Failure to Provide Automatic Emergency Illumination
Penalty
Summary
The facility failed to provide emergency illumination that would operate automatically along the means of egress, as required by NFPA 101:2012 Edition, Sections 19.2.8 and 7.8.1.3* (2). This deficiency was identified during an observation and interview conducted on December 30, 2024, in the presence of U.S. FOIA representatives. Specifically, it was observed that in the C-hall occupied dining room, a single wall light switch controlled all eight ceiling light fixtures, which did not comply with the requirement for emergency illumination to operate automatically. This issue was noted in one of four areas and had the potential to affect 25 residents. The findings were confirmed by the U.S. FOIA representatives at the time of observation and were communicated to the facility during the Life Safety Code survey exit conference on December 31, 2024.
Plan Of Correction
K-0281 (E) NFPA 101- Illumination of Means of Egress 1. The facility is scheduled on January 24, 2025, to install emergency lighting in the dining room to illuminate the discharge path. The room has ambient lighting, and all residents were free from hazards. 2. All remaining egress path lights have been inspected and found at least one light that is on constant power. Fixtures have been tested and are in full operation as of 1/10/2025. All resident areas are free from hazards and all systems are operating as designed. 3. Education is completed with Maintenance staff to confirm proper function and maintenance of all egress path lighting on 1/10/2025. 4. Every quarter for a year the Maintenance Director or designee reviews random exit path lights for function. This information will then be entered on a log and will be presented to the QAPI meeting quarterly for one year. *emergency lighting was installed in the dining room- see attached photo*