Failure to Maintain Illuminated Exit Signage
Penalty
Summary
The facility failed to maintain the required illumination of exit signage in accordance with NFPA 101 standards. During an observation, it was found that the exit sign located in Zone 11, near Resident Room 319, was not illuminated. This deficiency was confirmed through an interview with the Director of Maintenance, who acknowledged that the exit sign was not functioning as required. The issue affected one of twelve smoke compartments within the component.
Plan Of Correction
The light bulb for the Exit Signage in Zone 11 by Resident room 319 has been replaced. Maintenance staff will be educated on ensuring all exit signage is illuminated moving forward. Maintenance Director/Designee to perform random quarterly audits on exit signage to ensure all exit signage is illuminated. Results of audits will be forwarded to the QAPI Committee.