Portable Fire Extinguishers
Portable fire extinguishers are selected, installed, inspected, and maintained in accordance with NFPA 10, Standard for Portable Fire Extinguishers.
18.3.5.12, 19.3.5.12, NFPA 10
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Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0355
Based on observation and interview, it was determined the facility failed to maintain portable fire extinguishers, affecting one of three levels in the facility.
Findings include:
Observation on January 25, 2024, at 9:46 a.m., revealed, on the second floor, the portable fire extinguisher next to resident room 214 was blocked by a patient chair.
Exit interview with the Administrator and the Maintenance Director on January 25, 2024, at 10:15 a.m., confirmed the blocked extinguisher.
| | Plan of Correction - To be completed: 02/25/2024
The patient chair was removed to not block the portable fire extinguisher by room 214 immediately.
An audit of the entire building was completed to ensure that portable fire extinguishers were not blocked by any patient chairs. Nursing staff was inserviced to prevent patient chairs from blocking portable fire extinguishers.
Maintenance Director or designee will randomly monitor hallways monthly for two weeks to prevent patient chairs from blocking portable fire extinguishers.
Administrator or designee will randomly monitor hallways for two weeks to prevent patient chair from blocking portable fire extinguishers. Any findings will be submitted to the monthly QAPI meeting for further recommendations.
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