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2611 WAYNE AVENUE

DAYTON, OH 45420

PHYSICAL ENVIRONMENT

Tag No.: A0700

Based on observation and staff interview the facility failed to ensure a fire watch was implemented when the sprinkler system was out of service (A717). The cumulative effect of this systemic practice resulted in the facility's inability to ensure the safety of all patients. The patient census was 18.

Findings include:

See A-717

SPRINKLER SYSTEM

Tag No.: A0717

Based on observation and staff interview, the facility failed to meet the requirements for life safety, specifically, the applicable provisions of the 2012 edition of the Life Safety Code of the National Fire Protection Association. This had the potential to affect all patients receiving services at the facility. The patient census was 18.

Findings include:

Please see the life safety report for more details.

K-354 the facility failed to ensure a fire watch was initiated when sprinkler system was out of service.