Recall of Fire Protection System
of BQA 02-014 (PDF, 8 KB)
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Date: August 12, 2002 DSL-BQA Memo
To: Community Based Residential Facilities CBRF 05
From: Kevin Coughlin, Interim Chief, Resident Care Review Section
Bureau of Quality Assurance
Via: Susan Schroeder, Director, Bureau of Quality Assurance
This memo is a follow-up to memorandum DSL-BQA-01-034, "Recall of
Fire Protection System Sprinklers." The intent of this memorandum is
to provide direction to facilities with installed sprinkler heads included
on the joint U.S. Consumer Product Safety Commission (CPSC), and Central
Sprinkler Company sprinkler head recall list. The following internet
address will link you to a copy of DLS-BQA-Memo-01-034 at http://www.dhs.state.wi.us/rl_DSL/Publications/01-034.htm
You may also wish to reference the Centers for Medicare & Medicaid
Services memorandum S&C-02-024 regarding Recalled Sprinkler Heads at http://www.hcfa.gov/medicaid/ltcsp/042902b.htm
The Department of Health and Family Services (DHFS) expects that
facilities with sprinkler heads included on the recall list shall do all
of the following:
Contact the Notice Packet Request Line and
request a sprinkler head replacement packet. The Notice Packet Request
Line can be reached at 1-800-871-3492, 24 hours a day, 7 days a
week, or access the program’s web site at www.SprinklerReplacement.com (exit
DHFS). If you have any questions about how to
complete the forms or how to identify the O-ring seal sprinkler heads
involved in this program, please call the Central Sprinkler Company
Customer Service Hotline at 1-866-505-8553, 9:00 a.m. to
7:00 p.m. EST.
Request a "priority" listing on the Central
Sprinkler Company’s wait list.
Inform your local fire department that your facility
has sprinkler heads that are on the recall list.
Follow any recommendations for additional interim fire
safety measures given by your local fire department.
Install additional fire extinguishers on each level of
The facility should retain records of activity,
including the response and corrective action taken to alleviate any
Included in memorandum DSL-BQA-01-034 is a summary of the CPSC and
Central Sprinkler Company recall program. The summary provides the
contact, sprinkler model numbers, and instructions for the program.
Facilities are responsible for maintenance and inspection of their fire
protection systems; therefore, if suspected sprinkler heads are
identified, contact the Central Sprinkler Company.
Assisted living survey staff from the Bureau of Quality Assurance will
be monitoring for compliance with this requirement. Facilities that are
not in compliance with this requirement will be subject to a deficiency
Administrative Code, s. HFS 83.43(7)(b) (exit DHS)
Installation and Maintenance.
If you have any questions regarding this information, please contact
the appropriate Regional Field
Operations Director (RFOD) listed below [via Regional
Offices, ask for Assisted Living Supervisor].
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