Linen Chute Doors Fail to Latch Properly
Penalty
Summary
The facility failed to maintain the fire resistance of linen chute enclosure doors, affecting two smoke compartments. During an observation on December 16, 2024, it was noted that the linen chute doors on the 4th and 2nd floors of the Roosevelt building did not positively latch within their frames. This deficiency was confirmed through interviews with the Assistant Director of Facilities and Grounds, who acknowledged the compromised fire resistance rating of the linen chute enclosures.
Plan Of Correction
1. (Observation 1) -- The Roosevelt 4th floor Linen Chute door that failed to positively latch was corrected on 12/18/2024. (Observation 2) -- The Roosevelt 2nd floor Linen Chute door that failed to positively latch was corrected on 12/18/2024. 2. Maintenance staff will be educated in maintaining the fire resistance rating for Linen Chute doors. Staff has been educated to initiate a work order when a linen chute door is not latching appropriately. 3. The Director of Security and/or Maintenance Assistant Director or designee will monitor the building monthly to ensure the fire resistance rating for Linen Chute doors. The results of the audit will be forwarded to the Quality Assurance Committee for review and comment.