Non-compliance with Smoking Regulations
Penalty
Summary
The facility failed to adhere to smoking regulations as evidenced by an accumulation of cigarette butts observed outside the oxygen storage room and in various spots around the designated smoking area. This observation was made on February 4, 2025, at 1:15 p.m. The maintenance supervisor confirmed the presence of cigarette butts in these areas, indicating a lack of compliance with the requirement to prohibit smoking in areas where flammable materials, such as oxygen, are stored. This deficiency highlights the facility's failure to maintain a safe environment by not ensuring that smoking regulations are strictly followed, particularly in hazardous locations.
Plan Of Correction
The cigarette butts have been removed from the ground by the exit. The facility will ensure that ashtrays are being utilized properly. The Administrator and/or designee will educate the Maintenance Director on the importance of smoking regulations. The Maintenance Director will educate the staff on the importance of adhering to smoking regulations. Audits will be conducted 3 times a week for 4 weeks to ensure that smoking regulations are being met.