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Based on observation and staff interview, the facility failed to have fire sprinklers installed within the required distance to the roof deck. This condition would prevent the fire sprinklers from activating at the expected time during a fire, allowing the spread of fire.

Findings are:
Observations on 4/29/25 from 10:48 am to 10:57 am revealed:
1. The fire sprinkler in the Oxygen Supply/Storage Room was not within 22 inches of the roof deck, and measured approximately 4 feet down from the deck. The pendant fire sprinkler was not replaced with an upright fire sprinkler after the finished ceiling in the room was removed.
2. The fire sprinkler in the IT Room was not within 22 inches of the roof deck, and measured approximately 4 feet down from the deck.

In an interview on 4/29/25, from 10:48 am to 10:57 am, Maintenance A confirmed the fire sprinklers were not installed correctly after construction.

NFPA 13, 2010, 8.6.4.1.2 Obstructed Construction. Under obstructed construction, the sprinkler deflector shall be located in accordance with one of the following arrangements: (1) Installed with the deflectors within the horizontal planes of 1 in. to 6 in. (25.4 mm to 152 mm) below the structural members and a maximum distance of 22 in. (559 mm) below the ceiling/roof deck (2) Installed with the deflectors at or above the bottom of the structural member to a maximum of 22 in. (559 mm) below the ceiling/roof deck where the sprinkler is installed in conformance with 8.6.5.1.2 (3) Installed in each bay of obstructed construction, with the deflectors located a minimum of 1 in. (25.4 mm) and a maximum of 12 in. (305 mm) below the ceiling (4) Installed with the deflectors within the horizontal planes 1 in. to 6 in. (25.4 mm to 152 mm) below composite wood joists to a maximum distance of 22 in. (559 mm) below the ceiling/roof deck only where joist channels are firestopped to the full depth of the joists with material equivalent to the web construction so that individual channel areas do not exceed 300 ft2 (27.9 m2 ) (5)*Installed with deflectors of sprinklers under concrete tee construction with stems spaced less than 71?2 ft (2.3 m) but more than 3 ft (0.91 m) on centers, regardless of the depth of the tee, located at or above a horizontal plane 1 in. (25.4 mm) below the bottom of the stems of the tees and shall comply with Table 8.6.5.1.2