925417-VA Central California Health Care System - Building 31 Facility Notes Report v1 September 2025.xlsx

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Z1DZ--FIRE DOOR REPAIRS INSPECTION DEFICIENCIES
Solicitation number
36C26126Q0854
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About this file

This is a Facility Notes Report documenting fire door inspection deficiencies at VA Central California Health Care System, Building 31 (Community Living Center) in Fresno, California, as of September 26, 2025. The report provides a comprehensive inventory of 33 swinging doors across the first floor, detailing inspection results, wall ratings, door ratings, frame ratings, and facility notes for each door.

The inspection identifies multiple deficiencies requiring remediation. Of the 33 doors inspected, 18 passed inspection, while 15 doors are marked as "Not Repaired," indicating compliance failures. Key deficiencies include doors with illegible or missing labels, dogging devices that were improperly removed from fire-rated doors, and mismatched door and frame ratings relative to wall ratings. Specific problem areas include multiple cross-corridor doors near the nourishment area and medication room with removed dogging devices, doors in the therapy room and dining room with incorrect smoke labels, storage and clean linen areas with missing or non-compliant labeling, and a restroom door with inadequate fire ratings. Wall ratings range from Smoke Barrier to 1-Hour Fire/Smoke designations, with corresponding door and frame ratings of 20 minutes to 90 minutes. The facility notes also flag two doors with signage exceeding the 5 percent allowance. This report serves as the basis for the solicitation 36C26126Q0854 for fire door repairs and inspection deficiency corrections.

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Doors

VA Central California Health Care System - Building 31 - Fresno, CA
Door IDAlt IDLocationFloorBuildingDoor TypeInspection DateWall RatingDoor RatingFrame RatingStatusFacility Notes
11528872SP1C02-31Laundry room1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingPass
11528904Cross corridor near nourishment1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel illegible; label not required per wall ratingPassDogging device removed
11528905SP1C01-31Nourishment kitchen1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingPass
11528906Cross corridor near nourishment1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel illegible; label not required per wall ratingPassDogging device removed
11528907Cross corridor near 1A061Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel illegible; label not required per wall ratingPassDogging device removed
11528908Cross corridor near 1A061Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel illegible; label not required per wall ratingPassDogging device removed
11528909SP1C21-31Soiled utility1Community Living centerSwinging Door9/26/2025Smoke Barrier45 MinuteLabel present; no rating specifiedPass
11528910SP1C05-31Clean linen1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingLabel present; no rating specifiedNot Repaired
11528911SP1A08-31Occupational activities1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingNot Repaired
11528912SP1A08A-31Activity storage1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingNot Repaired
11528913SP1A09-31Therapy room1Community Living centerSwinging Door9/26/2025Smoke BarrierSmoke LabelSmoke LabelNot Repaired
11528914SP1A09-31Therapy room1Community Living centerSwinging Door9/26/2025Smoke BarrierSmoke LabelSmoke LabelNot Repaired
11528915SP1A10-31Dinning room1Community Living centerSwinging Door9/26/2025Smoke BarrierSmoke LabelSmoke LabelNot Repaired
11528916SP1A10-31Dinning room1Community Living centerSwinging Door9/26/2025Smoke BarrierSmoke LabelSmoke LabelNot Repaired
11528917Activities1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingNot Repaired
11528918SP1A29-31Oxygen storage1Community Living centerSwinging Door9/26/2025Smoke Barrier90 Minute90 MinutePass
11528919SP1A15-31Clean supply1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel present; no rating specifiedPass
11528920SP1A16-31Restroom,1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel present; no rating specifiedNot Repaired
11528921SP1A13B-31Storage 1a13b1Community Living centerSwinging Door9/26/2025Smoke Barrier20 MinuteNo label present / not required per wall ratingNot Repaired
11528922Cross corridor near 1a271Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel present; no rating specifiedPassDogging device removed
11528923Cross corridor near 1a271Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel present; no rating specifiedPassDogging device removed
11528924SP1A28-31Housekeeping1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteNo label present / not required per wall ratingNot Repaired
11528925SP1A22-311a22 storage1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingPassSignage exceeding 5%
11528926SP1A22A-31Fire sprinkler room1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingPass
11528927SP1A34-31Clean supply1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 MinuteLabel present; no rating specifiedPassSignage exceeding 5%
11528928SP1B21-31Medication1Community Living centerSwinging Door9/26/20251 Hour Fire/SmokeNo label present / not required per wall ratingNo label present / not required per wall ratingPass
11528929Cross corridor near medication room1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 Minute60 MinuteNot RepairedDogging device was removed
11528930Cross corridor near Medication1Community Living centerSwinging Door9/26/20251 Hour Fire/Smoke20 Minute60 MinutePassDogging device removed
11528931SP1B20-31Clean linen1Community Living centerSwinging Door9/26/2025Smoke Barrier45 MinuteLabel present; no rating specifiedPass
11528932SP1B02-311b02 storage1Community Living centerSwinging Door9/26/2025Smoke Barrier20 Minute3 HourRepaired/Passed
11528933SP1B16-31Clean supply1Community Living centerSwinging Door9/26/2025Smoke BarrierNo label present / not required per wall ratingNo label present / not required per wall ratingPass

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