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Home My WebLink About078-360-009 CF ArchiveBUTTE CQIJNTY FIRE DEPARTMENT/CDF FIRE \ , .� ITLE 19/24 (TIBC L'IT,Y INSPECTION INSPECTION NO. 0 2 3 REINSPECT: 1-1 YES Y NO Facility Z ! =S ( P1W t' Occupancy /Ir to "6� • / Address K— 4L C - Inspector G e- Phone -Sqey Station Contact - - L Station Phone •C! "— I } 1 Compliance: Yes =.�F No = 0 Not applicable = N/A ACCESS --All inspections L-. Address correct/posted and visible from road (Butte Co. Code 32-9) ;cess to public street or 20 ft. wide lane (T19-3.05) ates wide enough to admit fire apparatus (T19-3.16) re protection equipment visible/accessible (r19-3.14) PORTABLE FIRE EXTINGUISHERS --All Inspections Extinguishers have current annual service tag (r19 -575.1A) ✓ Maximum travel 75 ft. (r1s-567) f Provide clear access to fire extinguisher (r19-563.2) V'P Extinguishers mounted on wall/or in cabinet, visible and signed (r19-563 8) EXITS -- All Inspections Exits not obstructed (r19-3.11) 1r Exit signs in place (CBC 1003.2.9.1) 1 -(Doors operate without key or special knowledge (CFC 1207.3) Rooms with Occupant Load of 50 Persons or More Exit illumination an §ignsln place (CBC 1003.2.8.2) Maximum-oscLpancy sign in place (T19-3.30) TWO, exit doors/panic hardware swing in direction of travel (CFC 2501.8.2) HOUSEKEEPING - All Inspections t- `'No waste or rubbish accumulation inside or outside T19-3.14) �`r Reduce storage to at least "below ceiling/ sprinklers (r19-3.14) 1 --Remove combus. storage from heater, mech., elect. room (T19-3.19 Alz Provide approved.metal container for oily rag storage (T-19-3.190) /Flammable liquids stored properly (r-19-3.15) Corr tions and Comm�nts r T/` The above deficienpies must be cai "'--�Uwner/Manager -', ELECTRICAL --All inspections Extension cords do not replace permanent wiring (CEC-400-8(1)) Extension cords do not pass through doors/walls (CEC-400-8 {2,3)) 30 inch clearance around all electrical panels (CEC-110-16A) -All panels and breakers are marked (CEC-110-17 C) Repair holes in fire -resistive construction CEC (300-21,22) Multi -plug power strips have circuit breaker (CEC 400-13) FIRE PROTECTION EQUIPMENT--AllInspections Hood system serviced/tagged every 6 mo. by cert. tech. (r19 -9o4) __Clean filters, hood, and duct area over cooking appliances (CFC 1006.2.8) r' Maintain extinguishing systems (r19-3:24) Provide spare sprinkler heads (6 min.) and/or sprinkler wrench (r19-904.5) Replace damaged, cprrdded, or painted sprinkler heads (r19-904.5) Identify sprinklervalves and secure in open position (r19-904.5) Replace missing caps on fire department connection (T19-904.3) PFdvide 5 -yr. certification test for sprinkler/standpipe (T19-904) 'MECHANICAL EQUIPMENT -- All Inspections =Vents and chimneys -- No obvious hazards (CMC -Ch. 8) SMOKE, DETECTORS -- Day Care Sr. Res., Hospitals, Apts. ;,,- Properly installed and tested (r19-749, 754) SCHOOLS, JAILS AND HOSPITALS Decorations and,curtains fire retardant (r19-3.08) LPG -tanks fenced with locked gates (T19-3.22) FIRE DRILLS -- School and Day Care (Title 19-3.13) ___,All systems operable/hooked to office Held monthly (elementary schools) Held semi-annually (high schools) Evacuation plans posted in all rooms -Emergency procedures posted in office Teachers take roll books ; ted within days. - -/-/ 1P9h1)-1A . (21- /1 Inspection Date: AP # r` / � �� G� � �� Fire Prevention Bureau Butte County Fire Rescue White Copy - Business 176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File Oroville, CA 95965 and Fire Protection Pink Copy — Station File Telephone 530-538-7888 Facility Inspection Report Occ. Class. Fax 530-538-2105 Address: "', t JAl C_ Business Name: Owner/Manager:� Bus:I Hin: Fax: Assistant Manager: Bus: Hm: wilding Owner. i Bus: Hm: AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING: 1. Fire Extinguishers: Required, service due 10. Exit(s) obstructed, inadequate 2. Extension cords: Excess use, defective 11. Exit sign(s) required, illumination 3. Excessive rubbish, trash, debris 12. Exit sign lights need replacing 4. Fire alarm system defective 13. Exit lighting: Required, defective 5. Sprinkler system: Service required, defective 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Heating system: Defective appliance, flue combustibles 8. Knox Box keys 17. Address posted and visible from road 9. Fire Drill Witnessed Yes ❑ No ❑ 18. Other (DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: Date: Discussed with: Signed: (Print) Inspecting Officer: Battalion 1 2 3 4 5 '6 ; 7 Station: FPB FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: 0-1 ire Prevention Bureau County Fire Rescue White Copy -Business 76 Nelson Avenue California Department of Forestry Yellow Copy —Occupancy File oville, CA 95965 and Fire Protection Pink Copy —Station File elephone 530-538-7888 Facility Inspection Report Occ. Class. Z � Z • 1 ax 530-538-2105 Address: �7(0 % t .� �8 0 t � Business Name: h f" 'SCcr t V wA e--, er/Maeager: ,^; H-Cr1 �' Bus: S`J � — 3qO �� S � E' Fax: 'slant Manager: Bus: Hm: dingy Owner. Bus: I Hm: amss: �- AN INSPECTION OF YOUR FAC11LITY RFVFAT,FD THF, FOYJ,nWTN[:- 1. Fire hers: Required, service due 10. Exit(s) obstructed, inadequate 2. Extension cords: Excess use, defective 11. Exit sign(s) required, illumination 3. Excessive rubbish, trash, debris 12. Exit sign lights need replacing 14. Fire alazm system defective 13. Exit lighting: Required, defective 5. Sprinkler system: Service required, defective 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 15. Wiring: Exposed, damaged connectors, etc. 17. Fire walls, ceilings, fire doors, draft stops 16. Heating system: Defective appliance, flue combustibles 18. Knox Box keys 17. Address posted and visible from road 9. Fire Drill Witnessed Yes ❑ No 18. Other DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: C'0 Date: 6..'10 Discussed with: (Print) .1 ot%w Signed: InsOer: Battalion 1 2 3 4 5 6 7 Station: FPBGVAVffic �.9 � _ k FIRE PREVENTION SANITS LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION W CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: BCF 3 VOLUNTEER FIRE COMPANIES B NGOR B GGS B JTTE CREEK CANYON B J17E MEADOWS C-IEROKEE C JPPER MILLS C HASS ET D SABLA D RHAM F THER FALLS F REST RANCH G LDEN FEATHER G EATER GRIDLEY LILY RIDGE GALIA N RTH CHICO P LER MO P NTZ VALLEY PI DNEER RI HVALE R BINSON MILL S1 IRLING CITY T ERMAUTO BCF FU LL -TI M E FIRE STATIONS BANGOR BI GS D RHAM G IDLEY LLY RIDGE NC RD NC RTH CHICO OF OVILLE PA LERMO RI HVALE S UTH CHICO UF PER RIDGE CDF F IRE STATIONS BL TTE MEADOWS CC HASS ET FE kTHER FALLS FO EST RANCH HA 3TS MILL JAI 1BO GAP ORVILLE HO PA ADISE RO INSON MILL STI LING CITY BUTT FIRE CENTER REFOESTATION NUBS RY DA IS MA ALIA AIR ATTACK BASE FIRE L OKOUTS BALD MOUNTAIN BLOOMER HILL PLATTE MOUNTAIN SA MILL PEAK SU SET HILL ALSO ROUDLY SERVING CI OF BIGGS CI OF GRIDLEY 04an tte C, tq LAND 4F NATURAL WEALTH AND BEAUTY BUTTE COUNTY FIRE DEPARTMENT CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION "Sixty-seven Years of Cooperative Emergency Services" 176 NELSON AVENUE • OROVILLE, CALIFORNIA 95965-3495 TELEPHONE: (530) 538-7111 FAX: (530) 538-7401 April 9, 2003 Mrs. Janie Henry Henry's Care Home 2760 Oak Knoll Way Oroville, CA 95966 Dear Janie, In reference to our phone conversation this afternoon, your facility is already approved by the fire department as a facility that has 6 guests which includes up to two non- ambulatory guests. If you choose to add non-ambulatory persons to your household you still must apply for approval from Community Care Licensing so they can change their records. If I can be of further assistance, or you desire additional information or clarification, please contact me at the CDF Fire/Butte County Fire Department Fire Prevention Bureau headquarters, (530) 538-3859. Sincerely, William R Sager Fire Chief By: Steven J. Fowler Fire Marshal 100^ Awl STA TE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST STD. 4.50(REV. 10-94) See instructions on reverse. AGENCY CONTACTS NAME TELEPHONENUMBER REQUESTDAiE PROGRAM CDSS ( 530 ) 895-5805 08/14/02 j RCFE EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REOUESTCODE 0207/DONNA GURRIERE 045001190 3A SPECIALCONDITIONS LICENSEE HAS REQUESTED AN INCREASE IN CAPACITY FROM 3 RESIDENTS TO 5. F— CODES 1. ORIGINAL A. FIRE CLEARANCE — —py LICENSING COMMUNITY CARE LICENSING AUTHORITY Z. RENEWAL B. LIFE SAFETY AGENCY 520 COHASSET ROAD, SUITE 6 OROVILLE, CA 95965 ADDRESS NAME AND CHICO, CA 95926 3. CAPACITY CHANGE ADDRESS 4. OWNERSHIP CHANGE 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACrTY ' PREVIOUSCAPACITY CAPACITY PREVIOUS CAPACITY 5! 3 0 0 0 0 ` 5 -_-- - FACILITYNAME I LICENSECATEGORY HENRY'S CARE HOME i RCFE STREETADDRESS(A tualLora6m) NUMBER OF BUILDINGS 2760 OAK KNOLL WAY 1 CITY ! RESTRAINT OROVILLE, CA 95966 ; NONE FACIUTY CONTACT PERSON'S NAME I HOURS JANIE HENRY 533-3404 24 SPECIALCONDITIONS LICENSEE HAS REQUESTED AN INCREASE IN CAPACITY FROM 3 RESIDENTS TO 5. NSPECTOR'S NAME (Typed orPrbrted) ISPECTIONDATE 1NSPECTOR'SSIGNATURE(Tj <PLAIN DENIAL OR LISTS PECIAL CONION TO BE COMPLETED BY INSPECTING AUTHORITY CLEARANCE?DENIAL CODE CODES / 1 FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM TELEPHONENUMBER CFIRS NUMBER ! OCCUPANCYCLASS D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD Punted) / G. OTHER F— STEVE FOWLER FIRE FIRE DEPARTMENT AUTHORITY 176 NELSON AVE. NAME AND OROVILLE, CA 95965 ADDRESS NSPECTOR'S NAME (Typed orPrbrted) ISPECTIONDATE 1NSPECTOR'SSIGNATURE(Tj <PLAIN DENIAL OR LISTS PECIAL CONION TO BE COMPLETED BY INSPECTING AUTHORITY CLEARANCE?DENIAL CODE CODES / 1 FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM TELEPHONENUMBER CFIRS NUMBER ! OCCUPANCYCLASS D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD Punted) / G. OTHER yci--G;� riLr- N0.iGZD � lV:t UL UH1'.0 D.U. '-H/\ •:JOU .:��` �:�J4 S7ATE O: CALIfbiNtA FIRE SAFETY PNSPECnON REQUEST M. Nomv. ID"I Sao kmdtrcllons on romrss. r'HUC 1 Tom✓ r AUENCT COW*Zrb wine DSS/COMMUNITY CARE LICENSING ?MS004owe - -- MMUMT DATT± 530 895-5805 01/02101 PAOggA RCFI WNW EYAWATORE NAME RMXSTMG AUKRCY FACIL rY NLWW 0207/Ronna Gurriere 045001190 1 la C. FWE ALArMI COP" I. ORONAL A. FIRE CLEARANCE FANCY CLAN uctulNo DEPARTMENT OF SOCIAL SERVICES cy Z. RElyµ II. UIFESAiETY ug "a COMMUNITY CARE LICENSING a. WAcmo AoORM 520 COHASSET ROAD, SUITE 6 4, OMVNr FZWCHN#M CHICO, CA 95926 & ApMSSCHAWE L_ __j G. NOW 0"M T: OTHER AWULATOIIY NONAMM "TOW MEOMO M TOTAL CAPACITY CAPACr[Y RNMX CU'A= CAPACITYPY&VIAM QwAaff C PACM "WAM copow 4 0 0 0 0 0 4 iAcam m" UCONN CATEGORY Henry's Care Home RCFE bTRESf AODREd6 iAdwf lga�OtvU NUJAW OF RMLGM6s 2760 Oak Knoll Way 1 cr" resTRAMiT Oroville CA 95966 No F#d%M CONTACT PeP80 S MW houm Janie Henry 533-3404 24 - V....Iw+1w Change of Location. F_ STEVE FOWLER FNW FIRE DEPARTMENT NAM AND 176 NELSON -AVE. Aooa4= OROVILLE, CA 95965 L_ +awcTTrniNH ~QrA ws" TeePNowe w mm 57,7 --VC (5"?o)53g j� II�GTION HATE rAPECTCR'6 �wlllAltAlf rljNwf � CLUAN=RiMOL am t. CLFAAMP"OPANMM 3. RK MUP.M E MiM A. EXM e. GONBTRUCTION C. FWE ALArMI C. � � OAAOM FANCY CLAN F. rano F. S EGIALKCAR7 O. crmm /�