| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01G011 | (X3) Date Survey Completed 08/17/2022 |
| Name of Provider or Supplier Rainbow Omega, Inc, | Street Address, City, State 202 Hope Drive, Eastaboga, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| KS352 | Sprinkler System - Supervisory Signals CFR(s): NFPA 101 Sprinkler System - Supervisory Signals 2012 EXISTING (Prompt) Where a required automatic sprinkler system is installed, supervisory attachments are installed and monitored for integrity in accordance with NFPA 72, National Fire Alarm and Signaling Code, and provide a signal that sounds and is displayed at a continuously attended location or approved remote facility, when sprinkler operation is impaired. An automatic sprinkler system in accordance with NFPA 13D would not require water flow alarms where a facility has smoke alarms or smoke detectors in accordance with NFPA 72. 9.7.2.1, 7.6 (NFPA 13D), NFPA 72 This STANDARD is not met as evidenced by: Based on review of documentation, the facility failed to provide the code required tamper switch (electronic supervisory signal) for the automatic the sprinkler system per the requirements of: 2012 NFPA 101, 33.2.3.5, and 9.7.2.1 2010 NFPA 72, 10.7.4, and 10.16.2 This deficiency affects the whole facility. Findings include: On 08/17/2022, during a tour of the facility from 8:30 am to 3:30 pm, the facility failed to maintain the existing noncode approved tamper switch for a valve in the sprinkler pit. The existing plug-in-type tamper switch was deteriorated and inoperable and not able to be plugged in to the switch box. A member of the maintenance staff and the administrator were present, when this deficiency was identified. |