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Based on observation and record review, the provider failed to meet the minimum construction standards of the Life Safety Code. Findings include:

1. Observation at 10:30 a.m. revealed the original building was a two story, protected, ordinary Type III (200) structure with a basement. The building was not provided with a complete automatic sprinkler system. The top floor and attic were equipped with automatic sprinkler protection. Document review of previous survey data confirmed that construction type.

The facility meets FSES. Please mark an "F" in the completion date column to indicate the facility's intent to correct the deficiencies identified in K000.

Based on observation and document review, the provider failed to maintain the 30 minute fire resistance rating of corridor wall assemblies. Findings include:

1. Observation at 10:00 a.m. revealed the corridor walls extended only approximately six inches above the lay-in acoustical ceiling but did not extend to the roof deck. Document review of previous survey reports also identified that condition.

The building meets the FSES. Please mark an "F" in the completion date column to indicate correction of the deficiencies identified in K000.

Based on observation and document review, the provider failed to ensure the original elevator had a fire resistive rating of at least one hour. Findings include:

1. Observation at 10:30 a.m. revealed the original elevator doors were not a fire rated assembly and contained a wire glass vision panel approximately 11 inches by 35 inches. Document review of previous survey reports also confirmed that elevator did not have a one-hour fire-resistive rating.

The building meets the FSES. Please mark an "F" in the completion date column to indicate the provider's intent to correct deficiencies identified in K000.

Based on observation and record review, the provider failed to install a complete automatic sprinkler system as required for the building construction type. Findings include:

1. Observation at 10:20 a.m. revealed the original building was a two story, protected, ordinary Type III (200) structure with a basement. The building was not provided with a complete automatic sprinkler system. The top floor and attic were equipped with sprinkler protection. Document review of previous survey data confirmed a complete automatic sprinkler system had not been provided.

The facility meets the FSES. Please mark an "F" in the completion date column to indicate the facility's intent to correct the deficiencies identified in K000.