

Findings include:

1. Observations on 1/14/10, revealed the following rooms on 3rd Floor were greater than 50 square feet and used for storage and did not contain a self-closing device on the door: Auxiliary Storage Rooms (2), LTC Activity Storage, Non-Stock Management Storage and Business Office Records.
2. Observation on 1/14/10, revealed the HR Storage Room on 1st Floor was greater than 50 square feet and used for storage and did not have a self-closing device on it.
3. Observations on 1/14/10, revealed the double doors to the Clean Laundry Room did not close and latch properly when tested.
4. Observation on 1/14/10, revealed the corridor door to the Kitchen by the dish machine did not have a self-closing device on it.
5. Observations on 1/14/10, revealed the Nursing Storage Room on Level 1 was greater than 50 square feet and used for storage and did not have a self-closing device on it.

Maintenance Staff A verified these observations.

Based on observation and staff interview, this facility is not providing an all-weather surface from each exit to a public way (an area of safety). This facility has a capacity of 25 and a census of 9 patients.

Findings include:

Observations and staff interview on 1/14/10, revealed the path of egress from the South Exit from the stairs between Level 1 and Level A ended at a concrete path with no all-weather surface leading to a public way. The cement pad located directly outside this door is approximately 4 ' x20 ' . Maintenance Staff A indicated that at one time this was a smoking area for staff. This door is labeled as an exit door.

Based on record review and interview, the facility failed to test and document the emergency battery back-up lighting monthly and annually. This facility has a capacity of 25 patients and at the time of the survey the census was 9.

Findings include:

Observations and staff interview on 1/14/10, revealed the absence of documentation for the testing of the emergency battery back-up lights in the building. Maintenance Staff A stated that these emergency lights are not tested since the entire facility would be powered by the generator if power is lost. There was no documentation to show that either the monthly or 90 minute annual checks were performed on the emergency lights.

Maintenance Staff A verified these observations.

Based on observation, the facility failed to install and maintain the sprinkler system in accordance with the National Fire Protection Association (NFPA) Standard 13, Standard for the Installation of Sprinkler Systems, 1999 edition. This facility has a capacity of 25 patients and a census of 9 patients.

Findings include:

Observations on 1/14/10, revealed the walk-in cooler and freezer, which are connected to the building are not equipped with sprinkler heads.

Maintenance Staff A verified these observations.

Based on observation, the facility failed to maintain the sprinkler system in accordance with the 1998 edition of NFPA 25, by ensuring that sprinkler heads are free of corrosion, paint or other foreign material. This could affect the operation of the heads by obstructing the spray patterns and delaying the response time and causing the heads to be inoperable. This facility has a capacity of 25 patients and a census of 9.

Findings include:

1. Observations on 1/14/10, revealed numerous sprinkler heads in the Dining Room had foreign material (dust build-up) which could prevent them from functioning properly.
2. Observations on 1/14/10, revealed a missing escutcheon ring in the OB Supply Room.
3. Observations on 1/14/10, revealed a missing escutcheon ring in the corridor outside of room 136.
4. Observations on 1/14/10, revealed a missing escutcheon ring in the corridor by the North Fire Exit in the patient wing.
5. Observations on 1/14/10, revealed a missing escutcheon ring in the Level A Gift Shop.

Maintenance Staff A verified these observations.

Based on observations and record review, the facility failed to provide a commercial cooking suppression system that is tested and maintained as required in accordance with National Fire Protection Association (NFPA) 96. This facility has 25 certified beds and at the time of the survey the facility census was 9.

Findings include:

1. Observations and record review on 1/14/10, revealed the facility failed to have the commercial cooking suppression system inspected two times per year. The only inspection report within the last year was dated 6/16/09. The system is overdue for a semi-annual inspection which should have been conducted in December 2009.
2. Observations and record review on 1/14/10, revealed the facility failed to have a hydrostatic test which was noted due on the inspection report dated 6/16/09.

Maintenance Staff A verified these observations.

Based on observation, the facility failed to maintain the means of egress free of all obstruction or impediments to full instant use in the case of a fire or other emergency. No furnishings, decorations, or other objects shall obstruct exits, access thereto, egress there from, or visibility thereof. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

Observations on 1/14/10, revealed the East exit door on 3rd Floor had a roll down shade in front of the exit doors, obstructing the ability to exit this door without removing it or rolling it up.

Maintenance Staff A verified this observation.

Based on observation and staff interview, the facility failed to provide draperies, mini-blinds and curtains that were flame resistant in accordance with provisions of National Fire Protection Association (NFPA) 101, 10.3. The facility could not provide documentation that window coverings throughout the facility were flame resistant. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations on 1/14/10, revealed the curtains in the New Opportunities Office on 3rd Floor were not tagged as being flame retardant.
2. Observations on 1/14/10, revealed the curtains in the Housekeeping Break Room on 1st Floor were not tagged as being flame retardant.
3. Observations on 1/14/10, revealed the curtains in the DON Office were not tagged as being flame retardant.
4. Observations on 1/14/10, revealed the curtains in the Quiet Room on 1st Floor were not tagged as being flame retardant.
5. Observations on 1/14/10, revealed the curtains in the Patient Accounts Office were not tagged as being flame retardant.
6. Observations on 1/14/10, revealed the curtains in the Business Office/Reception Area were not tagged as being flame retardant.
7. Observations on 1/14/10, revealed the fabric on the wall and shelf in the Accounts Payable Office were not tagged as being flame retardant.
8. Observations on 1/14/10, revealed plastic mini-blinds on the door in the Dietary Staff Office.
9. Observations on 1/14/10, revealed the curtains in the Dietary Manager ' s Office were not tagged as being flame retardant.
10. Observations on 1/14/10, revealed plastic mini-blinds in the Dietary Manager ' s Office.
11. Observations on 1/14/10, revealed the curtains in the Dining Room were not tagged as being flame retardant.
12. Observations on 1/14/10, revealed the curtains in the Conference Room across from the quiet room on 1st Floor were not tagged as being flame retardant.
13. Observations on 1/14/10, revealed the curtains in the following patient rooms were not tagged as being flame retardant: 131, 132, 133, 134, 161, 162, 163, 164, 165, 166, 167, 170, 171, 173, and 175.
14. Observations on 1/14/10, revealed plastic mini-blinds in Trauma Room #1.
15. Observations on 1/14/10, revealed plastic mini-blinds at the Outpatient desk on Level 1.

Maintenance Staff A verified these observations.

Based on observations, it was determined the facility failed to maintain the buildings electrical wiring system in accordance with National Fire Protection Association (NFPA) Standard 70, National Electrical Code, 1999 edition. This facility has a capacity of 25 and a census of 9 patients.

Findings include:

1. Observations on 1/14/10, revealed two open junction boxes located near the two-hour fire wall above the lay-in ceiling tile.
2. Observations on 1/14/10, revealed a microwave and clothes iron plugged into a surge protector in the Housekeeping Break Room on 1st Floor.
3. Observations on 1/14/10, revealed a refrigerator and toaster plugged into a surge protector in the Employee Lounge.
4. Observations on 1/14/10, revealed a fan plugged into a surge protector in the Patient Accounts Office.
5. Observations on 1/14/10, revealed a fan plugged into a surge protector in the Business Office/Reception Area.
6. Observations on 1/14/10, revealed a toaster and microwave plugged into a surge protector in the Center Office in the Business Area.
7. Observations on 1/14/10, revealed a refrigerator plugged into a surge protector in Office 135.
8. Observations on 1/14/10, revealed a refrigerator plugged into a surge protector in Office 138.
9. Observations on 1/14/10, revealed Christmas tree lights plugged into a surge protector in the Level A Waiting Area.

Maintenance Staff A verified these observations.

Based on staff interview and record review, this facility is not assuring that a policy is in place regarding the procedures to be taken in the event that the sprinkler system is out of service for more than four hours in any twenty-four hour period. The lack of procedures could affect the actions taken by staff in the event of an emergency. This deficient practice affects all occupants of the building including staff, visitors and patients. This facility has a capacity of 25 with a census of 9 patients.

Findings include:

When reviewing this outage policy on 1/14/10, it failed to address contacting all authorities having jurisdiction (AHJ). The State Fire Marshal ' s Office was not included in the list of contacts to notify in case of a sprinkler system outage.

Maintenance Staff A verified this observation.

Based on staff interview and record review, this facility is not assuring that a policy is in place regarding the procedures to be taken in the event that the fire alarm system is out of service for more than four hours in any twenty-four hour period. The lack of procedures could affect the actions taken by staff in the event of an emergency. This deficient practice affects all occupants of the building including staff, visitors and patients. This facility has a capacity of 25 with a census of 9 patients.

Findings include:

When reviewing this outage policy on 1/14/10, it failed to address contacting all authorities having jurisdiction (AHJ). The State Fire Marshal ' s Office was not included in the list of contacts to notify in case of a fire alarm system outage.

Maintenance Staff A verified this observation.