Electrical Panel Identification Deficiency
Summary
During a life safety code recertification survey conducted over two days, it was observed that the facility failed to ensure proper identification of electrical panels. Specifically, the Electrical Closet on the 1st Floor contained three electrical panels, all of which were missing identification. Similarly, the Electrical Closet on the 2nd Floor, located adjacent to Stairwell A, also contained three electrical panels that lacked identification. This issue was consistent throughout the facility, as electrical panels were not properly marked to indicate their purpose or use. The Director of Maintenance acknowledged the deficiency and indicated that an audit would be conducted to address the issue.
Plan Of Correction
Plan of Correction: Approved March 7, 2025 1. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? The facility contacted the electrician vendor on 3/3/2025 to come in and permanently mark all electrical panels with the proper identification. Visit is set for 3/13/2025. 2. How you will identify other residents having the potential to be affected by the same deficient practice and what corrective action will be taken? The facility acknowledges that residents have the potential to be affected by this practice. The Director of maintenance shall inspect all areas throughout the facility for the same deficiency. All electrical panels will be marked permanently with proper identification. 3. What measures will be put in place or what systemic changes you will make to ensure that the deficient practice does not recur: All maintenance staff will receive additional education, and all participants will understand the life safety issues with the identification of electrical panels in compliance with 2011 NFPA 70:700.10. An audit tool was developed to check all electrical panels for proper identification. 4. How the corrective action(s) will be monitored to ensure the deficient practice will not recur? On a monthly basis, for one quarter, the Director of Maintenance or Designee will audit all electrical panels to make sure proper identification. Any outstanding findings will be reported to the administrator. On a quarterly basis, the QAPI committee will review the facility risk assessment. On a quarterly basis, the Director of Maintenance or Designee will report the result of the audits to the QAPI committee. 5. The title of the person responsible for correction of each deficiency: Administrator, Director of Maintenance.
Penalty
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