Deficiencies in Egress Signage
Summary
The facility was found to have deficiencies in identifying all means of egress in accordance with the National Fire Protection Association (NFPA) 101, 2012 Edition, Section 19.2.10.1, during a recertification survey. Specifically, in Building #1, several doors that could be confused as exits were not properly marked with 'No Exit' signs. These included the dining room door to the courtyard, the North Unit Resident Lounge door to the courtyard, and the West Unit Resident Lounge door to the courtyard. Additionally, an outdoor emergency exit fence door from the main courtyard door from the North Wing was incorrectly marked with a sign that read 'Not an Exit.' These observations were made on March 31, 2025, at 11:31 AM. Similarly, in Building #2, the facility failed to mark doors that could be confused as exits with the required 'No Exit' verbiage. The core area door to the courtyard and the Resident Lounge door to the courtyard were not marked appropriately. These deficiencies were also observed on March 31, 2025, at 11:31 AM. During an interview conducted later that day at 2:37 PM, the Facilities Director acknowledged the issue and indicated that corrective actions would be taken. The deficiencies were cited under 42 Code of Federal Regulations 483.70(a)(1) and the relevant sections of the New York Codes, Rules, and Regulations.
Penalty
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