Failure to Maintain Self-Closing Mechanism on Laundry Chute Door
Penalty
Summary
The facility failed to maintain proper self-closing mechanisms on a vertical opening door, specifically the basement laundry chute door. During an observation, it was found that the chute door did not have the required number of fusible links on its hold-open springs, with only one of the two necessary fusible links installed. This deficiency prevented the chute door from closing as required. The issue was confirmed in an interview with the administrator and maintenance supervisor.
Plan Of Correction
Fusible link replaced immediately at time of survey. Weekly audits to ensure fusible link is installed will be completed by Maintenance or designee weekly for four weeks. After four weeks, audits will continue monthly. The results of these audits will be reviewed quarterly by the Quality Assurance and Quality Improvement committee for further analysis and recommendation.