Brenda's Devine Heritage Residential, INC

2025 · 22 cited

1. The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

   Life Safety CodeCited May 9, 2025Corrected —

2. The facility failed to conduct required fire drills and document fire drills on the required form.

   Life Safety CodeCited May 9, 2025Corrected —

3. The facility failed to keep walls and ceilings in good condition.

   Life Safety CodeCited May 9, 2025Corrected —

4. The facility failed to ensure means of egress met the referenced codes and standards.

   Life Safety CodeCited May 9, 2025Corrected —

5. The facility failed to provide smoke compartmentation where required.

   Life Safety CodeCited May 9, 2025Corrected —

6. The facility failed to ensure portable fire extinguishers were properly sized based on the referenced codes and standards.

   Life Safety CodeCited May 9, 2025Corrected —

7. The facility failed to ensure portable fire extinguishers were mounted on hangers or brackets supplied with the fire extinguisher or mounted in a fire extinguisher cabinet, were protected from impact or dislodgement, and were mounted at the appropriate height based on the weight of the extinguisher.

   Life Safety CodeCited May 9, 2025Corrected —

8. The facility failed to protect cooking operations according to the Life Safety Code.

   Life Safety CodeCited May 9, 2025Corrected —

9. The facility failed to ensure wastewater and sewage was discharged into an approved system.

   Life Safety CodeCited May 9, 2025Corrected —

10. The facility failed to provide the minimum required number of toilets and lavatories.

    Life Safety CodeCited May 9, 2025Corrected —

11. The facility failed to provide the minimum required number of bathtubs or showers.

    Life Safety CodeCited May 9, 2025Corrected —

12. The facility failed to provide heating and cooling for resident comfort that ensured air temperatures between 68 and 82 degrees F in resident-use areas.

    Life Safety CodeCited May 9, 2025Corrected —

13. The facility failed to provide exhaust for odor-producing areas.

    Life Safety CodeCited May 9, 2025Corrected —

14. The facility failed to ensure the building electrical system met the referenced codes and standards.

    Life Safety CodeCited May 9, 2025Corrected —

15. The facility failed to provide the minimum levels of illumination required in the facility.

    Life Safety CodeCited May 9, 2025Corrected —

16. The facility failed to test and maintain an emergency generator that provides power to emergency lighting.

    Life Safety CodeCited May 9, 2025Corrected —

17. The facility failed to ensure resident room doors would latch in their frames.

    Life Safety CodeCited May 9, 2025Corrected —

18. The facility failed to provide a manual fire alarm system that met the referenced codes and standards.

    Life Safety CodeCited May 9, 2025Corrected —

19. The facility failed to provide a fire sprinkler system that met the referenced codes and standards.

    Life Safety CodeCited May 9, 2025Corrected —

20. The facility failed to include a section addressing warning in the emergency preparedness and response plan.

    Life Safety CodeCited May 9, 2025Corrected —

21. The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.

    Life Safety CodeCited May 9, 2025Corrected —

22. The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

    Life Safety CodeCited May 9, 2025Corrected —