Deficiencies (over last year)
Deficiencies (over last year)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Life Safety
Deficiencies: 6
Date: Sep 7, 2023
Visit Reason
State-compiled facility profile showing life safety inspection findings from September 2023 with deficiency history.
Findings
The facility had six life safety code violations related to fire marshal inspections, fire drills, fire alarm and sprinkler system maintenance, fire extinguisher training and maintenance, and emergency preparedness plan deficiencies. All cited violations were corrected within a month following the inspection.
Deficiencies (6)
The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.
The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.
The facility failed to train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers.
The facility failed to include a section addressing transportation in the emergency preparedness and response plan.
Report Facts
Inspections on page: 1
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