Missing Instructional Placard for Fire Extinguisher
Penalty
Summary
The facility failed to comply with NFPA standards by not providing an instructional placard near the Class K portable fire extinguisher in the kitchen. This placard should have indicated that the fire protection system must be actuated before using the extinguisher. This deficiency was observed during an inspection at 11:26 AM, and the absence of the placard was confirmed through interviews with staff present at the time. The issue was discussed with the relevant personnel during the Life Safety Code exit conference.
Plan Of Correction
1. Corrective Actions Accomplished for residents found to have been affected by the deficient practice: The K rated fire extinguisher was moved to the proper location next to instruction placard. It is still in the kitchen in an accessible location. See attached evidence. 2. Identification of residents who have the potential to be affected by the same deficient practice: All residents had the potential to be affected by the deficient practice. 3. Systemic changes to ensure that deficient practice does not recur: The U.S. FOIA (b) (6) was in-serviced on keeping all monthly placards of portable fire extinguishers. The maintenance Director/designee will maintain a log on all placards monthly. Findings will be submitted to the Administrator for review. Additionally, the maintenance Director will keep onsite placards for a period of at least one year prior to the current year. 4. Monitoring corrective actions: Corrective actions will be evaluated for effectiveness, and the plan of corrections will be integrated into the Quality Assurance Performance Improvement (QAPI) program. The Quality Assurance Performance Improvement Committee will review the monthly audits on a Quarterly basis x 12 months to ensure compliance.