Failure to Monitor and Document Water Management Interventions
Penalty
Summary
The facility failed to ensure that interventions outlined in its Water Management Plan to prevent the growth of waterborne bacteria, including Legionella, were consistently monitored and completed. The plan required weekly flushing of unused toilets and sinks, cleaning of shower heads with sanitizing agents, weekly flushing of basement floor drains, and quarterly Legionella testing. During a review, it was found that documentation logs for water temperature checks and flushing of high-risk areas were only available up to early May 2025, with no records available from that date to the present. The Maintenance Director was unable to confirm whether the required water flushes and documentation had been completed after delegating the task to Central Supply staff.