Initial Comments:
Name - Component - --
Based on an Emergency Preparedness Survey completed on March 15, 2024, at Merakey Allegheny School-Keister Road 1211, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.475.
Plan of Correction:
Initial Comments:
Name - MAIN BUILDING 01 Component - 01
Facility ID 07601100
Component 01
Main Building
Based on a Medicaid Recertification Survey completed on March 15, 2024, it was determined that Merakey Allegheny Valley School-Keister Road 1211 was not in compliance with the following requirements of the Life Safety Code for an exisiting 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 building, that is fully sprinklered.
State plans approved as Impractical.
Plan of Correction:
NFPA 101 STANDARD
Hazardous Areas - Enclosure
Name - MAIN BUILDING 01 Component - 01
Hazardous Areas - Enclosure
2012 EXISTING (Prompt)
Any hazardous area that is on the same floor as, and is in or abut, a primary means of escape or a sleeping room shall be protected by one of the following means:
1. Protection shall be an enclosure with a fire resistance rating of not less than 1 hour, with a self-closing or automatic closing fire door in accordance with 7.2.1.8 that has a fire protection rating of not less than 3/4 hour.
2. Protection shall be automatic sprinkler protection, in accordance with 33.2.3.5, and a smoke partition, in accordance with 8.4 located between the hazardous area and the sleeping area or primary escape route. Any doors in such separation shall be self-closing or automatic closing in accordance with 7.2.1.8.
Other hazardous areas shall be protected in accordance with 33.2.3.2.5 by one of the following:
1. An enclosure having a fire resistance rating of not less than 1/2 hour, with a self-closing or automatic-closing door in accordance with 7.2.1.8 that is equivalent to not less than a 13/4 inch (4.4 cm) thick, solid-bonded wood core construction.
2. Automatic sprinkler protection in accordance with 33.2.3.5, regardless of enclosure.
Areas with approved, properly installed and maintained furnaces and heating equipment, and cooking and laundry facilities are not classified as hazardous areas solely on basis of such equipment.
Standard response sprinklers shall be permitted for use in hazardous areas in accordance with 33.2.3.2.
33.2.2.2.4, 33.2.3.2, 33.2.3.2.5
Observations:
Based on the observation and interview, the facility failed to keep hazardous areas protected on one of two building levels.
Findings include:
Observation on March 15, 2024, at 10:53 a.m., revealed the basement mechanical room wall, located above the door, had penetrations around the ductwork, piping, and electrical wiring.
Interview with the house manager and maintenance director on March 15, 2024, at 10:53 a.m., confirmed the deficiency.
Plan of Correction:By 4/01/2024, the penetrations above the Mechanical Room door at 1211 Keister Road, Slippery Rock, Pa. will be filled with 5/8 drywall and fireproof caulking applied by the Merakey Allegheny Valley School Facilities Management Technicians.
By 4/15/2024, the Merakey Facilities Management Technicians will complete a walk through of the Merakey Allegheny Valley School's Butler and Mercer SFRs to ensure that the areas of the home are protected and penetrations are not present.
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