Missing Covers on Electrical Junction Boxes
Summary
During a Life Safety Code survey, it was observed that electrical junction boxes were not maintained properly, as covers were missing from several boxes. This issue was identified in two of the three resident units and the basement of the facility. Specifically, missing covers were found in the basement storage room, above the Unit 6 corridor ceiling near the Beauty Shop, above the smoke barrier doors near a resident room, near the ceiling-mounted illuminated exit sign at the entrance to Unit 5, and above the tub in a bathroom in a resident room. The Maintenance Director acknowledged that maintenance staff checked electrical junction boxes for covers when working above ceiling tiles but admitted there was no documentation for these checks.
Plan Of Correction
Plan of Correction: Approved December 30, 2024 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 1. The two electrical junction boxes in the storage room were fixed by the Maintenance Director. Junction box near the beauty shop was replaced by the Maintenance Director. The electrical junction box located above the smoke barrier near resident room [ROOM NUMBER] was replaced. The electrical junction box located near the ceiling-mounted illuminated exit sign at the entrance to Unit 5 was replaced by the Maintenance Director. The junction box located above the tub in the bathroom in Resident room [ROOM NUMBER] was replaced by the Maintenance Director. 2. All residents are at risk for deficient practices of missing electrical junction boxes. 3. A full house audit of all junction boxes will be conducted by Maintenance. Any deficient practices will be fixed and brought to QAPI for further review. 4. Administrator educated Maintenance Director/Tech on junction boxes. 5. All junction boxes will be audited quarterly to ensure junction boxes are in place and in good condition. Any deficient practices will be fixed immediately and brought to QAPI for further review. Person Responsible: Maintenance Director
Penalty
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