Deficiencies in Electrical System Compliance
Summary
The facility failed to maintain compliance with NFPA 70: National Electrical Code and NFPA 99: Health Care Facilities Code, as observed during a Life Safety Code recertification survey. Specifically, the surveyors noted that the minimum clear spaces required for electrical equipment were not maintained. Assorted items were stored less than 3 feet away from electrical panels in various locations, including the clean holding rooms on the first and second floors. This improper storage was observed on two of the three floors within the facility, indicating a systemic issue with maintaining clear spaces around electrical equipment. Additionally, a receptacle identified as EHH-CKT#9 in the nurse station on the second floor was found to be in disrepair. The Director of Building Services was present during the observations and acknowledged the issues. The failure to maintain clear spaces around electrical panels and the disrepair of an emergency receptacle represent deficiencies in the facility's adherence to safety codes, potentially impacting the safe operation and maintenance of electrical systems.
Plan Of Correction
Plan of Correction: Approved February 26, 2025 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** I. Items have been removed from 3ft around the electrical panel. Clean holding rooms 229, 268 on the second floor and first floor clean holding room [ROOM NUMBER] were removed and replaced. Nurse station receptacle EHH-CKT#9 was repaired 02/28/2025. II. Anyone has the potential to be affected. III. The maintenance department were educated on NFPA 101 Electrical System û other on 2/12/25 by Director of Maintenance. IV. The facility created an audit tool to ensure there are no items stored within 3ft of electrical panels and that all receptacles are in working condition. Audits will be conducted weekly for 1 month and monthly for 3 months. V. Responsible party: Director of Maintenance/ Designee.
Penalty
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