During the review of life safety paperwork, the Quarterly Fire Prevention Checklist for the last two quarters for 2016 and the first quarter of 2017 could not be located. The administration contacted the compliance officer and she explained that she had not done the required checklist since taking the position in October of 2016.
During the inspection of the facility fire panel, it was discovered that it was overdue for the annual inspection. The last annual (Blue Tag) was completed on September 4, 2015. The annual inspection should have been completed no later than September 4, 2016. Also, on day of inspection, the fire control panel had multiple mapping errors causing
the panel to be in trouble mode. Upon the inspectors arrival, a fire company was onsite attempting to address the troubles with the system. The company issued a Red Tag at end of day on April 12, 2017 for ground faults / system impaired.
During the review of life safety paperwork, it was determined that the Monthly Equipment Checks could not be located for dates after June of 2016. The administration contacted the compliance officer and she again explained that she had not completed the monthly equipment checks since taking the position in October of 2016. It also appears that some of the documentation could have been misplaced or lost.