Hazardous Area Enclosure Deficiency
Penalty
Summary
The facility failed to maintain a proper hazardous area enclosure on one of its two levels. During an observation on the first floor, it was noted that the soiled utility room across from room 312 had paper towels stuffed into the doorframe strike plate. This obstruction prevented the door from latching properly, compromising the integrity of the hazardous area enclosure. The issue was confirmed during an exit interview with the Administrator, Director of Maintenance, and Assistant.
Plan Of Correction
1. Soiled utility room door repaired to fully close and latch. 2. 4/28/25 3. Staff education completed on regulation for NFPA 101 Standard (section 8.4) stating that "doors shall be self-closing or automatic closing." 4. Director of maintenance will conduct audits monthly x 3.