| Facility failed to meet the following Requirement(s): | Corrected Date | Level of Harm | Residents Affected |
| General Requirements.
(D) The department shall have the right of inspection of any portion of a building in which a licensed facility is located unless the unlicensed portion is separated by two- (2-) hour fire-resistant construction. No section of the building shall present a fire hazard. I/II
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7/8/2022
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| Fire Safety Training Requirements.
(A) The facility shall ensure that fire safety training is provided to all employees:
1. During employee orientation;
2. At least every six (6) months; and
3. When training needs are identified as a result of fire drill evaluations. II/III
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7/8/2022
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| Sprinkler Systems.
(A) Facilities licensed on or after August 28, 2007, or any section of a facility in which a major renovation has been completed on or after August 28, 2007, shall install and maintain a complete sprinkler system in accordance with NFPA 13, 1999 edition. I/II
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7/8/2022
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| Oxygen storage shall be in accordance with NFPA 99, 1999 Edition. II/III
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7/8/2022
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