Inadequate Clearance in Front of Electrical Panels Due to Soiled Linen Accumulation
Summary
During a Life Safety Code survey, it was observed that electrical systems were not properly maintained due to inadequate clearance in front of electrical panels on both the first and second floors of the facility. Specifically, bags of soiled linen and mobile hampers were repeatedly found obstructing the required three feet of clearance in front of electrical panels in various Soiled Linen Rooms. Despite signs and red tape marking the area to be kept clear, staff continued to place items within the restricted zone. Interviews with staff revealed that the accumulation of bags was a recurring issue, particularly after morning care or total bed changes, and that maintenance staff were responsible for regular pickups. The deficiency was further compounded by staffing challenges, as the facility's Maintenance Director and second shift Housekeeper positions were vacant, leading to inconsistent removal of soiled linen and garbage bags. Staff interviews indicated a lack of understanding regarding the purpose of the red tape, and despite knowing the importance of keeping the area clear, the odd shape of the rooms and the location of the electrical panels made compliance difficult. The Administrator acknowledged the issue and the challenges posed by the room layout, but the absence of key staff members exacerbated the problem, resulting in the observed deficiencies.
Plan Of Correction
Plan of Correction: Approved May 5, 2025 Corrective Action: All soiled linen, garbage bags, and mobile hampers found obstructing the 36-inch clearance in front of electrical panels were immediately removed from the South, East, and North Hall Soiled Linen Rooms on both the first and second floors. Identify Other Residents: All residents have the potential to be affected by this deficient practice. No other residents were identified as being affected by this deficient practice. Systemic Changes: A facility wide audit will be conducted to check for clearance around all electrical panels. The red tape and signage have been enhanced with floor decals labeled “DO NOT BLOCK – ELECTRICAL PANEL CLEARANCE ZONE” to provide clearer visual warnings. All Nursing, Environmental, and Maintenance Staff received in-service training on electrical panel clearance requirements. An audit tool will be created to check the electrical panel, and the maintenance department will be educated on the audit tool. The soiled utility rooms will be audited by the maintenance department daily for four (4) weeks, then three (3) times per week for eight (8) weeks, then weekly for three (3) months. Monitor Corrective Actions: The Director of Facilities or designee will report the audit results monthly to the QAPI Committee. The QAPI Committee is responsible for the ongoing monitoring and compliance. Person Responsible for Implementation: The Director of Facilities.
Penalty
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