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K0342
E

Fire Alarm Pull Station Obstructed by Storage Items

Wyndmoor, Pennsylvania Survey Completed on 01-27-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain the initiation of the required fire alarm system, specifically affecting one of the four levels in the facility. During an observation on January 27, 2025, at 2:00 p.m., it was noted that the fire alarm pull station inside the Activities Department was not readily accessible. This inaccessibility was due to the pull station being blocked by miscellaneous storage items. During an exit interview with the Administrator and Maintenance Director on the same day at 2:30 p.m., it was acknowledged that the fire alarm pull station was obstructed by these items.

Plan Of Correction

1. Items blocking the pull station inside the Activities Department were immediately removed. 2. Pull stations throughout the facility audited to ensure they remain readily accessible. 3. Education provided to ensure proper compliance with this regulation. 4. An audit of the pull station in the Activities Department will be conducted to ensure it remains readily accessible. Audit will be done 2x a month for 2 months and 1x a month for 1 month. 5. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly x6 months.

See complete original report
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