Observations
Based on a review of administrative documentation and an interview with the facility director, the facility failed to document an an annual inspection of the fire alarm/smoke detector system.
The findings include:
The facility ' s fire drill records were reviewed and an interview with the facility director was conducted on January 26, 2010. Because the facility does not activate the alarm system during fire drills, they were required to document an annual inspection of the fire alarm/smoke detector system to ensure its functioning. At the time of the inspection, the facility did not have proof of an annual inspection of the alarm system. The facility director confirmed they did not have documentation of the inspection of their alarm system.
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Plan of Correction
The annual inspection of the fire/alarm/smoke detection system is completed by the Kartmann Alarm Company in February. The completed report, along with any plans for correction, will be obtained from the owners(Traditions of America)for 1233 Locust Street, Philadelphia, PA, within 30 days of the inspection. The annual inspection will be kept on file for DOH review.
Person(s)responsible: Program Director
Timeframe for completion: Immediate |