Patio Gate Obstruction Due to Unavailable Key
Summary
The facility failed to ensure that the patio gate leading to the public way was unobstructed, as required by safety regulations. During a life safety survey conducted over two days, it was observed that the patio on the main floor was secured with a padlock. When surveyors requested the gate to be opened, the key was not immediately available, necessitating staff to re-enter the building to retrieve it. This delay in accessing the key indicates a deficiency in maintaining an unobstructed and accessible exit path, as required by safety standards.
Plan Of Correction
Plan of Correction: Approved April 4, 2025 I. Immediate Corrective Action A break box with the key to the gate was installed on 4/4/25 near the emergency exit for easy access in case of an emergency. II. Identification of Other Residents The facility respectfully states that residents could potentially be affected by this deficient practice. An audit of all exit areas leading to the street was conducted. No other outstanding issues were found. III. Systemic Changes Maintenance was in-serviced regarding the need for easy access to exit the building and property in an event of an emergency. A comprehensive review of all exits was done, no other issues were noted. IV. Monitoring On a monthly basis for one quarter, Director of Maintenance or designee, will check the facility exits to the public way for potential obstruction. Any outstanding issues will be reported to the Administrator and corrected immediately. On a quarterly basis, Director of Maintenance or designee, will report findings to QAPI Committee to determine if further action is required. Responsible Party: Director of Maintenance
Penalty
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