Deficiencies (over last year)
Deficiencies (over last year)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
186% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 10
Date: Apr 4, 2022
Visit Reason
State-compiled facility profile showing multiple inspections including a comprehensive inspection on April 4, 2022, with deficiency history related to health and life safety codes.
Findings
The inspections identified 12 violations of state standards primarily related to life safety code deficiencies such as failure to enforce a smoking policy, inadequate fire alarm power sources, and insufficient emergency preparedness documentation. No enforcement actions were found.
Deficiencies (10)
The facility failed to have and enforce a smoking policy.
The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.
The facility failed to ensure the power source for a fire alarm was a dedicated circuit in the facility's electrical system and that the fire alarm had a secondary, emergency power source.
The facility failed to protect hazardous areas as required by the referenced codes and standards.
The facility failed to ensure the building electrical system met the referenced codes and standards.
The facility failed to provide the minimum levels of illumination required in the facility.
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.
The facility failed to provide proper locking devices.
The facility failed to correct a site or building condition that was a fire, health, or physical hazard.
Report Facts
Inspections on page: 2
Violations cited: 12
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