K^^.^^ - Wa

Washington State PatrolFire Protection Bureau

Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,

Port Townsend, WA 98368

Provider Number

Approval Status

Facility Type

2185

Approved

Residential Care

On 12/11/2019 the Office of the State Fire Marshal conducted an inspection at your facility.

All violations noted during previous related inspection(s) have been corrected.

Own^r of/Oyvner's. Representative

"fîÂ^M^L'Signature" ' ^

^'^^^ ^ -.Print Name and Title I

Deputy State Fire Marshal Kenneth R. Dellsite210 HthAVESWOlympiaWA 98501(360)561-1732

K^^.^^Signature

Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12.

1 °^1 Initials of Authorized Facility Representative:

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Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,


Provider Number

Approval Status

Facility Type

2185

Disapproved

Residential Care


Code Requirement Statement of Violation

1 Extension Cords.

Extension cords and flexible cords shall not be a substitute forpermanent wiring. Extension cords and flexible cords shall notbe affixed to structures, extended through walls, ceilings orfloors, or under doors or floor coverings, nor shall such cordsbe subject to environmental damage or physical impact.Extension cords shall be used only with portable appliances.

(IFC 605.5)

Findings were: /•Found in Stand up office unaproved multi plug adapter withtwo power strips plugged into it. Found extension cord runningout of power strip to other side of office with multi plug on endof cord.

2 Door Operation

Swinging fire doors shall close from the full-open position andlatch automatically. The door closer shall exert enough force toclose and latch the door from any partially open position.

(IFC 703.2.3)

Findings were:

Found Beauty Salon door needs closer put back on fire door.

3 Fire Protection Systems - Records

Records of all system inspections, tests and maintenancerequired by the referenced standards shall be maintained.

(IFC 0901.6.2)

Findings were:

Facility failed to have fire alarm records on site. ^^

1 of6 Initials of Authorized Facility Representative:

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Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,


Provider Number

Approval Status

Facility Type

2185

Disapproved

Residential Care



4 Systems Out Of Service

Where a required fire protection system is out of service, thefire department and the fire code official shall be notifiedimmediately and, where required by the fire code official, thebuilding shall either be evacuated or an approved fire watchshall be provided for all occupants left unprotected by the shutdown until the fire protection system has been returned toservice.

Where utilized, fire watches shall be provided with at least oneapproved means for notification of the fire department and theironly duty shall be to perform constant patrols of the protectedpremises and keep watch for fires.

(IFC 901.7)

Findings were:

Facility failed to notify local and state fire marshals of firesprinkler system failure and out of service.

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2 of 6 Initials of Authorized Facility Representative:

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Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,


Provider Number

Approval Status

Facility Type

2185

Disapproved

Residential Care



5 Portable Fire Extinguishers - General Requirements

Portable fire extinguishers shall be selected, installed andmaintained in accordance with this section and NFPA 10.

Exceptions:

1. The distance of travel to reach an extinguisher shallnot apply The travel distance to reach an extinguisher shall notapply to the spectator seating portions of Group A-5occupancies.

2. Thirty-day inspections shall not be required andmaintenance shall be allowed to be once every three years fordry-chemical or halogenated agent portable fire extinguishersthat are supervised by a listed and approved electronicmonitoring device, provided that all of the following conditionsare met:

2.1. Electronic monitoring shall confirm that extinguishersare properly positioned, properly charged and unobstructed.

2.2. Loss of power or circuit continuity to the electronicmonitoring device shall initiate a trouble signal.

2.3. The extinguishers shall be installed inside of abuilding or cabinet in a noncorrosive environment.

2.4. Electronic monitoring devices and supervisorycircuits shall be tested every three years when extinguishermaintenance is performed.

2.5. A written log of required hydrostatic test dates forextinguishers shall be maintained by the owner to verify thathydrostatic tests are conducted at the frequency required byNFPA10.

3. In Group 1-3, portable fire extinguishers shall bepermitted to be located at staff locations.

IFC 906.2 2015

Findings were:

Found the following fire extinguishers not signed off onmonthly inspection tags: . Êxtinguisher by room 1^5, ^26, ^11, and in Stand up room.


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Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,


Provider Number

Approval Status

Facility Type

2185

Disapproved

Residential Care



6 Continuity and components.

Each required accessible means of egress shall be continuousto a public way and shall consist of one or more of the followingcomponents:

1. Accessible routes complying with Section 1104 ofthe International Building Code.

2. Interior exit stairways complying with Sections1009.3 and 1023.

3. Interior exit access stairways complying withSections 1009.3 and 1019.3 or 1019.4.

4. Exterior exit stairways complying with Sections1009.3 and 1027 and serving levels other than the level of exitdischarge.

5. Elevators complying with Section 1009.4.

6. Platform lifts complying with Section 1009.5.

7. Horizontal exits complying with Section 1026.

8. Ramps complying with Section 1012.

9. Areas of refuge complying with Section 1009.6.

10. Exterior area for assisted rescue complying withSection 1009.7 serving exits at the level of exit discharge.

(IFC 1009.2 2015)

Findings were:

Facility failed to have an all weather surface to public way êxiting from the North East exit of the building.

7 NFPA 80 Fire /Smoke Dampers Inspection and Testing

19.4 Periodic Inspection and Testing.19.4.1 Each damper shall be tested and inspected 1 year afterinstallation.19.4.1.1 The test and inspection frequency shall then be every4 years, except in hospitals, where the frequency shall be every6 years.

Findings were:

Facility failed to have smoke dampers tested every four years.


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Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,


Provider Number

Approval Status

Facility Type

2185

Disapproved

Residential Care



8 NFPA 80 Fire Door Inspection and Testing

5.2.1 Inspection and Testing. Upon completin of the installation,door, shutters, and window assemblies shall be inspected andtested in accordance with 5.2.4.5.2.4 Periodic Inspection and Testing.5.2.4.1 Periodic inspections and testing shall be performed notless than annually.

5.2.2.4 A record of all inspections and testing shall be providedthat includes, but is not limited to, the following information:1. Date of inspection2. Name of facility3. Address of facility4. Name of person(s) performing inspections and testing5. Company name and address of inspecting company6. Signature of inspector of record7. Individual record of each inspected and tested fire doorassembly8. Opening identifier and location of each inspected and testedfire door assembly9. Type and description of each inspected and tested fire doorassembly10. Verification of visual inspection and functional operation11. Listing of deficiencies in accordance with 5.2.3, Section 5.3,and Section 5.4

And the following hall be checked:1. Labels are clearly visible and legible2. No open holes or breaks exist in surfaces of witherthe door or frame3. Glazing, vision light frames, and glazing beads areintact and securely fastened in place, if so equipped.4. The door, frame, hinges, hardware, and noncombustible threshold are secured, aligned and in workingorder with no visible, signs of damage5. No parts are missing or broken6. Door clearances do not exceed clearances listed in4.8.4 and 6.3.1.7

7. The self-closing device is operational,: that is, theactive door completely closes when operated from the full openposition8. If a coordinator is installed, the inactive lead close

Findings were:

Facility failed to have fire doors labeled, checked, and tested ^yearly.


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Phone: (360)596-3900

Business Name

Address

City, State, Zip

Victoria Place

491 DISCOVERY RD,


Provider Number

Approval Status

Facility Type

2185Disapproved

Residential Care



before the active lead9. Latching hardware operates and secures the doorwhen it is in the closed positon10. Auxiliary hardware items that interfere or prohibit operationare not installed on the door or frame11. No field modification to the door assembly have beenpreformed that void the label.12. Meeting edge protection, gasketing and edge seals whererequired, are inspected to verify their presence and intertie13. Signage affixed to a door meets the requirements listed in4.1.4

Next inspection scheduled on or after:

Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12.

.tfthocized^h

^;^ L F^ -I -^L I ^s îcJT 1-CC2-^Sigrfature J Print Name and Title T^

Deputy State Fire Marshal Kenneth R. Dellsite210 HthAVESWOlympiaWA 98501(360,) §61-1732

Signature


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K^^.^^ - Wa