Fire Protection Deficiencies in Linen Chutes
Penalty
Summary
The facility failed to maintain the fire protection rating for linen chutes, as evidenced by several deficiencies observed during a survey. On multiple floors, including the second, third, fourth, seventh, eighth, and tenth, the rubbish and laundry chute doors in the soiled utility rooms were found to be non-compliant. Specifically, the chute doors on the second and third floors failed to positively latch, while the chute door on the fourth floor was propped open by a lining cart. Additionally, the chute doors on the seventh, eighth, and tenth floors failed to close and latch properly. These deficiencies were confirmed during an exit interview with the Maintenance Director, who acknowledged the issues with the chute doors. The failure to maintain the fire protection rating for these chutes affects six out of fifteen levels in the facility, indicating a significant lapse in maintaining fire safety standards as required by NFPA 101. The report does not mention any corrective actions or plans to address these deficiencies.
Plan Of Correction
Plan of Correction: Preparation and submission of this POC is required by State and Federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice, or any other court proceedings. K 0541-a Door was repaired to positive latch. Door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated. K 0541-b Door was repaired to positive latch. Door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated. K 0541-c Linen chute door was closed and Facility staff will be educated about the hazards of propping doors open. Door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated. K 0541-d Door will be repaired to positive latch. Door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated. K 0541-e Door will be repaired to positive latch. Door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated. K 0541-f Door will be repaired to positive latch. Door will be monitored weekly for 1 Quarter by a maintenance department designee to ensure this condition is not replicated.