Inspection Reports for Spring Valley Alz Care Center
6428 Crystal Dew Dr, Las Vegas, NV 89118, NV, 89118
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Dec 2, 2024
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Ten resident files and seven employee files were reviewed, and no further action was necessary.
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 4
Dec 5, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to ensure in-person CPR training for one employee, water damage and maintenance issues in resident rooms, improper use of half bed rails as restraints for two residents, and failure to notify a physician of pharmacist recommendations on a medication review for one resident.
Severity Breakdown
2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 5 employees met requirements for in-person CPR and first aid training. | 2 |
| Failed to maintain ceilings and walls; water damage and holes observed in three resident rooms. | 2 |
| Failed to ensure half bed rails were not used as restraints for 2 of 10 residents. | 2 |
| Failed to ensure physician was notified of pharmacist's recommendations on medication review for 1 of 10 residents. | 2 |
Report Facts
Employees reviewed: 5
Resident files reviewed: 10
Beds licensed: 10
Residents present: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Martinez | Administrator | Named as Administrator unable to provide documented evidence of in-person CPR training and acknowledged other deficiencies |
| Employee #2 | Caregiver | Failed to complete required in-person CPR and first aid training |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Dec 5, 2022
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. No further action is necessary.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 3
Dec 2, 2021
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A but had several deficiencies including failure to implement proper COVID-19 infection control practices, lack of documented annual tuberculosis testing for one resident, and an unsecured outside exit gate in the yard.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure infection control practices were implemented and maintained in response to the COVID-19 pandemic, including not checking the temperature or screening the health facilities inspector and a caregiver not wearing a face mask. | Severity: 2 |
| Failure to ensure one resident's file contained documented evidence of an annual one-step tuberculosis test in 2021. | Severity: 2 |
| Failure to ensure an outside exit gate was locked and secured, posing a safety risk. | Severity: 2 |
Report Facts
Resident census: 8
Total licensed capacity: 10
Number of resident files reviewed: 8
Number of employee files reviewed: 2
Scope: 3
Scope: 1
Inspection Report
Abbreviated Survey
Census: 9
Capacity: 10
Deficiencies: 0
Nov 10, 2020
Visit Reason
The inspection was a focused Infection Control survey conducted to assess compliance with COVID-19 related infection prevention protocols at a Residential Facility for Groups.
Findings
The facility demonstrated comprehensive infection control measures including PPE availability, hand hygiene practices, symptom monitoring, and cleaning protocols. No regulatory deficiencies were identified during the survey.
Report Facts
Hand sanitizer supply: 52
PPE supply: 20
PPE supply: 1200
PPE supply: 200
PPE supply: 20
PPE supply: 20
Cleaning supplies: 9
Cleaning supplies: 40
Thermometers: 2
Resident temperature checks: 2
Facility licensed capacity: 10
Census at time of survey: 9
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Feb 20, 2020
Visit Reason
This inspection was conducted as an annual State licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility was found to have no regulatory deficiencies and received a grade of A. Nine resident files and five employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 5
Inspection Report
Re-Inspection
Census: 6
Capacity: 10
Deficiencies: 16
Nov 27, 2019
Visit Reason
The inspection was conducted as a regrading survey of the Spring Valley ALZ Care Center, a residential facility for groups specializing in Alzheimer's and dementia care, to assess compliance with Nevada Administrative Code Chapter 449.
Findings
The facility received a grade of A with several regulatory deficiencies identified, including issues with staffing schedule posting, front door lock safety, and medication administration protocols. Corrective actions were planned and documented for each deficiency.
Severity Breakdown
F: 6
D: 6
C: 1
G: 1
Deficiencies (16)
| Description | Severity |
|---|---|
| Administrator's Responsibilities - Oversight - NAC 449.194 Responsibilities of administrator. | F |
| Staffing Schedule - NAC 449.199 Staffing requirements; failure to post current staff schedule in a common area. | C |
| Service of Food-Nutritious Meals; Frequency - NAC 449.2175 Meals must be nutritious and served at regular intervals. | D |
| Requirements and Precautions - NAC 449.229 Safety from fire; front door lock required a key to open from inside. | F |
| Rights of Residents; Procedure for Filing - NAC 449.268 Residents treated with respect and dignity. | D |
| Residents Requiring Use of Oxygen - NAC 449.2712 Caregivers trained to operate oxygen equipment. | D |
| Medical Care of Resident After Illness - NAC 449.274 Physician notification and care arrangements. | G |
| Medical Care of Resident After Illness - NAC 449.274 Physical examinations and care instructions. | D |
| Medication Administration - NRS 449.0302 - NAC 449.2742 Responsibilities of administrator, caregiver and employees. | D |
| Medication/OTCS, Supplements, Change Order - NAC 449.2742 Administration of medication and documentation. | F |
| Medication - Destruction - NAC 449.2742 Proper destruction of discontinued or expired medication. | D |
| Administration of Medication Maintenance - NAC 449.2744 Maintenance and contents of medication logs and records. | F |
| Administration of Medication Restrictions - NAC 449.2746 Restrictions on administration of as-needed medications. | D |
| Maintenance and Contents of Separate File - NAC 449.2749 Confidentiality and retention of resident files. | D |
| Alzheimer’s Care - NAC 449.2754 Requirements for interaction groups and written statements. | F |
| Alzheimer's Care Standards for Safety - NAC 449.2756 Staff awake and trained for dementia care. | F |
Report Facts
Resident records reviewed: 10
Employee records reviewed: 4
Facility licensed beds: 10
Residents present: 6
Severity 1 deficiency scope: 3
Severity 2 deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Wolfkill | Administrator | Named as Laboratory Director's or Provider/Supplier Representative signing the report and involved in oversight |
Inspection Report
Complaint Investigation
Census: 7
Capacity: 10
Deficiencies: 19
May 9, 2019
Visit Reason
Complaint State Licensure survey and wellness check initiated due to substantiated complaint #NV00056887 involving resident falls and inadequate response to injuries.
Findings
The facility was found deficient in multiple areas including failure to provide adequate oversight, incomplete staff schedules, lack of required employee physicals and background checks, failure to provide snacks on request, inadequate resident rights protections, improper oxygen administration, failure to notify physician and family after resident falls, incomplete resident physical exams and medication administration issues. Staffing ratios were not maintained and staff were found sleeping during night shifts.
Complaint Details
Complaint #NV00056887 was substantiated. Allegations included resident falls resulting in injury, failure to provide timely assessment and medical care, failure to notify physician and family timely, and staff neglect including a staff member going back to bed after a resident fell out of bed.
Severity Breakdown
Level 1: 1
Level 2: 14
Level 3: 2
Deficiencies (19)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision. | Level 2 |
| Facility failed to maintain and post current staff schedule; schedule included staff no longer employed and omitted current staff. | Level 1 |
| Facility failed to ensure 2 of 4 sampled employees completed pre-employment physical examinations. | Level 2 |
| Facility failed to ensure 2 of 4 sampled employees met background check requirements prior to employment. | Level 2 |
| Facility failed to provide a snack upon request to 1 of 7 residents. | Level 2 |
| Facility failed to ensure 1 of 7 residents was given access to a telephone to contact family. | Level 2 |
| Caregiver failed to demonstrate proper oxygen administration for 1 of 7 residents requiring oxygen. | Level 2 |
| Facility failed to notify physician, hospice nurse, and family and assess pain timely after resident fall with injury. | Level 3 |
| Facility failed to notify physician of resident's rash and itching complaint. | Level 3 |
| Facility failed to ensure resident received physical examination upon admission. | Level 2 |
| Facility failed to ensure resident signed ultimate user medication agreement upon admission. | Level 2 |
| Facility failed to ensure medications and physician orders were available and accurate for 7 of 7 sampled residents; oxygen not administered per order. | Level 2 |
| Facility failed to destroy medications of discharged resident. | Level 2 |
| Medication administration records were incomplete and not updated for 7 of 7 residents. | Level 2 |
| Facility failed to ensure written instructions for PRN medications specifying symptoms, dosage, and frequency. | Level 2 |
| Facility failed to ensure resident received tuberculosis test upon admission. | Level 2 |
| Facility failed to complete evaluation of resident's activities of daily living upon admission. | Level 2 |
| Facility failed to maintain required staffing ratio; staff left premises leaving one caregiver for seven residents. | Level 2 |
| Facility failed to ensure a staff member was awake and on duty at night while residents slept. | Level 2 |
Report Facts
Residents present: 7
Licensed capacity: 10
Complaint count: 1
Severity Level 1 deficiencies: 1
Severity Level 2 deficiencies: 14
Severity Level 3 deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cristina P Abu Dayyeh | Owner/Manager | Named as facility owner and responsible party |
| Caregiver #3 | Named in findings related to medication errors, sleeping on duty, and failure to notify after resident falls | |
| Caregiver #4 | Named in findings related to staffing shortages and leaving premises during shift | |
| Employee #3 | Named in medication administration deficiencies and terminated | |
| Employee #4 | Named in background check and Alzheimer care deficiencies and terminated |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 5
Jan 10, 2019
Visit Reason
This inspection was conducted as a State licensure annual survey of the residential facility for groups to assess compliance with Nevada Administrative Code (NAC) Chapter 449.
Findings
The facility received a grade of B with multiple deficiencies identified including expired administrator license, lack of posted designee administrator, poor cleanliness and maintenance, inadequate food supplies, and failure to display the most recent survey grade placard.
Severity Breakdown
Level 1: 3
Level 2: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure there was a current license on display for the facility Administrator; the displayed license was expired as of 11/30/18. | Level 1 |
| Facility failed to ensure a designee Administrator was assigned and publicly posted within the facility. | Level 1 |
| Facility failed to ensure the premises were kept clean and well maintained, including heavy dust build-up on HVAC intake duct, ceiling fan, and missing light panel cover in kitchen. | Level 2 |
| Facility failed to ensure there was at least a two day supply of fresh food and at least a one week supply of canned food in the facility at all times. | Level 2 |
| Facility failed to ensure the most recent survey grade placard was displayed; the placard displayed was dated 10/14/15 and did not reflect the most recent survey. | Level 1 |
Report Facts
Census: 9
Total Capacity: 10
Deficiencies cited: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cristina P Abu Dayyeh | Owner | Signed the Statement of Deficiencies and Plan of Correction |
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 0
Jan 22, 2018
Visit Reason
The inspection was conducted as a result of a complaint investigation on the facility regarding allegations about physical environment and facility staffing.
Findings
The complaint allegations could not be substantiated. Observations, interviews, and file reviews found no regulatory deficiencies. No further action was necessary.
Complaint Details
One complaint (#NV00051725) was investigated with allegations related to physical environment and facility staffing, both of which were not substantiated.
Report Facts
Sample size: 10
Inspection Report
Complaint Investigation
Census: 6
Capacity: 10
Deficiencies: 0
May 19, 2016
Visit Reason
This inspection was conducted as a complaint investigation initiated on 2016-05-03 and completed on 2016-05-19, in response to allegations regarding resident care and use of hospice equipment.
Findings
The investigation included review of resident and hospice records, interviews, and observation of dietary services. No regulatory deficiencies were identified and the allegations could not be substantiated.
Complaint Details
Complaint #NV00045556 included allegations that a resident was not fed adequately, developed puncture wounds, and that hospice equipment was used for other residents. These allegations were not substantiated.
Report Facts
Licensed beds: 10
Resident census: 6
Sample size: 5
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 2
Mar 14, 2016
Visit Reason
This inspection was conducted as a required grading re-survey of the facility to assess compliance with state licensure regulations.
Findings
The facility received a grade of A. Two deficiencies were identified: one related to personnel files and tuberculosis testing documentation, and another related to Alzheimer's care policies and caregiver staffing ratios.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility failed to ensure 1 of 3 employees met tuberculosis testing requirements; employee file lacked documented evidence of a read date after the first step TB test. | Severity: 2 |
| The facility failed to ensure there was one caregiver per six residents during hours when residents were awake, leaving one caregiver alone with eight Alzheimer's residents. | Severity: 2 |
Report Facts
Census: 8
Total Capacity: 10
Employees reviewed: 3
Resident files reviewed: 4
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 2
Mar 14, 2016
Visit Reason
This was a required grading re-survey conducted by the Division of Public and Behavioral Health to assess compliance with state licensure regulations.
Findings
The facility received a grade of A but had deficiencies including failure to ensure tuberculosis testing documentation for one employee and failure to maintain appropriate caregiver-to-resident ratios during awake hours.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees met tuberculosis testing requirements; employee file lacked documented evidence of TB test read date. | 2 |
| Failed to ensure one caregiver per six residents during hours when residents were awake; one caregiver was left alone with eight residents. | 2 |
Report Facts
Licensed beds: 10
Residents present: 8
Employees reviewed: 3
Resident files reviewed: 4
Inspection Report
Re-Inspection
Census: 5
Capacity: 10
Deficiencies: 6
Nov 12, 2015
Visit Reason
The inspection was a grading re-survey conducted on 11/12/15, required in response to complaint investigation surveys conducted on 8/20/15 and 10/14/15.
Findings
The facility was found to have multiple deficiencies related to health and sanitation, including offensive odors, presence of insects and rodents, unclean premises, and inadequate kitchen equipment maintenance. Several deficiencies were repeats from prior surveys.
Complaint Details
The visit was conducted in response to complaint investigation surveys on 8/20/15 and 10/14/15. The deficiencies related to offensive odors and pest control were repeats from prior complaint investigations.
Severity Breakdown
Severity: 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure it was free from offensive odors, including strong urine odor in resident rooms and bathrooms. | Severity: 2 |
| Facility failed to ensure it was free from insects and rodents, with observations of live and dead insects in kitchen and resident areas. | Severity: 2 |
| Facility failed to maintain premises clean and well maintained, including dirty toilet seats and floors in resident bathrooms. | Severity: 2 |
| Facility failed to ensure kitchen equipment was clean and maintained for sanitary cooking environment. | — |
| Facility failed to ensure perishable foods were refrigerated at proper temperatures and frozen foods kept at 0 degrees or less. | Severity: 2 |
| Facility failed to ensure food was stored in appropriate packaging, with observations of dented canned goods and partially filled detergent bucket. | Severity: 2 |
Report Facts
Facility licensed capacity: 10
Census: 5
Severity 2 deficiencies: 5
Scope: 3
Inspection Report
Re-Inspection
Census: 5
Capacity: 10
Deficiencies: 6
Nov 12, 2015
Visit Reason
This inspection was a grading re-survey conducted in response to prior complaint investigation surveys on 8/20/15 and 10/14/15, to assess compliance with state licensure requirements.
Findings
The facility was found to have multiple deficiencies including offensive odors, presence of insects and rodents, poor maintenance and cleanliness, unsanitary kitchen conditions, improper food storage temperatures, and inadequate food packaging. All deficiencies were repeat findings from previous surveys.
Complaint Details
This re-survey was conducted in response to complaint investigation surveys on 8/20/15 and 10/14/15. Deficiencies identified were repeat findings from those complaint investigations.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure it was free from offensive odors, including strong urine odor in resident rooms and bathrooms. | Severity: 2 |
| Facility failed to ensure it was free from insects and rodents, with multiple observations of brown insects in kitchen and resident areas. | Severity: 2 |
| Facility failed to maintain premises clean and well maintained, including stained toilet paper and dirty bathroom floors and toilet seat. | Severity: 2 |
| Facility failed to maintain kitchen equipment and environment for sanitary cooking. | Severity: 2 |
| Facility failed to ensure frozen foods were kept at 0 degrees Fahrenheit or less; freezer temperature was 41 degrees. | Severity: 2 |
| Facility failed to ensure food was stored in appropriate packaging, including dented cans and rice stored in a laundry detergent bucket. | Severity: 2 |
Report Facts
Facility licensed capacity: 10
Census at time of survey: 5
Freezer temperature: 41
Weight of dented can: 6.625
Weight of bucket with rice: 32
Pest control frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #1 mentioned in relation to observations of odors, insect sightings, and resident care |
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 8
Oct 14, 2015
Visit Reason
The inspection was conducted as a complaint investigation triggered by complaint #NV00044185 alleging failure to follow physician orders as described in the Plan of Correction (POC).
Findings
The investigation found multiple deficiencies unrelated to the complaint, including issues with caregiver qualifications, staffing schedules, personnel files, background checks, medication storage, Alzheimer's facility door alarms, and toxic substance accessibility. The complaint allegation was not substantiated.
Complaint Details
Complaint #NV00044185 alleging failure to follow physician orders was investigated and found not substantiated.
Severity Breakdown
1: 1
2: 7
Deficiencies (8)
| Description | Severity |
|---|---|
| Caregiver did not demonstrate the ability to read, write, speak and understand English language. | 2 |
| Facility failed to ensure an employee schedule was current, completed and available for review. | 1 |
| Facility failed to ensure a personnel file was kept for one employee and training records were missing. | 2 |
| Facility failed to ensure two employees received a health physical and were screened for tuberculosis prior to employment. | 2 |
| Facility failed to ensure two employees underwent a criminal background check prior to employment. | 2 |
| Facility failed to ensure medications for one resident were locked and secured. | 2 |
| Facility failed to ensure Alzheimer's facility doors were closed, locked and buzzer activated. | 2 |
| Facility failed to ensure toxic chemicals were not accessible to residents. | 2 |
Report Facts
Census: 8
Deficiencies cited: 8
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 8
Oct 14, 2015
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding an allegation that the facility failed to follow physician orders as described in the Plan of Correction (POC).
Findings
The complaint allegation was not substantiated. However, multiple deficiencies unrelated to the complaint were identified, including issues with caregiver qualifications, staffing schedules, personnel files, medication storage, door alarms, and toxic substance accessibility.
Complaint Details
One complaint was investigated (Complaint #NV00044185) alleging failure to follow physician orders as described in the Plan of Correction. The allegation was not substantiated after observation and interviews.
Severity Breakdown
Severity: 1: 1
Severity: 2: 7
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to ensure a caregiver could read, speak and understand English (Employee #3). | Severity: 2 |
| Facility failed to ensure an employee schedule was current, completed and available for review. | Severity: 1 |
| Facility failed to ensure a personnel file was kept for 1 of 3 employees (Employee #3), including training records. | Severity: 2 |
| Facility failed to ensure 2 of 3 employees received a health physical and were screened for tuberculosis prior to employment (Employees #1 and #3). | Severity: 2 |
| Facility failed to ensure 2 of 3 employees underwent a criminal background check (Employees #1 and #3). | Severity: 2 |
| Facility failed to ensure medications for 1 of 8 residents were locked and secured (Resident #1). | Severity: 2 |
| Facility failed to ensure doors exiting the facility to the front yard were closed, locked and buzzer activated. | Severity: 2 |
| Facility failed to ensure toxic chemicals were not accessible to residents; scrubbing powder was observed on the toilet tank in the hallway bathroom. | Severity: 2 |
Report Facts
Number of residents present: 8
Number of complaints investigated: 1
Severity 1 deficiencies: 1
Severity 2 deficiencies: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Named in findings related to caregiver duties, personnel files, health physical, TB screening, and background check. | |
| Employee #2 | Named in findings related to caregiver duties and medication storage. | |
| Employee #3 | Named in findings related to caregiver qualifications, personnel files, health physical, TB screening, and background check. |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Mar 17, 2015
Visit Reason
This document is the result of an annual State Licensure survey conducted on 3/17/2015 to assess compliance with state regulations for the facility.
Findings
The facility was found to be in substantial compliance with regulations, receiving a grade of A, and no deficiencies were identified during the survey.
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 1
Mar 13, 2015
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding the facility's failure to conduct a fire watch after a sprinkler system malfunction.
Findings
The facility was found to have failed to ensure a fire watch was in place during a sprinkler malfunction lasting approximately five days. The complaint was substantiated, and a plan of correction was implemented including a fire watch program and staff training.
Complaint Details
Complaint #NV00042165 was substantiated regarding failure to conduct a fire watch after a sprinkler system malfunction.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure a fire watch was in place during a sprinkler malfunction. | Severity: 2 |
Report Facts
Total licensed capacity: 10
Duration of sprinkler malfunction: 5
Severity level: 2
Scope: 3
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 1
Mar 13, 2015
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding the facility's failure to conduct a fire watch after a sprinkler system malfunction.
Findings
The facility was found to have failed to ensure a fire watch was in place during a sprinkler malfunction that lasted approximately five days. The complaint was substantiated based on interviews and notification from the State Fire Marshal.
Complaint Details
Complaint #NV00042165 was substantiated. The allegation that the facility failed to conduct a fire watch after a sprinkler system malfunction was substantiated.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure a fire watch was in place during a sprinkler malfunction lasting approximately five days. | Severity: 2 |
Report Facts
Total licensed capacity: 10
Duration of sprinkler malfunction (days): 5
Severity level: 2
Scope: 3
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