U.S.

Department of Housing and Urban Development

Washington, DC 20410-0100

07/08/2019

REAL ESTATE ASSESSMENT CENTER

650125 / 800004927

Ralston Towers
211 12th ST
COLUMBUS, GA 31901 -2463

Dear Owner:

This letter transmits by electronic file the most recent physical inspection summary report for your property.
This inspection was performed by an inspector certified by HUD in the use of the inspection protocol and was
performed pursuant to HUD regulations at 24 CFR Part 5 and Part 200. These regulations may be viewed on the
REAC website at http://www.hud.gov/offices/reac. This site provides information about REAC and the physical
inspection process and allows you to download a free copy of the inspection software and view deficiency
definitions. Also enclosed is a short description of the elements of the report to assist you in interpretation.

If the inspector noted any exigent health and safety (EH&S) deficiencies at the time of the inspection, you or
your representative received a report listing those deficiencies. You are required to correct all EH&S deficiencies
at your property, not only those deficiencies noted by the inspector. You must repair or mitigate all EH&S items
immediately, and you must file a written report with the local field office using your letterhead, certifying to the
repairs or mitigation of the EH&S items within three (3) business days of the date of the inspection. The attached
certification language must be included in your statement of completion. If your property is assigned to a
Performance-Based Contract Administrator (PB-CA), your certification should be sent to the PB-CA and not to
the local HUD office. If the loan is under the 232 program, your certification should be sent to the Account
Executive with the Office of Healthcare Programs (OHP). Do not send your report to REAC.

If your property received a score from 31 to 59, the inspection has been referred to the Multifamily Hub or
local OHP that has jurisdiction over the property for possible enforcement action. A physical Inspection score
below 60 indicates that the owner may not be fulfilling his/her contractual obligations to HUD and that the
residents may not be receiving the quality of housing to which they are entitled. Accordingly, HUD will determine
whether or not it must proceed to take enforcement action as authorized by existing statutes, regulations,
contracts or other business documents. HUD may suspend the administrative procedure described in 24 CFR
200 Subpart P when HUD determines it necessary to protect HUD's financial interests and to protect the
residents as provided by 24 CFR 200.857(i)(4).

You will be contacted by the Hub, Program Center or OHP to set up a meeting or discussion on the
compliance needs of your property. However, you should not delay the commencement of repairs to your
property pending such a meeting. You should complete a survey of the physical needs of your entire property.
While this physical inspection report may provide baseline information, be advised that all property repair needs
must be corrected. This survey should be provided to the Program Center or Hub that has jurisdiction over your
property upon your prompt completion.

If the mortgage on the property is insured by HUD/FHA, please provide copies of all correspondence
regarding this inspection to your mortgagee.

Thank you for your cooperation.

Sincerely,

SAMUEL TUFFOUR
PROGRAM MANAGER, PHYSICAL ASSESSMENT
SUBSYSTEM
Real Estate Assessment Center
Enclosures
Inspection Summary Report (POA) for Inspection #650125

Inspection Snapshot

Inspection ID: 650125 Inspection Time: 08:28 AM - 04:56 PM

Inspection Start Inspection End
Date: 07/08/2019 Date: 07/08/2019
Property ID: 800004927 Property Type: Multifamily
Property Name: Ralston Towers
Inspection State: Successful Score: 42c

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 1 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Property Profile

Property Name: Ralston Towers

Scattered Site? No Multiple Site? No
Address Line 1: 211 12th ST
Address Line 2:
City: COLUMBUS State: GA
ZIP: 31901 Extension: 2463
Phone: (706) 322-7331 Extension:
Fax: (706) 322-0062 Email: ralston.pm@ralstonapts.com
Building Units
Type Expected Actual Sampled Expected Actual Sampled
Residential 1 1 1 269 269 25
Common 0 - - -
Total 1 1 1 269 269 25

Occupancy Information
No. of Occupied Units Occupancy Rate Inspect Vacant Units
199 74% Yes

70 VACANCIES 24 BED BUG UNITS PRAC 202, DISABLE UNITS ROOF IS ACCESSABLE
Comments COXP M=0 W=0 NW=0; There are no Fuel Fired/Burning Appliance(s)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 2 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Participant Profile

Owner [Primary Contact / Not Present During Inspection]

Name (F, MI, L): CHAIKEL PEREZ
Organization: PF HOLDINGS LLC
Address Line 1: 10 Hill St
Address Line 2:
City: Newark State: NJ
ZIP: 07102 Extension:
Phone: (718) 925-4111 Extension:
Fax: Email: Chaikel@pfholdingsllc.com
Management Agent [Not Present During Inspection]
Name (F, MI, L): CHAIKL PURETZ
Organization: PF HOLDINGS LLC
Address Line 1: 10 HILL STREET
Address Line 2:
City: NEWARK State: NJ
ZIP: 07102 Extension:
Phone: (718) 925-4111 Extension:
Fax: Email: chaikel@pfholdingsllc.com
Site Manager [Present During Inspection]
Name (F, MI, L): TONI J. MAYES
Organization: RALSTON GA LLC
Address Line 1: 211 12th St
Address Line 2:
City: Columbus State: GA
ZIP: 31901 Extension:
Phone: (706) 322-7331 Extension:
Fax: Email: ralston.pm@ralstonapts.com
Other [Present During Inspection]
Name (F, MI, L): RICHARD NIVER
Organization: RALSTON GA LLC
Address Line 1: 211 12TH STREET
Address Line 2:
City: COLUMBUS State: GA
ZIP: 31901 Extension:
Phone: (706) 322-7331 Extension:
Fax: (706) 322-0062 Email:
Other [Present During Inspection]
Name (F, MI, L): LARRY DORSEY
Organization: RALSTON GA LLC

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 3 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Participant Profile
Address Line 1: 211 12TH STREET
Address Line 2:
City: COLUMBUS State: GA
ZIP: 31901 Extension:
Phone: (706) 322-7331 Extension:
Fax: Email:

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 4 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Score Summary

Possible Deductions(Excluding Pre H&S H&S

Area Final Points
Points H&S) Points Deductions
Site 11.77 2.45 9.32 4.90 4.41
Building Exterior 17.43 1.46 15.97 0.00 15.97
Building Systems 23.24 10.00 13.24 8.11 5.14
Common Area 14.82 14.82 0.00 0.00 0.00
Unit 32.74 7.85 24.89 8.74 16.15
Total 100.00 36.58 63.42 21.75 41.67

Score Version: 1 Score Date: 07/08/2019 Final Score: 42c

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 5 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Health & Safety Summary

Site Buildings Units Total Health and Safety Narrative

1 site, 1 buildings and 25 units were inspected.
Non-Life Threatening (NLT)
Actual 1 7 18 26 28 health and safety deficiencies(HSD) were
observed.
Projected 1 7 194 202
Percentage Inspected:
Life Threatening (LT)
Site (PIS): 100%
Actual 0 1 1 2 Building (PIB): 100%
Unit (PIU): 9%
Projected 0 1 11 12
Smoke Detectors (SD) Projected HSD:
Site = (Actual HSDS) / PIS
Actual 0 0 0 0
Building = (Actual HSDB) / PIB
Projected 0 0 0 0 Unit = (Actual HSDU) / PIU
Overall If all buildings and units were inspected, it is
Actual 1 8 19 28 projected that a total of 213 health and safety
deficiencies would apply to the property.
Projected 1 8 204 213

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 6 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Systemic Deficiencies

B/U with Total

Type Area Item Deficiency
defects B/U %
Ordinary Site Grounds Site - Overgrown/Penetrating 1 1 100
Vegetation (Grounds)
Ordinary Site Hazards HS - Sharp Edges (Hazards) 1 1 100
Ordinary BE Walls BE- Stained/Peeling/Needs Paint 1 1 100
(Walls)
Ordinary BS Domestic Water BS- Leaking Central Water Supply 1 1 100
(Domestic Water)
Ordinary BS Emergency/Fire Exits HS - Missing Exit Signs (Emergency/ 1 1 100
Fire Exits)
Ordinary CA Emergency/Fire Exits HS - Missing Exit Signs (Emergency/ 1 1 100
Fire Exits)
Ordinary CA Infestation HS - Rats/Mice/Vermin (Infestation) 1 1 100
Ordinary CA Air Quality HS - Mold and/or Mildew Observed (Air 1 1 100
Quality)
Ordinary CA Hazards HS - Lead Hazard Report 1 1 100
Ordinary CA Ceiling CA - Mold/Mildew/Water Stains/Water 1 1 100
Damage (Ceiling)
Ordinary CA Ceiling CA - Peeling/Needs Paint (Ceiling) 1 1 100
Ordinary CA Floors CA - Peeling/Needs Paint (Floors) 1 1 100
Ordinary CA Restroom Items CA - Damaged/Missing (Lavatory Sink) 1 1 100
Ordinary CA Walls CA - Damaged (Walls) 1 1 100
Ordinary CA Walls CA - Peeling/Needs Paint (Walls) 1 1 100
Ordinary CA Ceiling CA - Mold/Mildew/Water Stains/Water 1 1 100
Damage (Ceiling)
Ordinary CA Outlets/Switches/Cover CA - Missing/Broken (Outlets/Switches/ 1 1 100
Plates Cover Plates)
Ordinary CA Walls CA - Bulging/Buckling (Walls) 1 1 100
Ordinary CA Doors CA - Damaged Surface (Holes/Paint/ 1 1 100
Rust/Glass) (Doors)
Ordinary CA Ceiling CA - Peeling/Needs Paint (Ceiling) 1 1 100
Ordinary CA Walls CA - Bulging/Buckling (Walls) 1 1 100
Ordinary CA Ceiling CA - Mold/Mildew/Water Stains/Water 1 1 100
Damage (Ceiling)
Ordinary CA Ceiling CA - Holes/Missing Tiles/Panels/Cracks 1 1 100
(Ceiling)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 7 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

B/U with Total

Type Area Item Deficiency
defects B/U %
Ordinary CA Ceiling CA - Peeling/Needs Paint (Ceiling) 1 1 100
Ordinary CA Doors CA - Damaged Hardware/Locks 1 1 100
(Doors)
Ordinary CA Doors CA - Damaged Surface (Holes/Paint/ 1 1 100
Rust/Glass) (Doors)
Ordinary CA Floors CA - Hard Floor Covering Missing/ 1 1 100
Damaged Flooring/Tiles (Floors)
Ordinary CA Walls CA - Bulging/Buckling (Walls) 1 1 100
Ordinary CA Walls CA - Damaged (Walls) 1 1 100
Ordinary CA Walls CA - Peeling/Needs Paint (Walls) 1 1 100
Ordinary CA Windows CA - Damaged/Missing Screens 1 1 100
(Windows)
Ordinary CA Ceiling CA - Mold/Mildew/Water Stains/Water 1 1 100
Damage (Ceiling)
Ordinary CA Doors CA - Damaged Hardware/Locks 1 1 100
(Doors)
Ordinary CA Doors CA - Damaged Surface (Holes/Paint/ 1 1 100
Rust/Glass) (Doors)
Ordinary CA Walls CA - Damaged (Walls) 1 1 100
Ordinary CA Windows CA - Inoperable/Not Lockable 1 1 100
(Windows)
Ordinary CA Doors CA - Damaged Hardware/Locks 1 1 100
(Doors)
Ordinary CA Doors CA - Damaged Hardware/Locks 1 1 100
(Doors)
Ordinary CA Ceiling CA - Bulging/Buckling (Ceiling) 1 1 100
Ordinary CA Doors CA - Damaged Hardware/Locks 1 1 100
(Doors)
Ordinary CA Kitchen Items CA - Missing/Damaged (Sink) 1 1 100
Ordinary CA Walls CA - Damaged (Walls) 1 1 100
Ordinary CA Walls CA - Peeling/Needs Paint (Walls) 1 1 100
Ordinary CA Chutes CA - Damaged/Missing Components 1 1 100
(Chutes)
Ordinary Unit Windows Unit - Damaged/Missing Screens 15 25 60
(Windows)
Note:
B/U - Indicates Buildings or Units
BE - Indicates Building Exterior

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 8 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

BS - Indicates Building Systems

CA - Indicates Common Areas
Capital items are repairs that generally require large cash outlays. (Items such as new roofs and new appliances)
Ordinary items are repairs that require smaller cash outlays. (Items such as light fixtures, fire extinguishers and smoke detectors)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 9 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Building/Unit Summary

Entity Expected Actual # Inspected # Reported Uninspectable

Building 1 1 1 0
Unit 269 269 25 10

Building 1 - Ralston [ Sample , Inspected ]

Address Line 1: 211 12th ST

Address Line 2:
City: COLUMBUS State: GA
Zip: 31901 Extension: ____
Actual Unit
Type Constructed In Floors Expected Unit Count
Count
Elevator Structure 1914 10 269 269

Comments: ROOF IS ACCESSABLE AND INSPECTED

UnInspected
Unit # # Bedrooms Occupied? Reason?
(b) (6) (b) (6)
0 Bedroom Yes
(b) (6)(b) (6)
0 Bedroom Yes
(b) (6)(b) (6)
1 Bedroom Yes No Access
(b) (6)(b) (6)
0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 1 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 1 Bedroom Yes
(b) (6) 0 Bedroom Yes No Access
(b) (6) 0 Bedroom Yes

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 10 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

(b) (6) 0 Bedroom Yes

(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 1 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 0 Bedroom Yes No Access
(b) (6) 0 Bedroom Yes Other Hazard
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes
(b) (6) 0 Bedroom Yes

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 11 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Certificates

Certificate Item Certificate State

Boilers No - This certificate cannot be provided or is expired
Elevators No - This certificate cannot be provided or is expired
Fire Alarms Yes - This certificate is provided or is not expired
Lead-Based Paint Disclosure Forms Yes - This certificate is provided or is not expired
Lead-Based Paint Inspection Reports No - This certificate cannot be provided or is expired
Sprinkler Systems No - This certificate cannot be provided or is expired

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 12 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Score Details

Note: The inspection software allows for the recording of the same deficiency as many times as it occurs. However, it is only scored once.
The number within the parenthesis after the Deficiency indicates the number of observations for this inspectable area. For example; "Site -
Spalling (Walkway / Steps) (4)" indicates the deficiency was observed and recorded 4 times under Site. Each individual observation can be
found in the Deficiency Details section of this report.

Points Points
Item Deficiency Severity
Deducted Received

Site - Ralston Towers - Site(0) [Possible Points : 11.77]

Non-Health And Safety Deficiencies
Grounds Site - Overgrown/Penetrating Vegetation (Grounds) Level 2 2.45
Health And Safety Deficiencies
Hazards HS - Sharp Edges (Hazards) (NLT ) Level 3 4.90
7.35 4.41

Building 1 - Ralston - Building Exterior [Possible Points : 17.43]

Non-Health And Safety Deficiencies
Walls BE- Stained/Peeling/Needs Paint (Walls) Level 1 1.46
1.46 15.97

Building 1 - Ralston - Building Systems [Possible Points : 23.24]

Non-Health And Safety Deficiencies
Domestic Water BS- Leaking Central Water Supply (Domestic Water) Level 3 10.00
(2)
Health And Safety Deficiencies
Emergency/Fire HS - Missing Exit Signs (Emergency/Fire Exits) (NLT Level 3 8.11
Exits )
18.11 5.14

Building 1 - Ralston - Common Areas* [Possible Points : 14.82]

Non-Health And Safety Deficiencies
Ceiling CA - Bulging/Buckling (Ceiling) Level 3 5.23
Ceiling CA - Holes/Missing Tiles/Panels/Cracks (Ceiling) Level 1 1.31
Ceiling CA - Mold/Mildew/Water Stains/Water Damage Level 1 0.27
(Ceiling)
Ceiling CA - Mold/Mildew/Water Stains/Water Damage Level 1 0.54
(Ceiling)
Ceiling CA - Mold/Mildew/Water Stains/Water Damage Level 3 1.09
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 13 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

(Ceiling)
Ceiling CA - Mold/Mildew/Water Stains/Water Damage Level 3 1.09
(Ceiling)
Ceiling CA - Peeling/Needs Paint (Ceiling) Level 2 0.22
Ceiling CA - Peeling/Needs Paint (Ceiling) Level 2 0.44
Ceiling CA - Peeling/Needs Paint (Ceiling) (2) Level 2 0.22
Chutes CA - Damaged/Missing Components (Chutes) Level 2 0.98
Doors CA - Damaged Hardware/Locks (Doors) Level 2 0.98
Doors CA - Damaged Hardware/Locks (Doors) Level 2 1.96
Doors CA - Damaged Hardware/Locks (Doors) Level 3 3.92
Doors CA - Damaged Hardware/Locks (Doors) (2) Level 2 0.98
Doors CA - Damaged Hardware/Locks (Doors) (2) Level 2 0.98
Doors CA - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 1.96
(Doors) (2)
Doors CA - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 3.92
(Doors) (2)
Doors CA - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 3.92
(Doors) (2)
Floors CA - Hard Floor Covering Missing/Damaged Level 1 1.31
Flooring/Tiles (Floors)
Floors CA - Peeling/Needs Paint (Floors) (2) Level 2 0.22
Hazards HS - Lead Hazard Report Level 3 0.00
Outlets/Switches/ CA - Missing/Broken (Outlets/Switches/Cover Level 1 0.49
Cover Plates Plates)
Walls CA - Bulging/Buckling (Walls) Level 3 2.61
Walls CA - Bulging/Buckling (Walls) Level 3 2.61
Walls CA - Bulging/Buckling (Walls) (2) Level 3 5.23
Walls CA - Damaged (Walls) Level 2 0.98
Walls CA - Damaged (Walls) (2) Level 2 0.98
Walls CA - Damaged (Walls) (2) Level 2 0.98
Walls CA - Damaged (Walls) (2) Level 2 1.96
Walls CA - Peeling/Needs Paint (Walls) Level 1 0.11

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 14 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

Walls CA - Peeling/Needs Paint (Walls) Level 2 0.22

Walls CA - Peeling/Needs Paint (Walls) (3) Level 2 0.44
Windows CA - Damaged/Missing Screens (Windows) Level 1 0.54
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew Observed (Air Quality) Level 3 0.00
(NLT )
Emergency/Fire HS - Missing Exit Signs (Emergency/Fire Exits) (2) Level 3 3.92
Exits (NLT )
Infestation HS - Rats/Mice/Vermin (Infestation) (NLT ) Level 3 3.92
Kitchen Items CA - Missing/Damaged (Sink) (NLT ) Level 3 8.72
Restroom Items CA - Damaged/Missing (Lavatory Sink) (NLT ) Level 3 1.96
Windows CA - Inoperable/Not Lockable (Windows) (NLT ) Level 3 1.96
* The point deductions for this sub-area exceed the number of possible points. The points received cannot be negative so it is set to zero. 69.19 0.00

(b) (6) (b) (6)

Building 1 - Ralston - Unit [Possible Points : 1.12]
Non-Health And Safety Deficiencies
Doors Unit - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 0.16
(Doors) (2)
Floors Unit - Peeling/Needs Paint (Floors) Level 2 0.02
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
0.20 0.92

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.12]

Non-Health And Safety Deficiencies
Doors Unit - Damaged Surface (Holes/Paint/Rust/Glass) Level 2 0.08
(Doors)
Walls Unit - Peeling/Needs Paint (Walls) Level 2 0.02
0.10 1.02

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Walls Unit - Bulging/Buckling (Walls) Level 3 0.20
Walls Unit - Peeling/Needs Paint (Walls) Level 2 0.02
Health And Safety Deficiencies

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 15 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

Infestation HS - Insects / roaches (Infestation) (NLT ) Level 3 0.55

0.76 0.61

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Infestation HS - Insects / roaches (Infestation) (NLT ) Level 3 0.55
Infestation HS - Other (Hazards) (NLT ) Level 3 0.00
0.57 0.79

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.12]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Water Closet/Toilet- Level 2 0.61
Damaged/Clogged/Missing (Bathroom)
Health And Safety Deficiencies
Bathroom Items Unit - Shower/Tub - Damaged/Missing (Bathroom) Level 3 0.73
(NLT )
* The point deductions for this sub-area exceed the number of possible points. The points received cannot be negative so it is set to zero. 1.34 0.00

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.37]

Health And Safety Deficiencies
Call-for-Aid Unit - Inoperable (Call-for-Aid) (NLT ) Level 3 0.07
0.07 1.29

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Doors Unit - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 0.16
(Doors)
Floors Unit - Mold/Mildew/Water Stains/Water Damage Level 3 0.08
(Floors)
Walls Unit - Peeling/Needs Paint (Walls) Level 1 0.01
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew Observed (Air Quality) Level 3 0.55

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 16 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

(NLT )
0.83 0.54

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Bathroom Items Unit - Shower/Tub - Damaged/Missing (Bathroom) Level 3 0.73
(NLT )
0.76 0.61

Building 1 - Ralston - Unit (b) (6) Possible Points : 1.37]

Non-Health And Safety Deficiencies
Windows Unit- Cracked/Broken/Missing Panes (Windows) Level 1 0.04
0.04 1.33

Building 1 - Ralston - Unit (b) (6) [Possible Points : 1.12]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
Ceiling Unit - Peeling/Needs Paint (Ceiling) (2) Level 2 0.02
Walls Unit - Peeling/Needs Paint (Walls) Level 2 0.02
Health And Safety Deficiencies
Bathroom Items Unit - Plumbing - Clogged Drains (Bathroom) (NLT ) Level 3 1.22
Bathroom Items Unit - Water Closet/Toilet- Level 3 1.22
Damaged/Clogged/Missing (Bathroom) (NLT )
* The point deductions for this sub-area exceed the number of possible points. The points received cannot be negative so it is set to zero. 2.66 0.00

Building 1 - Ralston - (b) (6) Possible Points : 1.37]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
Doors Unit - Damaged Hardware/Locks (Doors) Level 2 0.08
Walls Unit - Damaged (Walls) Level 2 0.07
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
0.36 1.01

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 17 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Ceiling Unit - Peeling/Needs Paint (Ceiling) Level 2 0.02
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
0.04 1.33

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
Ceiling Unit - Bulging/Buckling (Ceiling) Level 3 0.20
Doors Unit - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 0.16
(Doors)
Floors Unit - Mold/Mildew/Water Stains/Water Damage Level 3 0.08
(Floors)
HVAC System Unit - Noisy/Vibrating/Leaking (HVAC) Level 1 0.18
Kitchen Items Unit - Plumbing - Clogged Drains (Kitchen) Level 1 0.18
Walls Unit - Bulging/Buckling (Walls) Level 3 0.20
Walls Unit - Peeling/Needs Paint (Walls) Level 2 0.02
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Doors Unit - Damaged Frames/Threshold/Lintels/Trim Level 3 0.09
(Doors) (NLT )
1.32 0.05

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
0.02 1.34

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Bathroom Items Unit - Shower/Tub - Damaged/Missing (Bathroom) Level 3 0.73
(NLT )
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 18 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

0.76 0.61

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
0.18 1.18

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Doors Unit - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 0.16
(Doors)
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Infestation HS - Insects / roaches (Infestation) (NLT ) Level 3 0.55
0.74 0.63

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
0.02 1.34

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
HVAC System Unit - Inoperable (HVAC) Level 3 1.22
Health And Safety Deficiencies
Outlets/Switches Unit - Missing/Broken Cover Plates Level 3 0.15
(Outlets/Switches) (LT )
1.37 0.00

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
Kitchen Items Unit - Plumbing - Clogged Drains (Kitchen) Level 1 0.18
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Windows Unit- Cracked/Broken/Missing Panes (Windows) Level 1 0.04

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 19 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

Health And Safety Deficiencies

Infestation HS - Insects / roaches (Infestation) (NLT ) Level 3 0.55
0.98 0.39

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
Ceiling Unit - Holes/Missing Tiles/Panels/Cracks (Ceiling) Level 3 0.20
Ceiling Unit - Mold/Mildew/Water Stains/Water Damage Level 3 0.08
(Ceiling)
Doors Unit - Damaged Surface (Holes/Paint/Rust/Glass) Level 3 0.16
(Doors)
Floors Unit - Mold/Mildew/Water Stains/Water Damage Level 3 0.08
(Floors)
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew Observed (Air Quality) (2) Level 3 0.55
(NLT )
1.25 0.11

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Ceiling Unit - Mold/Mildew/Water Stains/Water Damage Level 3 0.08
(Ceiling)
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew Observed (Air Quality) Level 3 0.55
(NLT )
Call-for-Aid Unit - Inoperable (Call-for-Aid) (NLT ) Level 3 0.07
Kitchen Items Unit - Plumbing - Leaking Faucet/Pipes (Kitchen) Level 3 0.55
(NLT )
1.28 0.09

Building 1 - Ralston - (b) (6) [Possible Points : 1.16]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 20 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Points Points
Item Deficiency Severity
Deducted Received

Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02

0.21 0.95

Building 1 - Ralston - (b) (6) [Possible Points : 1.12]

Non-Health And Safety Deficiencies
Ceiling Unit - Mold/Mildew/Water Stains/Water Damage Level 1 0.02
(Ceiling)
Windows Unit - Damaged/Missing Screens (Windows) Level 1 0.02
Health And Safety Deficiencies
Bathroom Items Unit - Shower/Tub - Damaged/Missing (Bathroom) Level 3 0.73
(NLT )
Infestation HS - Insects / roaches (Infestation) (NLT ) Level 3 0.55
* The point deductions for this sub-area exceed the number of possible points. The points received cannot be negative so it is set to zero. 1.32 0.00

Building 1 - Ralston - (b) (6) [Possible Points : 1.37]

Non-Health And Safety Deficiencies
Bathroom Items Unit - Plumbing Leaking Faucet/Pipes (Bathroom) Level 1 0.18
Kitchen Items Unit - Sink - Missing/Damaged (Kitchen) Level 3 1.22
* The point deductions for this sub-area exceed the number of possible points. The points received cannot be negative so it is set to zero. 1.40 0.00

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 21 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Deficiency Details

Item Location/Comments Deficiency/Severity Decisions

Site - Ralston Towers - Site(0)

Non-Health And Safety Deficiencies
Grounds Ralston Site - Overgrown/ - Overgrown vegetation
FRONT BUILDONG Penetrating Vegetation - Vegetation contacts or
FACIA (Grounds) - L2 penetrates an unintended
surface (for example,
buildings, fences/walls,
gutters, roofs, HVAC
system, etc.)
- The surfaces are NOT
damaged as a result.
Health And Safety Deficiencies
Hazards HS - Sharp Edges - Sharp Edges - This COULD
(Hazards) (NLT) - L3 cause cutting/breaking of
skin or other bodily harm.

Building 1 - Ralston[Sample,Inspected] - Building Exterior

Non-Health And Safety Deficiencies
Walls EXTERIOR HAS BE- Stained/Peeling/Needs - Stains or Peeling Paint or
SEVERAL PATCHED Paint (Walls) - L1 Needs Paint
AREAS UNFINISHED - Less than 50% of a single
wall is affected

Building 1 - Ralston[Sample,Inspected] - Building Systems

Non-Health And Safety Deficiencies
Domestic Water Basement BS- Leaking Central Water - Water is leaking from any
Supply (Domestic Water) - water system component
L3 (not including fixtures)
- Component is leaking and
was never designed to do
so
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Domestic Water Floor 7 BS- Leaking Central Water - Water is leaking from any
Supply (Domestic Water) - water system component
L3 (not including fixtures)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 22 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

- Component is leaking and
was never designed to do
so
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Health And Safety Deficiencies
Emergency/Fire Exits Floor 1 HS - Missing Exit Signs - Exit Signs
AT OFFICE ENTRY (Emergency/Fire Exits) - No adjacent or other internal
(NLT) - L3 /external illumination on or
near the sign

Building 1 - Ralston[Sample,Inspected] - Common Areas

Non-Health And Safety Deficiencies
Basement/Garage/ Basement CA - Damaged Hardware/ - All Other Doors (includes
Carport Locks (Doors) - L2 closet or other interior
doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Basement/Garage/ Basement CA - Damaged Hardware/ - All Other Doors (includes
Carport CROSS ELEVATOR Locks (Doors) - L2 closet or other interior
ROOM doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Closet/Utility/ Basement CA - Damaged Hardware/ - All Other Doors (includes
Mechanical Locks (Doors) - L2 closet or other interior
doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Community Room Floor 1 CA - Damaged Surface - All Other Doors (includes
(Holes/Paint/Rust/Glass) closet or other interior
(Doors) - L3 doors)
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 23 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

- Surface is damaged
- Door has significant peeling,
cracked, or no paint.
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Community Room Floor 1 CA - Damaged Surface - Restroom Door or Fire/
(Holes/Paint/Rust/Glass) Emergency Door
(Doors) - L3 - Surface is damaged
- Door has significant peeling,
cracked, or no paint.
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Halls/Corridors/Stairs Floor 1 CA - Bulging/Buckling - Buckling, Bulging, Sagging,
NEAR MENS RESROOM (Walls) - L3 or Misaligned
Halls/Corridors/Stairs Floor 8 CA - Bulging/Buckling - Buckling, Bulging, Sagging,
(Walls) - L3 or Misaligned
Halls/Corridors/Stairs Floor 8 CA - Damaged Surface - All Other Doors (includes
cross from trsh chute (Holes/Paint/Rust/Glass) closet or other interior
(Doors) - L3 doors)
- Surface is damaged
- Door has significant peeling,
cracked, or no paint.
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Halls/Corridors/Stairs Floor 3 CA - Damaged Surface - Restroom Door or Fire/
(Holes/Paint/Rust/Glass) Emergency Door
(Doors) - L3 - Surface is damaged
- Door has significant peeling,
cracked, or no paint.
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Halls/Corridors/Stairs Floor 1 CA - Damaged Hardware/ - Restroom Door or Fire/
Locks (Doors) - L3 Emergency Door
- Hardware is damaged or
missing
- Door does not function as it
should (it does not properly
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 24 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

latch).
Halls/Corridors/Stairs Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Halls/Corridors/Stairs Floor 7 CA - Damaged (Walls) - L2 - Hole(s)
NIS REPAIR - Larger than a sheet of
paper, but you cannot see
through the hole
- ONE wall is affected.
Halls/Corridors/Stairs Floor 5 CA - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Halls/Corridors/Stairs Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Halls/Corridors/Stairs Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
NIS REPAIR GUARDS (Ceiling) - L2 Paint
OFFICE - Peeling paint on more than
4 ceilings in common areas
Halls/Corridors/Stairs Floor 1 CA - Damaged (Walls) - L1 - Hole(s)
BOVE THRESH HOLE - Between one square inch,
PAST MAIL BOXES but smaller than a sheet of
paper
Halls/Corridors/Stairs Floor 1 CA - Mold/Mildew/Water - Mold or Mildew (for
MAIL BOX AREA Stains/Water Damage example, a darkened area)
(Ceiling) - L1 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- More than 1 square foot but
less than 4 square feet and
you may or may not see
water
Halls/Corridors/Stairs Floor 6 CA - Holes/Missing Tiles/ - Hole(s)
Panels/Cracks (Ceiling) - - Smaller than a sheet of
L1 paper

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 25 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Halls/Corridors/Stairs Roof CA - Damaged/Missing - A second means of window
Screens (Windows) - L1 egress exists
- Window bars are actually
child safety bars
Halls/Corridors/Stairs Floor 9 CA - Hard Floor Covering - Hard Floor Covering Missing
Missing/Damaged Flooring/ /Damaged (all flooring
Tiles (Floors) - L1 materials except carpet)
- 5% to less than 10% of any
single floor
Kitchen Floor 1 CA - Bulging/Buckling - Buckling, Bulging, Sagging,
(Ceiling) - L3 or Misalignment
- Ceiling failure IS likely.
Kitchen Floor 1 CA - Damaged Hardware/ - All Other Doors (includes
Locks (Doors) - L2 closet or other interior
doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Lobby Floor 1 CA - Bulging/Buckling - Buckling, Bulging, Sagging,
(Walls) - L3 or Misaligned
Lobby Floor 1 CA - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)
(Ceiling) - L1 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- More than 1 square foot but
less than 4 square feet and
you may or may not see
water
Lobby Floor 1 CA - Missing/Broken - Cover plate missing or
(Outlets/Switches/Cover broken
Plates) - L1 - The electrical connections/
wires are NOT exposed.
Office Floor 1 CA - Bulging/Buckling - Buckling, Bulging, Sagging,
(Walls) - L3 or Misaligned
Office Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
NEW HORIZON OFFICE (Ceiling) - L2
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 26 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Paint
- Peeling paint on more than
4 ceilings in common areas
Other Community Floor 2 CA - Damaged (Walls) - L2 - Hole(s)
Spaces BARBER SHOP NIS - Larger than a sheet of
REPAIR paper, but you cannot see
through the hole
- ONE wall is affected.
Other Community Floor 1 CA - Damaged (Walls) - L1 - Hole(s)
Spaces BARBER SHOP - Between one square inch,
but smaller than a sheet of
paper
Other Community Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
Spaces MEZZANIN COMFORT (Walls) - L1 Paint
ROOM - 1 to 4 square feet of two or
more wall areas
Restrooms Floor 1 CA - Mold/Mildew/Water - Mold or Mildew (for
STORAGE IN WOMENS Stains/Water Damage example, a darkened area)
RESTROOM (Ceiling) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(ceiling surface may have
failed)
- This condition MAY
RESULT in a Health AND
Safety concern
Restrooms Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
MENS RESTROOM (Ceiling) - L2 Paint
- Peeling paint on more than
4 ceilings in common areas
Restrooms Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
COED RESTROOM (Ceiling) - L2 Paint
- Peeling paint on more than
4 ceilings in common areas
Restrooms Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
MENS RESTROOM (Floors) - L2 Paint
- Greater than 4 square feet
Restrooms Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 27 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

WOMENS RESTROOM (Floors) - L2 Paint
- Greater than 4 square feet
Restrooms Floor 1 CA - Damaged (Walls) - L2 - Hole(s)
NIS REPAIR WOMENS - Larger than a sheet of
RESTROOM paper, but you cannot see
through the hole
- ONE wall is affected.
Restrooms Floor 1 CA - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Restrooms Floor 1 CA - Damaged (Walls) - L1 - Hole(s)
- Between one square inch,
but smaller than a sheet of
paper
Storage Floor 1 CA - Damaged Surface - All Other Doors (includes
(Holes/Paint/Rust/Glass) closet or other interior
(Doors) - L3 doors)
- Surface is damaged
- Door has significant peeling,
cracked, or no paint.
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Storage Floor 7 CA - Damaged Surface - All Other Doors (includes
(Holes/Paint/Rust/Glass) closet or other interior
(Doors) - L3 doors)
- Surface is damaged
- Door has significant peeling,
cracked, or no paint.
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Storage Floor 1 CA - Mold/Mildew/Water - Mold or Mildew (for
BY VENDING ROOM Stains/Water Damage example, a darkened area)
(Ceiling) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(ceiling surface may have
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 28 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

failed)
- This condition MAY
RESULT in a Health AND
Safety concern
Storage Floor 1 CA - Damaged Hardware/ - All Other Doors (includes
ACROSS FROM Locks (Doors) - L2 closet or other interior
LAUNDRY doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Storage Floor 5 CA - Damaged Hardware/ - All Other Doors (includes
Locks (Doors) - L2 closet or other interior
doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Storage Floor 3 CA - Damaged (Walls) - L2 - Hole(s)
NIS REPAIR - Larger than a sheet of
paper, but you cannot see
through the hole
- ONE wall is affected.
Trash Collection Areas Floor 2 CA - Damaged/Missing - The garbage is backing up
Components (Chutes) - L2 into the chute
- This condition MAY
RESULT in a Health and
Safety concern.
Health And Safety Deficiencies
Emergency/Fire Exits Floor 1 HS - Missing Exit Signs - Exit Signs
(Emergency/Fire Exits) - No adjacent or other internal
(NLT) - L3 /external illumination on or
near the sign
Emergency/Fire Exits Floor 1 HS - Missing Exit Signs - Exit Signs
RESIDENT SERVICES (Emergency/Fire Exits) - No adjacent or other internal
(NLT) - L3 /external illumination on or
near the sign
Infestation Floor 1 HS - Rats/Mice/Vermin - Evidence of rats, mice, or

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 29 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

(Infestation) (NLT) - L3 vermin
Kitchen Floor 1 CA - Missing/Damaged - Kitchen Sink
(Sink) (NLT) - L3 - The sink''s hardware is
missing or is not functioning
Restrooms Floor 1 CA - Damaged/Missing - Restroom Sink
(Lavatory Sink) (NLT) - L3 - The sink''s hardware is
missing or is not functioning
Storage Floor 4 CA - Inoperable/Not - Lock/Operability
Lockable (Windows) (NLT) - Window will not open or
- L3 close (only if the window
was designed to open and
close)
- Window CAN still be
secured (by a lock or stick)
- Window is on 4th floor or
above
- There is NOT another
operable window in the
same floor area.

Building 1 - Ralston[Sample,Inspected] - Unit (b) (6)

Non-Health And Safety Deficiencies
Doors Living Area Unit - Damaged Surface - Entry Door to Unit
(Holes/Paint/Rust/Glass) - Surface is damaged
(Doors) - L3 - Door has significant peeling,
cracked, or no paint.
Doors Living Area Unit - Damaged Surface - All Other Doors (includes
CLOSET (Holes/Paint/Rust/Glass) closet or other interior
(Doors) - L3 doors)
- Surface is damaged
- Door has significant peeling,
cracked, or no paint.
Floors Hallway Unit - Peeling/Needs Paint - Peeling Paint or Needs
STAIRWELL (Floors) - L2 Paint
- Greater than 4 square feet
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 30 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Building 1 - Ralston[Sample,Inspected] - (b) (6)
Non-Health And Safety Deficiencies
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Infestation Storage HS - Other (Hazards) (NLT) - Evidence of roaches
- L3 - Single dead roach or roach
droppings observed
Infestation Kitchen HS - Insects /roaches - Evidence of roaches
(Infestation) (NLT) - L3 - Single live roach observed

Building 1 - Ralston[Sample,Inspected] - Unit (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
Faucet/Pipes (Bathroom) - - There is a leak
L1 - There is a leak or drip, but it
is contained by the shower
or tub basin
Kitchen Items Kitchen Unit - Sink - Missing/ - Kitchen Sink
Damaged (Kitchen) - L3 - The sink''s hardware is
missing or is not functioning

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Doors Storage Unit - Damaged Surface - All Other Doors (includes
(Holes/Paint/Rust/Glass) closet or other interior
(Doors) - L2 doors)
- Surface is damaged
- Door has holes.
- 1/4 inch to 1 inch
Walls Bathroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 31 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Non-Health And Safety Deficiencies
Walls Living Area Unit - Bulging/Buckling - Buckling, Bulging, Sagging,
(Walls) - L3 or Misaligned
Walls Bathroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Health And Safety Deficiencies
Infestation Living Area HS - Insects /roaches - Evidence of roaches
(Infestation) (NLT) - L3 - Single live roach observed

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Water Closet/Toilet- - Toilet (Unit)
Damaged/Clogged/Missing - Seat, hinge, cover, or flush
(Bathroom) - L2 handle is missing or
damaged
Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Shower/Tub - - Shower or Tub (Unit)
DIVERTER Damaged/Missing - The hardware is missing or
(Bathroom) (NLT) - L3 is not functioning

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Health And Safety Deficiencies
Call-for-Aid Living Area Unit - Inoperable - Alerts local entities (on-site)
(Call-for-Aid) (NLT) - L3 - Tested - Call-for-Aid as
installed does NOT serve its
intended function

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Doors Living Area Unit - Damaged Surface - Entry Door to Unit
(Holes/Paint/Rust/Glass) - Surface is damaged
(Doors) - L3 - Door has significant peeling,
cracked, or no paint.
Floors Living Area Unit - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 32 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

(Floors) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(floor surface may have
failed)
- This condition MAY
RESULT in a Health AND
Safety concern
Walls Bathroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L1 Paint
- 1 to 4 square feet of wall
area
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew - Evidence of water infiltration
Observed (Air Quality) or other moisture producing
(NLT) - L3 condition that causes mold,
or mildew
- Greater than or equal to 1
square foot of mold or
mildew

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Shower/Tub - - Shower or Tub (Unit)
DIVERTER Damaged/Missing - The hardware is missing or
(Bathroom) (NLT) - L3 is not functioning

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 33 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Building 1 - Ralston[Sample,Inspected] - (b) (6)
Non-Health And Safety Deficiencies
Windows Living Area Unit- Cracked/Broken/ - Pane/Glass
Missing Panes (Windows) - - Glass cracked
L1

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
Faucet/Pipes (Bathroom) - - There is a leak
L1 - There is a leak or drip, but it
is contained by the shower
or tub basin
Ceiling Bedroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Ceiling) - L2 Paint
- Greater than 4 square feet
Ceiling Bathroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Ceiling) - L2 Paint
- Greater than 4 square feet
Walls Bathroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Water Closet/Toilet- - Toilet (Unit)
Damaged/Clogged/Missing - It does not flush
(Bathroom) (NLT) - L3
Bathroom Items Bathroom Unit - Plumbing - Clogged - Shower or Tub (Unit)
Drains (Bathroom) (NLT) - - There is a problem with the
L3 drainage
- The drain is completely
clogged, and water will not
drain at all OR shows
extensive deterioration

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
Faucet/Pipes (Bathroom) - - There is a leak

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 34 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

L1 - There is a leak or drip, but it
is contained by the shower
or tub basin
Doors Bedroom Unit - Damaged Hardware/ - All Other Doors (includes
Locks (Doors) - L2 closet or other interior
doors)
- Hardware is damaged or
missing
- Other interior door does not
function as it should or
cannot be locked.
Walls Storage Unit - Damaged (Walls) - - Hole(s)
NIS REPAIR L2 - Larger than a sheet of
paper, but you cannot see
through the hole
- ONE wall is affected.
Windows Storage Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Ceiling Living Area Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Ceiling) - L2 Paint
- Greater than 4 square feet
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
Faucet/Pipes (Bathroom) - - There is a leak
L1 - There is a leak or drip, but it
is contained by the shower
or tub basin

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 35 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Ceiling Bathroom Unit - Bulging/Buckling - Buckling, Bulging, Sagging,
(Ceiling) - L3 or Misaligned
- Ceiling failure IS likely.
Doors Living Area Unit - Damaged Surface - Entry Door to Unit
(Holes/Paint/Rust/Glass) - Surface is damaged
(Doors) - L3 - Door has significant peeling,
cracked, or no paint.
Floors Living Area Unit - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)
(Floors) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(floor surface may have
failed)
- This condition MAY
RESULT in a Health AND
Safety concern
HVAC System Living Area Unit - Noisy/Vibrating/ - Signs of Abnormal
Leaking (HVAC) - L1 Vibrations, Other Noise, or
Leaks
- The system IS providing
enough heating or cooling to
maintain a minimum
temperature range in the
major living areas.
Kitchen Items Kitchen Unit - Plumbing - Clogged - Kitchen Sink
Drains (Kitchen) - L1 - There is a problem with the
drainage
- The basin will drain, but it is
slow
Walls Bathroom Unit - Bulging/Buckling - Buckling, Bulging, Sagging,
(Walls) - L3 or Misaligned
Walls Bedroom Unit - Peeling/Needs Paint - Peeling Paint or Needs
(Walls) - L2 Paint
- Greater than 4 square feet
of wall area
Windows Bedroom Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 36 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Doors Bedroom Unit - Damaged Frames/ - Bathroom Door
Threshold/Lintels/Trim - Frame is damaged causing
(Doors) (NLT) - L3 the door not to function or
lock (this includes
thresholds, lintels, trim,
headers, and jambs)
- This condition DOES NOT
RESULT in a Health and
Safety concern.

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Shower/Tub - - Shower or Tub (Unit)
Damaged/Missing - The hardware is missing or
(Bathroom) (NLT) - L3 is not functioning

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
SHOWER HEAD/ Faucet/Pipes (Bathroom) - - There is a leak
DIVERTER L1 - There is a leak or drip, but it
is contained by the shower

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 37 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

or tub basin

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Doors Living Area Unit - Damaged Surface - Entry Door to Unit
NIS REPAIR (Holes/Paint/Rust/Glass) - Surface is damaged
(Doors) - L3 - Door has significant peeling,
cracked, or no paint.
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Infestation Kitchen HS - Insects /roaches - Evidence of roaches
(Infestation) (NLT) - L3 - Single live roach observed

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
HVAC System Hallway Unit - Inoperable (HVAC) - - Signs of Abnormal
L3 Vibrations, Other Noise, or
Leaks
- The system is NOT
providing enough heating or
cooling to maintain a
minimum temperature range
in the major living areas.
- The system is NOT turned
off due to seasonal
conditions.
- This condition DOES NOT
RESULT in a Health and

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 38 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Safety concern.
Health And Safety Deficiencies
Outlets/Switches Living Area Unit - Missing/Broken Cover - Cover plate missing or
Plates (Outlets/Switches) broken
(LT) - L3 - The electrical connections/
wires ARE exposed.

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
diverter Faucet/Pipes (Bathroom) - - There is a leak
L1 - There is a leak or drip, but it
is contained by the shower
or tub basin
Kitchen Items Kitchen Unit - Plumbing - Clogged - Kitchen Sink
Drains (Kitchen) - L1 - There is a problem with the
drainage
- The basin will drain, but it is
slow
Windows Living Area Unit- Cracked/Broken/ - Pane/Glass
Missing Panes (Windows) - - Glass cracked
L1
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Infestation Bathroom HS - Insects /roaches - Evidence of roaches
(Infestation) (NLT) - L3 - Single live roach observed

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bedroom Unit - Plumbing Leaking - Shower or Tub (Unit)
diverter Faucet/Pipes (Bathroom) - - There is a leak
L1 - There is a leak or drip, but it
is contained by the shower
or tub basin
Ceiling Living Area Unit - Holes/Missing Tiles/ - Hole(s)

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 39 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Panels/Cracks (Ceiling) - - Regardless of size, you can
L3 see through the ceiling
- This condition DOES NOT
RESULT in a Health and
Safety concern.
Ceiling Bathroom Unit - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)
(Ceiling) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(ceiling surface may have
failed)
- This condition MAY
RESULT in a Health AND
Safety concern
Doors Living Area Unit - Damaged Surface - Entry Door to Unit
(Holes/Paint/Rust/Glass) - Surface is damaged
(Doors) - L3 - Door has significant peeling,
cracked, or no paint.
Floors Living Area Unit - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)
(Floors) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(floor surface may have
failed)
- This condition MAY
RESULT in a Health AND
Safety concern
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew - Evidence of water infiltration
Observed (Air Quality) or other moisture producing
(NLT) - L3 condition that causes mold,
or mildew
- Greater than or equal to 1
square foot of mold or
mildew

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 40 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

Air Quality HS - Mold and/or Mildew - Evidence of water infiltration
Observed (Air Quality) or other moisture producing
(NLT) - L3 condition that causes mold,
or mildew
- Greater than or equal to 1
square foot of mold or
mildew

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Ceiling Living Area Unit - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)
(Ceiling) - L3 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- Greater than 1 square foot
(ceiling surface may have
failed)
- This condition MAY
RESULT in a Health AND
Safety concern
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Air Quality HS - Mold and/or Mildew - Evidence of water infiltration
Observed (Air Quality) or other moisture producing
(NLT) - L3 condition that causes mold,
or mildew
- Greater than or equal to 1
square foot of mold or
mildew
Call-for-Aid Living Area Unit - Inoperable - Alerts local entities (on-site)
(Call-for-Aid) (NLT) - L3 - Tested - Call-for-Aid as
installed does NOT serve its
intended function
Kitchen Items Kitchen Unit - Plumbing - Leaking - Kitchen Sink
Faucet/Pipes (Kitchen) - There is a leak
Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 41 of 42
Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
Inspection Summary Report (POA) for Inspection #650125

Item Location/Comments Deficiency/Severity Decisions

(NLT) - L3 - There is a steady leak that
cannot be contained by the
sink basin

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Plumbing Leaking - Shower or Tub (Unit)
DIVERTER Faucet/Pipes (Bathroom) - - There is a leak
L1 - There is a leak or drip, but it
is contained by the shower
or tub basin
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing

Building 1 - Ralston[Sample,Inspected] - (b) (6)

Non-Health And Safety Deficiencies
Ceiling Living Area Unit - Mold/Mildew/Water - Mold or Mildew (for
Stains/Water Damage example, a darkened area)
(Ceiling) - L1 or Water Stains or Water
Damage (for example
evidence of water
infiltration)
- 4 square inches to 1 square
foot and you may or may not
see water
Windows Living Area Unit - Damaged/Missing - Screens
Screens (Windows) - L1 - One or more screens in a
unit are punctured, torn or
otherwise damaged or
missing
Health And Safety Deficiencies
Bathroom Items Bathroom Unit - Shower/Tub - - Shower or Tub (Unit)
Damaged/Missing - The hardware is missing or
(Bathroom) (NLT) - L3 is not functioning
Infestation Living Area HS - Insects /roaches - Evidence of roaches
(Infestation) (NLT) - L3 - Single live roach observed

Report generation date/time: 07/08/2019 07:30 PM Score Version: 1 Page: 42 of 42

Report template version: 04/15/2011 Note: The report generation date/time does not reflect the inspection release date/time.
 Notice: Modifications to the Inspection Summary Report

With the rollout of the new Uniform Physical Condition Standards (UPCS) inspection software (version 4.0).
PIH-REAC now has the capability to collect more detailed information about observations made during the
inspection of properties. Therefore, the report has been modified to provide this detailed information, and also to
make the results of the inspection more clear. The following explains the major changes to the report.

Changes to Score Summary - The section of the report, which summarizes the score, has been modified
to better explain how the final score was derived for the property, and the source of lost points. Additionally,
score information from the two most recent inspections of the property is provided to allow comparison to
this inspection's score.

Addition of scored and non-scored deficiency reports - The section of the report that displays observed
deficiencies has been divided into two sections: the Score Report and the Deficiency Report. Non-scored
deficiencies refer to multiple deficiencies of the same type observed with the same sub-area, they are
reported for informational purposes only and are not scored. Only one deficiency of the same type for the
same sub-area is counted for scoring purposes.

Score Report - a detailed account of only the scored deficiencies by sub-area.

Deficiency Report - A detailed account of all deficiencies, both scored and non-scored, by sub-area.
In addition, standardized locations and more descriptive information for each deficiency are provided.

To read more about the above, and for additional assistance in understanding the report, you may access the
Inspection Summary Report Guide (version 4.0) at
http://www.hud.gov/offices/reac/products/pass/inspectionrpt40.cfm
 PHYSICAL INSPECTION SUMMARY REPORT

The Inspection Summary Report is designed to achieve two objectives:

1. Provide the Public Housing Agency or owner and/or owner agent (POA) with the background information, i.e.
addresses, phone numbers, building names, etc., collected during the property inspection.

2. Provide the POA the results of the REAC physical inspection of a specific property.

The items below describe the information provided in the Inspection Summary Report.

Inspection Number : The inspection number is unique for each property inspection conducted by REAC. Each
time a property is inspected by REAC, a new inspection number is used. These unique numbers may be used to
communicate with REAC on any matter concerning a particular inspection.

Property Information : Information related to a property is provided:

- Property identification number (in parentheses) - a unique number in HUD databases

- Property name
- Status as scattered site (Yes/No)
- Relevant addresses, phone numbers, fax numbers, and e-mail addresses for the property

Each of these should be checked carefully for accuracy. All discrepancies should be reported to the REAC
Physical Inspection Operations Center at 1-877-406-9220.

Building Unit Count : The total number of buildings and units on the property are given, along with the number of
buildings and units actually inspected by REAC

Scores : An overall numerical score is given as a value from zero to 100. Separate numerical scores are also
given for each of five areas:

- site
- building exterior
- building systems
- common areas
- units

The five area scores range from zero to the maximum number of points possible for each area. The possible
points for a given area are determined for a specific property based on the inspectable items actually present in
each area. The sum of the area points identifies what the overall score would be if there were no health & safety
(H&S) deficiencies. The overall numerical score is then calculated by subtracting the sum of deductions for H&S
deficiencies from the sum of the individual "area points".

Examples of overall scores are: 95c; 67b*; 84a*; 100b; 78a; and 43c*. The asterisk(*) indicates that H&S
deficiencies were found with respect to smoke detectors. The lower-case letter indicates whether or not other
kinds of H&S deficiencies were observed, as follows:

- The letter "a" is given if no health and safety deficiencies were observed other than for smoke detectors.

- The lower-case letter "b" is given if one or more non-life threatening H&S deficiencies, but no exigent/fire safety
H&S deficiencies were observed other than for smoke detectors.

- The lower-case letter "c" is given if one or more exigent/ fire safety (calling for immediate attention or remedy)
H&S deficiencies were observed.

Although all H&S deficiencies, except for smoke detector problems and "other" hazards, affect the scores with
appropriate deductions, the letter grades are added to highlight the serious nature of H&S deficiencies, all of
which need to be addressed by the POA.

Health and Safety Counts: In addition to the counts of actual H&S deficiencies observed in the inspected
buildings and units, the estimated number of H&S deficiencies that would have been found had all buildings and
units been inspected is also given. This projected count gives a sense of the total H&S problem for the inspected
property. The projection is calculated by dividing the counts actually observed in buildings or units by the
proportion of buildings or units inspected. The percent of buildings and units inspected is additionally given to
show the basis for the calculations.

rd
Systemic Deficiencies: Defects observed in at least one third (1/3 ) of the inspected units or buildings are listed
by whether or not they are repairs generally requiring large cash outlays ("Capital" items) or generally requiring
smaller cash outlays ("Ordinary" items).

Participants & Buildings/Units: Information provided includes:

- relevant addresses, phone numbers, fax numbers, and e-mail addresses for participants

- name, year built, number of units and address for each building on the property. Note: All buildings on the
property should be listed.

As before, each of these should be checked carefully for accuracy and any discrepancies should be reported to
the REAC Technical Assistance Center (TAC) at 1-888-245-4860.

Inspectable Items: This portion of the report details all deficiencies found in the inspection. The main headings in
the first column refer to the inspectable area -- site, building exterior, building systems, common area, unit or
health & safety where the deficiency was observed. The entries are "inspectable items" within which the
deficiencies were found. Some items may not be present for a given property. In such cases, appropriate
adjustments are made in the points of each area. Items present, but with no deficiencies found, are not listed.
Inspectable items are:

Site: fencing & gates, grounds, mail boxes/project signs market appeal, parking lots/driveways/roads, play areas
and equipment, refuse disposal, retaining walls, storm drainage and walkways/stairs.

Building Exterior: doors, fire escapes, foundations, lighting, roofs, walls and windows.

Building Systems: domestic water, electrical system, elevators, emergency power, exhaust system, fire
protection, heating/ ventilation/ air-conditioning and sanitary system.

Common Areas: basement/garage/carport, closet/utility/mechanical, community room, day care,

halls/corridors/stairs, kitchen, laundry room, lobby, office, other community spaces, patio/porch/balcony, pools
and related structures, rest rooms/pool structures, storage and trash collection areas.

Unit: bathroom, call-for-aid, ceiling, doors, electrical system, floors, heating/ventilation/air-conditioning, hot water
heater, kitchen, laundry area (room), lighting, outlets/switches, patio/porch/balcony, smoke detectors, stairs,
walls and windows.

Health & Safety: air quality, electrical hazards, elevator, emergency/ fire exits, flammable materials, garbage and
debris, hazards, infestation.

Column labeled NO/OD:

NO: The inspection protocol requires the inspector to check for the existence of certificates for certain items such
as lead-based paint, elevators, etc. If the inspector verifies all the required certificates, the report will not include
any certificate information. If a certificate is not present, the first inspectable item listed will be "certificates" and
the designation "NO" will be listed for each unavailable certificate.

OD: If the inspector records a deficiency, then an OD in this column refers to the "observed deficiency" for the
given item.

Column labeled Observation: The column lists each specific deficiency observed within a given inspectable item.
Each deficiency has a definition, which specifies what must be observed for that deficiency to be recorded. Also
noted in this column are observations about Health & Safety items. These are:

- (LT) - Exigent/Fire Safety (calling for immediate attention or remedy)

- (NLT) - Non-Life Threatening

- (SD) - Smoke Detector

Definitions for all deficiencies are given in the physical inspection section at REAC's web site on the Internet
(www.hud.gov/reac/). Click on "Products" then "Physical Inspection" and then "Physical Inspection Definitions"

Column labeled Severity: Deficiencies differ by "severity". The definitions specify what must be recorded for a
given deficiency under one of three possible severity levels - level 1, level 2 and level 3. The severity level is
given on the report to indicate which part of the definition actually applies for the specific deficiency observed.
Severity levels are defined within a given deficiency and do not necessarily indicate which deficiencies are the
worst. For more serious deficiencies, a level 2 severity may be more of a problem and may reduce the overall
score more than less serious deficiencies with a severity of level 3.

Location/Comments: Comments are required for all severity level 3 deficiencies.

Column labeled Ded.: This column gives the points deducted from the overall property score for the observed
deficienies. In the shaded heading the possible points are given for that area and building or unit. Although the
listed points deducted may sum to more than the possible points, the total deducted from the overall property
score for that area and building or unit does not exceed its possible points. The listing of points deducted is
rounded to the nearest tenth of a point, so "<0.05" is listed when the points deducted is a very small fraction, but
greater than zero. Where there is a blank or zero, such as for lack of a certificate or observed smoke detector
problems, it means no points are deducted from the property score.
 PROJECT OWNER'S CERTIFICATION THAT ALL EXIGENT
HEALTH AND SAFETY ITEMS HAVE BEEN CORRECTED
SEND OR FAX SIGNED COPY TO LOCAL MF OFFICE

[Name of Project Owner:] _________________________________________________________ (the "Project

Owner"), the owner of [Project Name:] ________________________________________________________,
[City:] __________________________, [State:] ________________ [Project Number:] _______________ (the
"Project") by and through its duly authorized representative identified below, hereby certifies that:

1. All Exigent Health and Safety ("EH&S") items at the Project have been corrected. Such EH&S items
include those identified in the Notification of Exigent and Fire Safety Hazards Observed, dated
________________.

2. The attached Report accurately identifies the repairs that have been made to correct the EH&S items,
the location of those repairs, and the date or dates the repairs were made. If repairs were not made,
the dangerous condition was eliminated.

This certification is made by the Project Owner and is signed by a duly authorized representative of the Project
Owner, who is so authorized by reason of his/her position as the [State Fully Relationship Between Signer of
Certification and Project Owner:] _______________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________.

All of the foregoing statements, as well as the date, signature and identifying information of the signer and the
Project Owner that follows, are HEREBY CERTIFIED as true and accurate this _______ day of
__________________, 20___.

Project Owner: _______________________________

By: Signature: _______________________________

Print Name: _______________________________

Title: _______________________________