Observations
Based on a physical plant tour conducted on 11/5/2021, the facility failed to ensure that bed rails and ladders were attached to bunk beds located on the male floor in the following rooms: Rooms S -10, S-11, S-12 and S-13.Findings were reviewed with facility staff during the complaint investigation.
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Plan of Correction
Based on a physical plant tour conducted on 11/5/2021, the facility failed to ensure that bed rails and ladders were attached to bunk beds located on the male floor in the following rooms: Rooms S -10, S-11, S-12 and S-13.
Plan of Correction: Bed rails and ladders are going to be permanently affixed to bunks in order to prevent future removal occurrences. At time of this response 11/19/2021 all bunks are equipped with ladders and rails. The permanent affixture will occur by 12/3/2021. Observation of the ladders and rails being in place on each bunk will be made part of the daily inspection of sleeping rooms by Program Monitor staff effective 11/23/2021.
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