Missing Inspection Policy for Electrical Equipment
Summary
The facility failed to ensure that Patient Care Related Electrical Equipment (PCREE) was inspected and tested in accordance with NFPA 99 standards. During a Life Safety recertification survey, it was observed that the facility's policy and procedure for inspecting both PCREE and non-PCREE were missing and not provided to the surveyors. This deficiency was noted during the survey conducted over two days. In an interview, the Director of Plant Operations acknowledged the absence of the policy and stated that it would be located. The lack of documentation and adherence to the required inspection protocols led to the citation under the relevant NFPA and state regulations.
Penalty
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