Electrical System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the electrical system properly in one location, specifically affecting one of the three floors. During an observation on April 8, 2025, at 12:02 pm, it was noted that items were stored within 36 inches of electrical components in the 3rd floor storage room near the nurse's station. This proximity of stored items to electrical components constitutes a deficiency in maintaining the electrical system as per NFPA 99 Chapter 10 requirements. The deficiency was confirmed during an exit interview with the Facility Administrator and Facilities Manager on the same day at 1:15 pm, where they acknowledged the issue with the electrical systems in the specified location.
Plan Of Correction
1. Storage items have been moved away from all electrical panel's components in the third floor storage room near the nurses' station. 2. Items have been moved to at least 36 inches of electrical components in facility storage rooms. 3. Maintenance/Designee will educate all staff about maintaining a 3 foot clearance from all electrical panels. 4. Maintenance/Designee will complete audits weekly x4, then monthly x3. Audits will be reported to QAPI.