Missing 'NO EXIT' Signage on Dining Room Sliding Door
Penalty
Summary
During an observation, it was found that the sliding glass door in the dining room, which leads to the courtyard, could be mistaken for an exit. The door did not meet the requirements for an exit to the public way and lacked the required 'NO EXIT' signage as specified by Life Safety Code (LSC) 7.10.8.3.1. This issue was identified because the door's appearance could cause confusion during an emergency, and the necessary signage to prevent this confusion was not present. The findings were confirmed in an interview with the Maintenance Director at the time of observation. No information about specific residents, their medical history, or their condition at the time of the deficiency is included in the report.
Plan Of Correction
K293 Exit Signage Element 1: No residents were harmed due to this deficient practice. All residents and staff have the potential to be affected by this deficient practice. Proper signage was installed on the sliding glass door in the dining room leading out to the courtyard, stating that “Not An Exit”. Element 2: An audit was completed of exit doors that are not emergency exits to ensure that proper signage is in place. No concerns were identified. Element 3: Education was provided to the maintenance director on exit and directional signage displayed properly in the facility. Element 4: The Maintenance Director or Designee will audit the exit doors one-time weekly for 4 weeks then monthly times three months to ensure that the exit doors have proper exit signage in place. Any concerns will be addressed at the time they are discovered. Audit findings will be presented to and reviewed by the QAPI Committee monthly until such time that consistent substantial compliance has been achieved and maintained as determined by the committee. The Maintenance Director will be responsible for sustained compliance.