Improper Disposal of Smoking Materials at Emergency Exits
Penalty
Summary
During an outside perimeter walk of the building, surveyors observed over 100 cigarette butts discarded on the ground in the tree shrubbery and leaves in front of all emergency exits. These cigarette butts were not disposed of in noncombustible containers as required by facility smoking regulations. The observation was confirmed through an interview with Facility Maintenance at the time of the finding. The report notes that the facility failed to ensure smoking regulations were adopted and implemented to meet all required provisions, specifically regarding the proper disposal of smoking materials.
Plan Of Correction
K 741 Facility moved free standing smoking ash tray pole and picnic table to required distance from building. No smoking signs were placed in areas of concern to ward off smoking near building. Staff was educated on smoking away from the building or smoking privileges would be reviewed and possibly revoked. Maintenance director was educated on K741 smoking regulation. Maintenance Director will complete facility rounds to ensure concerns observed will be addressed at the time of observation. Results of audits will be reported to QAPI Monthly x3 and PRN. Administrator is responsible for maintaining compliance.