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36C26120Q0099 0001 Example Format for documenting discrepancies (Question and Answer attachment).xlsx

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Findings

No.FlRoom/LocationReferenceFindingRecommended Action(s)
11Dorm Bldg - 2 Gas Furnace RmsNFPA 101 (12) 32.3.3.2.2 32.3.3.6.6Though smoke detectors have been installed in these two rooms, the walls and doors surrounding these two hazardous areas not fire resistance/protected rated and their doors are equipped with louversSeparate both rooms from adjacent areas by 1 hr fire resistance rated construction and replace the existing doors with 45-minute rated self-closing and latching doors without louvers (Note: it is recognized that at this juncture, it may be impractical to construct 1 hr rated construction around the two rooms and seal the louvers especially if there is no economical way to vent the two rooms, but this was an NFPA/VA requirement when the facility was constructed and the VA needs to decide if and how to address this issue)
21KitchenNFPA 96 (11) 11.2.4, 11.3.2 & 11.4; NFPA 17 (09) 7.3.3Wet chemical fire extinguishing system protecting the kitchen cooking surfaces has not be serviced in over a yearHave the wet chemical fire extinguishing system serviced semi-annually by a certified or licensed contractor per the manufacturer's instructions; semi-annual service needs to include inspecting grease build-up and replacing fusible links

Facility Name/Address/POC - Ukiah Recovery Ctr, 201 Brush St, Ukiah, CA (Clover Martin) Date - 7/2/19

Sprinklers - QRS in Dorm and Admin Bldgs. FA -Firelite w-24 VDC SD Area - 8,122 sq ft Beds (Tot/VA) - 40/4 Occ - LRBC

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