Compromised Electrical Receptacle Integrity
Penalty
Summary
The facility failed to maintain the physical integrity of electrical receptacles, specifically affecting one of three smoke compartments within the component. During an observation on January 13, 2025, at 10:50 AM, a physically broken electrical receptacle was identified within the Classroom. This finding was confirmed through an interview with the Director of Operations at the same time, who acknowledged the compromised condition of the electrical receptacle.
Plan Of Correction
The classroom electrical receptacle has been replaced. The facility will have all the electrical receptacles checked to ensure the physical integrity of electrical receptacles. The Director of Operations or designee will complete 10% monthly audits in each facility component to ensure the physical integrity of electrical receptacles. The QAPI Committee will review the reports at their quarterly meeting and make recommendations for any deficient patterns identified. Decreasing or elimination of this tool will occur only upon recommendation of the Interdisciplinary QAPI Committee at their quarterly meeting.