Deficiencies in Egress Door Signage and Functionality
Penalty
Summary
The facility was found to have deficiencies related to the egress doors, specifically concerning the delayed-egress locking systems. During an observation on April 17, 2025, it was noted that an SLA egress door outside of elevator 10 lacked the required signage indicating "PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 SECONDS." This deficiency was confirmed during an exit interview with the Administrator and the Director of Maintenance, who acknowledged the absence of the necessary signage for the delayed egress system. Additionally, the facility failed to maintain the means of egress without obstructions. An observation on the same day revealed that the left side door towards the Hood loading dock area on the first level had a damaged door closure, preventing the door from swinging closed properly. This issue was also confirmed during the exit interview with the Administrator and the Director of Maintenance, who acknowledged the malfunctioning door closure.
Plan Of Correction
A 15 second delayed egress sign will be installed on 5/16/2025 by Dunwoody's Maintenance staff. The Maintenance Manager or designee will inspect these doors annually as part of our Annual Fire Door Inspection. All maintenance mechanics will be inserviced on this by 5/26/2025. The damaged fire door closer will be repaired on or before 5/9/2025 by Dunwoody's Maintenance Staff. The Maintenance Manager or designee will inspect these doors weekly for the initial two months and then annually as part of our Annual Fire Door Inspection. All maintenance mechanics will be inserviced on this by 5/26/2025.