QA Investigation Results

Pennsylvania Department of Health
DON GUANELLA HOMES AT 1765 SPROUL ROAD
Building Inspection Results

DON GUANELLA HOMES AT 1765 SPROUL ROAD
Building Inspection Results For:


There are  6 surveys for this facility. Please select a date to view the survey results.

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Initial Comments:
Name - Component - --

Based on an Emergency Preparedness Survey completed on January 23, 2019, at Don Guanella Homes at 1765 Sproul Road, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.475.


Plan of Correction:




Initial Comments:
Name - DON GUANELLA SPROUL RD 3 Component - 01

Facility ID # 24401101-01
Component # 01
Main Building

Based on a Medicaid Recertification Survey completed on January 23, 2019, it was determined that Don Guanella Homes at 1765 Sproul road was not in compliance with the following requirements of the Life Safety Code for an existing ICF/IID health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.470(j).

This is a one-story, Type V (000), unprotected wood frame construction, which is Fully sprinklered.

State plans approved as Impractical level of evacuation difficulty.






Plan of Correction:




NFPA 101 STANDARD
Sprinkler System - Maintenance and Testing

Name - DON GUANELLA SPROUL RD 3 Component - 01
Sprinkler System - Maintenance and Testing
2012 EXISTING (Prompt)
NFPA 13 and 13R Systems
All sprinkler systems installed in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems, and NFPA 13R, Standard for the Installation of Sprinkler Systems in Residential Occupancies Up To and Including Four Stories in Height, are inspected, tested and maintained in accordance with NFPA 25, Standard for Inspection, Testing and Maintenance of Water Based Fire Protection System.
NFPA 13D Systems
Sprinkler systems installed in accordance with NFPA 13D, Standard for the Installation of Sprinkler Systems in One- and Two-Family Dwellings and Manufactured Homes, are inspected, tested and maintained in accordance with the following requirements of NFPA 25:
1. Control valves inspected monthly (NFPA 25, section 13.3.2).
2. Gauges inspected monthly (NFPA 25, section 13.2.71).
3. Alarm devices inspected quarterly (NFPA 25, section 5.2.6).
4. Alarm devices tested semiannually (NFPA 25, section 5.3.3).
5. Valve supervisory switches tested semiannually (NFPA 25, section 13.3.3.5).
6. Visible sprinklers inspected annually ((NFPA 25, section 5.2.1).
7. Visible pipe inspected annually (NFPA 25, section 5.2.2).
8. Visible pipe hangers inspected annually (NFPA 25, section 5.2.3).
9. Buildings inspected annually prior to freezing weather for adequate heat for water filled piping (NFPA 25, section 5.2.5).
10. A representative sample of fast response sprinklers are tested at 20 years (NFPA 25, section 5.3.1.1.1.2).
11. A representative sample of dry pendant sprinklers are tested at 10 years (NFPA 25, section 5.3.1.1.15).
12. Antifreeze solutions are tested annually (NFPA 25, section 5.3.4).
13. Control valves are operated through their full range and returned to normal annually (NFPA 25, section 13.3.3.1).
14. Operating stems of OS&Y valves are lubricated annually (NFPA 25, section 13.3.4).
15. Dry pipe systems extending into unheated portions of the building are inspected, tested and maintained (NFPA 25, section 13.4.4).
A. Date sprinkler system last checked and necessary maintenance provided. __________________________
B. Show who provided the service. _________________________
C. Note the source of the water supply for the automatic sprinkler system. __________________________________
(Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system.)
33.2.3.5.3, 33.2.3.5.8, 9.7.5, 9.7.7, 9.7.8, and NFPA 25

Observations:
Based on observation and interview, it was determined the facility failed to maintain automatic sprinkler protection, in one of more than 12 rooms inspected within the building.

Findings include:

1. Observation on January 23, 2019, at 9:55 am, revealed a painted sprinkler head in resident room #9.

Interview with the Maintenance Director on January 23, 2019, at 10:30 am, confirmed the paint on the sprinkler.




Plan of Correction:

The sprinkler head in bedroom # 9 was replaced with a new head.
During monthly walk-thru inspections by maintainance staff, all sprinkler heads will be checked that they are in good condition free of paint or any other substance.
Monthly check are kept on file.