THE DELANEY AT LAKE WACO

2019 · 9 cited

1. The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

   Life Safety CodeCited Aug 2, 2019Corrected Aug 31, 2019

2. The facility failed to ensure an emergency generator was in compliance with licensing standards for assisted living facilities.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 20, 2019

3. The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 15, 2019

4. The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

   Life Safety CodeCited Aug 2, 2019Corrected Aug 31, 2019

5. The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 25, 2019

6. The facility failed to provide the required sprinkler system to meet NFPA 13.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 15, 2019

7. The facility failed to ensure an annual inspection was conducted by the local fire marshal.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 15, 2019

8. The facility failed to ensure the building was kept in good repair.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 15, 2019

9. The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.

   Life Safety CodeCited Aug 2, 2019Corrected Sep 15, 2019