|Building Construction Type and Height|
Building construction type and stories meets Table 126.96.36.199, unless otherwise permitted by 188.8.131.52 through 184.108.40.206
1 I (442), I (332), II (222) Any number of stories
non-sprinklered and sprinklered
2 II (111) One story non-sprinklered
Maximum 3 stories sprinklered
3 II (000) Not allowed non-sprinklered
4 III (211) Maximum 2 stories sprinklered
5 IV (2HH)
6 V (111)
7 III (200) Not allowed non-sprinklered
8 V (000) Maximum 1 story sprinklered
Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See 19.3.5)
Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate.
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0161
Based on observation and interview, it was determined the facility failed to maintain building construction requirements, affecting nine of nine smoke compartments.
1. Observation on March 25, 2019, between 10:00 a.m. and 2:30 p.m., revealed the facility exceeds the maximum allowable story height by two stories.
Exit interview with the facility administrator and the facilities manager on March 26, 2019, between 10:30 a.m. and 10:45 a.m., confirmed the facility exceeds the maximum allowable story height for this type of construction .
| ||Plan of Correction - To be completed: 06/19/2019|
Department of Health Life Safety Survey 3/25/2019 – 3/26/2019 Plan of Correction
Preparation and/or execution of this Provider's Plan of Correction does not constitute admission or agreement of the provider of the truth of the facts alleged, or conclusions set forth in the statement of deficiencies as perceived by representatives of the Department of Health Life Safety relative to the on-site survey concluded on March 26, 2019.
The providers Plan of Correction is prepared solely because it conveys this sincere message of the governing body, as follows:
All representative entities of Holy Family Manor have been, are, and will be committed to providing the highest quality of care and services to the elderly, in accordance with, or exceeding all applicable local, state and/or federal laws/mandates regarding the operation of a Long Term Care Facility in Pennsylvania.
Representative entities of Holy Family Manor will evidentially substantiate compliance with all applicable local, state, and/or federal laws/mandates regarding operation of a Long Term Care Facility in the Commonwealth of Pennsylvania during the survey conducted subsequent to that concluded on March 26, 2019.
1. Facility has a five (5) year Time Limited Waiver (TLW) on file until 4/13/2022.
2. Facility requests continuation of the existing F.S.E.S. on file.