Failure to Mark Exit Discharges in Accordance with NFPA 101
Penalty
Summary
The facility failed to maintain exits in accordance with the National Fire Protection Association (NFPA) 101 Life Safety Code, 2012 Edition, Sections 19.2.7 and 7.7, as observed during a recertification survey. Specifically, the G-wing and S-wing exit discharges in buildings #1 and #3 were not marked to clearly indicate the direction of egress travel from the exit discharge to a public way. This deficiency was identified during observations conducted on December 5, 2024, at 2:13 PM. During an interview at 3:07 PM on the same day, the facility's administrator acknowledged the issue and indicated that the facility would assess all exit discharges and install the required signage.
Plan Of Correction
Plan of Correction: Approved January 10, 2025 1. Signage installed at exit discharge locations directing travel to the public way (Route 4). (NOTE – either direction (left/right) leads to the public way) 2. All other exit discharge locations for Building #1 inspected, signage placed where necessary. 3. Maintenance staff will be provided education in the form of written notice about the requirement for directional signage at exit discharges to a public way, with signature attesting to receipt and understanding. 4. The presence of signage at exit discharge locations will be audited once per month for six months to assure it is properly located, with the results reported to Quality Assurance/Performance Improvement committee. Responsible Party: Director of Plant Operations