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The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The second floor rated double doors located near room #209 was missing an astragal or the equivalent.

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The third floor rated double doors located near the elevator lobby was missing an astragal or the equivalent.


The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The second floor electrical room had a hole approximately 3 inches by 5 inches in size. This is a fire rated room, so this penetration needs to be sealed.

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The facility failed to provide documentation showing that air filters were being inspected bimonthly for pressure drops per ASHRAE 170 requirements.

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The facility failed to provide the required flame spread documentation for draperies, curtains and for loosely hanging fabrics.

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. In the electrical room on the second floor was being used for storage. The facility failed to provide an adequate safe zone space around the electrical panel boxes.

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. In the electrical room was being used for storage. The facility failed to provide an adequate safe zone space around the electrical panel boxes.

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The facility failed to provide documentation showing that records are maintained for receptacles for repairs or modifications, containing date, room or area tested, and results. 6.3.4 (NFPA 99)

The inspector observed, while accompanied by the Plant Director during the hours of the inspection from 8:00 am to 11:35 am on 5/3/2017 that there were the following issues. The facility failed to provide documentation showing that the required emergency generator testing and maintenance was being conducted.