Electrical System Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the electrical system as required by NFPA 99, 2012 Edition, Section 6, during a Life Safety Code recertification survey. An open junction box with exposed wires was observed on the wall above the window in the director's office within the main kitchen. This condition was identified during an observation and interview conducted on February 11, 2025, at 12:52 PM. The Director of Environmental Services explained that the exposed wiring resulted from the removal of a hard-wired clock, which had not yet been addressed. Several rooms in the facility had similar hard-wired clocks that had been removed, but the wiring had not been properly enclosed or covered, leading to the deficiency.
Plan Of Correction
Plan of Correction: Approved May 5, 2025 The open junction box in the main kitchen was repaired. A cover was installed over the exposed wires. Maintenance Employees received education on maintaining the electrical system by not leaving open junction boxes and exposed wires upon completing a task. The Director of Environmental Services or designee will monitor outlets with monthly environmental rounds for exposed wires and open junction boxes. The Audit will be reviewed monthly with the Quality Assurance and Performance Improvement Committee for 1 year to ensure compliance. Person Responsible for Completion: The Director of Environmental Services