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Last updated: 3/18/2021
Fire Safety Survey Report-ICF-IID (Large Facilities) 2012 Life Safety Code {CMS-2786W}
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Description
CMS-2786W - FIRE SAFETY SURVEY REPORT - 2012 LIFE SAFETY CODE Intermediate Care Facilities for Individuals with Intellectual Disabilities LARGE FACILITIES. This form is used by the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to assess the fire safety compliance of Intermediate Care Facilities for Individuals with Intellectual Disabilities, specifically for large facilities. It is based on the 2012 Life Safety Code and includes various parts covering existing and new residential board and care occupancies, building services, operating features, and a fire safety evaluation system. The form requires detailed information about the facility, including construction type, evacuation capabilities, fire alarm systems, means of egress, and other safety measures. Surveyors use this form to document compliance with fire safety standards, noting whether specific criteria are met, not met, or not applicable. www.FormsWorkflow.com
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