HomeMy WebLinkAboutINSPECTIONS 850s11 JASMINE HOME CARE II
~~ 501 BOB WHITE COURT
~~
FIRE PREVENTION INSPECTION ' a EF,RE I D
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BAKERSFIELD FIRE DEPT. ~ ~~
Prevention Services
900 Truxtun Ave., Ste. 210 /
Bakersfield, CA 93301 ~/
Tel.: (661) 326-3979 ^ Fax: (661) 2-2171
DISTRICT BLOCK NO. DATE ~'`~.. ~-7" EE G~'~0 C-~•
FACILITY ADDRESS ~/~ ~ ,Il CITY, STATE, ZIP ~ ~ ^~ (~ ~.:f
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FACILITY NAME FACILITY PHONE NO.
MANAGER'S NAME
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BUSINESS OWNER'S NAME AND ADDRESS CITY,(STATE, ZIP c\ OWNER'S PHONE NO.
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BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS BILLING PHONE NO.
CITY, STATE, ZIP,
OCC TYP~ OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISJ~R DATE
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^ YES O
NO ~/
CORRECT ALL VIOLATIONS wo~nr,oN REQUIREMENTS >/
CHECKED BELOW xo.
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ST 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
WA
E /DRY
COMBUSTIB
VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal. (U.F.C.)
COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.)
q Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the
extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
EXTINGUISHERS 5 Provide and install (amount) ___~_ approved (type 8 size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U.F.C.)
g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use,
by a person having a valid license or certificate. (U.F.C.)
7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height c Ire ( indow) to
SIGNS fire escape. (U.F.C.)
g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.)
g Repair all (crackslholes/openings) in plaster in (location) ______________________________________. Plastering
FIRE DOORS/
ATION shall return the surface to its original fire resistive condition. (U.B.C.)
FIRE SEPAR
S
10 Remove/repair (item & location) _________________________________________________________. Self-closing
doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and
heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the
closing device. (U.F.C.)
EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)
12 Provide a contrasting colored and permanently installed electric light over or near required exit (location)
______________________________ to clearly indicate it as an exit. (U.F.C.)
STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire
escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.)
14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.)
15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U. F.C.)
OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS 17 Violations of Section 7802 U.F. C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 18 1
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(Signature) (Please Print Name Legibly, Title)
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CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR: /~J
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~,~_...r----- AP NO.: ~ ~ _'~ N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ~-` ASSOCIATION ,~'
N.E.C. NATIONAL ELECTRIC CODE
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White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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Bakersfield Fire Dept.
1715 Chester:Ave.
Bakersfield, CA 93301
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DEQ ~ `~~ FACILITY ~ DR,E$ ~ ~` ~ ~ ~ ZIP: ~~ FE
FACILITY NAME:
MANAGER NAME: / i
BUSINESS OWNER NAME, DDRESS, ZIP CODE (( .~
FACILITY PHONE 1 `" ~~
BILL TO: (INDIFFERENT FROM ABOVE}--NAME, ADDRESS, ZIP CODE, PHONE No.
OCC TYPE
~_ OCC LOAD No. OF FL ORS
~ HI RISE BLDGo
YES O NO RISE ~ ATE
VIOLATION/,~NQ,TICE ~RECTIO`~ ~; - - `
1. Il~/ ~ ~/Z.J~.--
.t DATEbFREIN/S~FECTCIOrN
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NOTES
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CUSTOMER: "" D~1~
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INSPECTOR: t ~~/,~-. AP No. ~~.......,, FIRE PREVENTYON SERVICES
, (661) 326-3979
WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE
FD1952
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STATE OF CAUFOI
FIRE SAFt . I SPECTION REQUEST
sTD. Bso (REV. Taa4)
See lnstruct/ons on reverse.
AGENCY CONTACTS NAME TELEPNONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-8080 8/18/06 109
EVALUATOR'S NAME /
', I/~: G~.t-~---. REQUESTING AGENCY FACILITY NUMBER
157203446 ~ -? ~~ may- REpUEST CODE
1 A
RESPONSE REQUIRED cones
LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~
AGENCY ~ E ~. E I Y E
NAME AND COMMUNITY CARE LICENSING 1. ORIGINAL A. FIRECLEARANCE
z. RENEWAL B.UFESAFETY
3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 330 AUG 21 2006 4. OWNERSHIPCHANGE
FRESNO, CA 93710-778
nn II KERN CO. FlRE PREVENTION
5~--~ 4~(~~ (~ l.- J 5. ADDRESS CHANGE
S. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPAGTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
FACILITY NAMF LICENSE GATEGORT
JASMINE HOME CARE II ~~'"-'`~ ELDERLY
STREET ADDRESS (Adwl Location) NUMBER OF BUILDINGS
501 BOB WHITE COURT ' ~,.~~ ~ ~ 1
cmr ~ ` /1 ,a ~ RESTRAINT
BAKERSFIELD, CA 93309 ~ '~ NONE
FAGUTY CONTACT PERSONS NAME HOURS
LYDIA ABIDAYO (6611831-5135 24 HOURS
sPEaAL coNDmoNs
FlRE KERN CO
FIRE DEPARTMENT
AUTHORITY .
NAME AND 5642 VICTOR STREET
ADDRESS gAKERSFIELD, CA 93308
L_
MSPECTOR'S NAME ynad or TELEPHONE NUMBER CF1RS NUMBER OCCUPANCY CLAS6
~"'...
~'DA INSPECTORS SIG or
N OE>'NAl OR UST SPEGAL COMDITKINS
1. SIRE CLEARANCE GRANTED
2. FlRE CLEARANCE DENIED
A. EXITS
8. CONSTRUCTION
C. FlRE ALARM
D. SPRINKLERS
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHER
~.
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---------------- Original message header ------------------
From: BFD HazMat 900 Truxtun -.10.1.17.55
Date: Friday, November 03, 2006 3:47:54 PM
Subject:
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16502668841 [successful transmission]