Failure to Document Annual Electrical Receptacle Inspections
Penalty
Summary
Surveyors determined that the facility failed to provide documentation verifying that annual inspections and testing of electrical receptacles in resident care areas had been completed. During a document review, it was found that there was no evidence to confirm that electrical receptacles had been tested within the last 12 months in any of the twelve smoke zones of the component. This lack of documentation was identified during a review conducted between 9:30 AM and 10:35 AM on December 18, 2023. At the exit conference, both the Administrator and the Director of Maintenance confirmed that there was no documentation available to show that the required annual electrical inspections had been performed. The deficiency specifically relates to the absence of records for the testing of electrical receptacles in resident care areas, as required by NFPA 99 standards.
Plan Of Correction
Facility will ensure documentation of annual inspections of electrical receptacles in resident care areas is completed and will include in building Management Software task list as an annual inspection. Education on the inspection of and documentation of electrical receptacles utilizing the annual inspection report in building Management Software task list will be provided to the appropriate staff. Audits will be completed semi-annually to check on schedule and confirm results are filed in life safety book. Findings will be reviewed in monthly QAPI meetings.