Advanced Personal Care at Hamlin Valley

The facility failed to provide the required sprinkler system to meet NFPA 13, 13D, 13R, or meet the requirements of Chapter 33.

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

The facility failed to ensure the building was kept in good repair.

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

The facility failed to maintain the building free of accumulations of dirt, rubbish, dust, and hazards.

The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.

The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities.

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

The facility failed to provide an initial gas pressure test of the gas lines from the meter; and/or failed to ensure additional gas pressure tests were performed when gas service was interrupted; and/or that all gas heating systems were documented

The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

The facility failed to comply with Chapter 33, Existing Residential Board and Care Occupancies.