Deficient Exit Signage Near Kitchen
Penalty
Summary
The facility failed to ensure proper exit signage in accordance with NFPA 101:2012 Edition, Sections 19.2.10.1 and 7.10. During an observation at 11:00 AM, it was noted that there was no directional exit sign indicating the direction of travel to the nearest exit when exiting the smoke barrier doors near the kitchen. This deficiency was confirmed through an interview with the U.S. FOIA present at the time of the observation. The lack of appropriate signage had the potential to affect all residents, as the direction of travel to the nearest exit was not apparent.
Plan Of Correction
1. All residents have the potential to be affected by this deficient Life Safety Code. A directional exit sign was installed near the kitchen on 12/31/24 by [R]. The sign is wall mounted, is internally illuminated, and clearly indicates the direction of travel to the nearest exit. A complete facility-wide inspection of all exit signs was conducted on 12/31/24 to ensure no other areas are lacking proper signage. 2. The Maintenance Director will modify the scheduled maintenance calendar to include a quarterly Exit Sign inspection to be conducted to ensure all facility exit signs are in the proper location and functioning. 3. The maintenance director will review the quarterly exit sign inspection reports with the administrator quarterly and submit to the QAA committee quarterly for 1 year.