Non-compliance with Power Strip Regulations
Summary
The facility failed to ensure the use of approved UL listed power strips, as observed during a life safety code survey. On the third floor lounge area, a Christmas tree was found plugged into an unapproved power strip. This observation was made on one out of four units, indicating non-compliance with specific NFPA codes.
Plan Of Correction
Plan of Correction: Approved December 19, 2024 Immediate Corrective Action: The Maintenance Director and Facility Supervisor on 12.03.2024 removed the unapproved power strip on the third floor of the facility. A Christmas tree was plugged into the extension cord and as such, required a direct outlet. The Maintenance team rectified this deficiency as of 12.04.2024. The Senior Administrator and Quality Improvement team issued a memorandum on 12.03.2024 to the Maintenance Director and facility team regarding power strips in accordance to CMS K-Tag 920. Identification of Others Potentially Affected: The facility respectfully submits all residents were potentially affected by this practice. System Changes to Prevent Recurrence: The Maintenance team are now mandated to have biannual Life Safety Code checklist in-services. The maintenance and facilities supervisor will conduct daily (M-F) maintenance walk-through ensuring existing UL power strips are installed as outlined in K-Tag-920. Quality Assurance Monitoring: The Facility supervisor will audit the daily test logs, monthly test reports and complete the quarterly internal tracker -K category to ensure compliance with the required Life Safety Code lists. Any deficiency identified for K-Tag 920 will be rectified immediately and subjected to quarterly internal audit by the quality assurance unit until substantial measures are enacted. Responsible Party: Facility Supervisor
Penalty
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