Failure to Maintain Self-Closing Doors in Basement
Penalty
Summary
The facility failed to maintain doors with self-closing devices on one of its five floors, specifically in the basement area. During an observation conducted on December 18, 2024, several deficiencies were noted. The basement electrical equipment room B-2 door was held open with a wooden box, preventing it from closing and latching. The basement maintenance shop storage room door and the basement seamstress room door also failed to latch properly. Additionally, the basement maintenance shop paint storage room door had a disconnected or broken closure mechanism, preventing it from self-closing. Further observations revealed that the basement housekeeping storage room door, the basement mechanical equipment room rear double door, and the basement stair tower C-2 fire door all failed to latch in their frames. The basement kitchen door had one of its two leaves fail to latch, and the laundry emergency supply room doors also failed to latch in the frame. These deficiencies were confirmed during an interview with the maintenance director on the same day.
Plan Of Correction
1. Maintenance Director or designee immediately closed the door in the electrical room and basement laundry door. 2. The latches in the maintenance shop door, maintenance shop paint storage room, housekeeping storage, mechanical equipment room, stair tower C-2 fire door, basement kitchen door, and laundry emergency supply room door will be replaced on repaired on or before 1/14/2025. 3. Education will be provided to the maintenance department by Administrator or designee on the importance of maintaining closed doors with self-closing devices. 4. Maintenance Director or designee will audit for self-closing doors in the basement area weekly x 4 weeks and monthly x 1 month. 5. Results will be discussed with QA committee with monitoring if applicable.