Failure to Maintain Electrical Equipment in Compliance with NFPA 99
Summary
The facility failed to ensure that electrical equipment was maintained in accordance with National Fire Protection Association 99 standards. During a Life Safety Code recertification survey, it was observed that two pieces of non-patient care electrical equipment, an electric tree and a compact disc player, in two separate resident rooms, lacked asset labels. The facility's policy, revised in March 2024, requires that all non-patient care electrical equipment be tagged with a numbered asset label and another label with the date and signature of the inspector, and that such equipment be tested every two years. However, during an interview, the Director of Maintenance admitted to being unaware of the missing asset labels and could not provide documentation of initial or biennial inspections for the equipment. This oversight indicates a failure to adhere to the facility's policy, potentially compromising the safety of residents and staff.
Plan Of Correction
Plan of Correction: Approved February 10, 2025 The following corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: - 372 electric tree inspected and tagged with a number asset label and another label with date and signature of inspector - 260 compact disc player inspected and tagged with a number asset label and another label with date and signature of inspector The facility will identify other residents having the potential to be affected by the same deficient practice and the following corrective action will be taken: - Audit electrical equipment within the facility for proper inspection labels, ensure done every two years The following measures will be put in place and/or systemic changes will be made to ensure that the deficient practice does not recur: - Education on Electrical Equipment (NFPA 99) inspection and labeling to maintenance department The corrective action(s) will be monitored to ensure the deficient practice will not recur: - Audit electrical equipment for inspection and labeling 10x/month for 3 months 100% The date for correction and the title of the person responsible for correction of each deficiency: - Date of Correction: 3/5/2025 - Person Responsible: Director of Maintenance
Penalty
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