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: May 31, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from May 2024 with deficiency history related to health and life safety codes.
Findings
The facility had multiple deficiencies related to fire safety, lighting, generator maintenance, fire drills, and smoke compartmentation, all corrected within about a month after the May 9, 2024 inspections. No enforcement actions were found.
Deficiencies (6)
The facility failed to inspect individual sprinkler heads and maintain them in compliance with the requirements of the NFPA code.
The facility failed to ensure the fire marshal inspects the facility annually.
The facility failed to provide enough light in rooms based on how the room is used.
The facility failed to make sure generator components are inspected, tested and maintained according to NFPA standards.
The facility failed to include procedures for conducting a fire drill on each work shift at least once per quarter with at least one fire drill conducted each month; or the facility failed to fill out the form titled "FIRE DRILL REPORT" for a fire drill conducted.
The facility failed to make sure smoke compartmentation met the requirements of NFPA 101.
Report Facts
Inspections on page: 2
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