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Based on observation, the facility failed to maintain the automatic sprinkler per the requirements of:

2012 NFPA 101, 19.3.5.1, 9.7.5, and 9.7.8
2011 NFPA 25, 5.3.1.1.1.6, 5.1.1.2, and Table 5.1.1.2

This deficiency affects the entire facility.

Findings include:

During a tour of the facility, the surveyor observed the following:

1. The facility failed to provide documentation that the dry sprinkler head installed in 2007, located at the kitchen dock had been replaced within 10 years of installation.

2. The only quarterly automatic sprinkler inspection reports the facility could provide were for 01/13/2023 and 05/10/2023.
No documentation could be provided prior to 01/13/2023.
A quarterly automatic sprinkler inspection was required in 04/2023, based on this documentation.

A member of the maintenance staff was present when this deficiency was identified.

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Based on observation, the facility failed to maintain the automatic sprinkler system per the requirements of:

2012 NFPA 101, 19.3.5.1, 9.7.5, and 9.7.8
2011 NFPA 25, 13.7.1 (5), 5.3.1.1.1.6, 5.1.1.2, and Table 5.1.1.2

This deficiency affects the entire facility.

Findings include:

During a tour of the facility, the surveyor observed the following:

1. The Fire Department Connection (FDC) located at front entrance was missing signage.

2. The facility failed to provide documentation that the two dry sprinklers installed in 2007 located at the Supply Dock had been replaced within 10 years of installation.

3. The only quarterly automatic sprinkler inspection reports the facility could provide were for 01/13/2023 and 05/10/2023.
No documentation could be provided prior to 01/13/2023.
A quarterly automatic sprinkler inspection was required in 04/2023, based on this documentation.

A member of the maintenance staff was present when this deficiency was identified.

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Based on review of documentation, the facility failed to maintain the testing of the emergency generator per the requirements of:

2012 NFPA 99, 6.4.4.1.1.3, and 6.4.4.1.3
2010 NFPA 110, 8.3.7.1

This deficiency affects 1 of 1 emergency generators.

Findings include:

During a tour of the facility, the facility failed to provide documentation of performing monthly conductance testing on the facility's emergency generator's maintenance-free battery for the past 12 months.

A member of the maintenance staff was present when this deficiency was identified.