Improper Installation of ABHR Dispenser Over Electrical Outlet
Penalty
Summary
The facility failed to maintain compliance with the National Fire Protection Association (NFPA) 101 standards for alcohol-based hand rub dispensers (ABHR) in one of its five wings. During an observation on January 16, 2025, at 11:38 a.m., it was noted that the main floor wound care room had an ABHR dispenser installed directly over an electrical outlet. This installation does not meet the requirement that dispensers should not be installed within 1 inch of an ignition source. The maintenance manager confirmed the deficiency during an interview conducted at the same time.
Plan Of Correction
The main floor wound care room hand dispenser has been moved to a location in accordance with 8.7.3.1. The Maintenance Director and/or designee will audit all hand dispensers to ensure that they are placed in accordance with 8.7.3.1.