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MINNEOLA DISTRICT HOSPITAL NBR 2
No Description Available
Tag No.: K0050
Based upon a review of records and staff interview, the facility fails to assure that fire drills are held at unexpected times, under varying conditions and at least once per shift per quarter. This deficient practice has the potential of affecting staff preparation and experience in providing for the protection of all 7 residents, staff and visitors in the event of a fire, affecting 3 of 3 smoke zones. The facility has a capacity of 18 with a census of 7 at the time of the survey.
Findings include:
During the tour conducted on 02/14/2013, a review of records between 2:00 p.m. and 3:00 p.m. for the last 5 quarters revealed the following:
-- 1. Drills conducted in close proximity.
a. Drills for the 2nd shift conducted at 4:13 p.m., 4:00 p.m., 4:38 p.m., 4:40 p.m., and 3:54 p.m. on 01/20/12, 04/26/12, 07/30/12, 10/30/12 and 01/23/13, respectively.
Maintenance Staff A was present and acknowledged the results of the record review.
NFPA Standard: Requires drills be conducted at least quarterly on each shift under varied conditions to simulate the unusual conditions occurring in case of fire. The fire alarm shall be transmitted during drills although a coded announcement may be used between 9:00 p.m. and 6:00 a.m. 2000 NFPA 101, 19.7.1.2
LIFE SAFETY CODE STANDARD
Tag No.: K0050
Based upon a review of records and staff interview, the facility fails to assure that fire drills are held at unexpected times, under varying conditions and at least once per shift per quarter. This deficient practice has the potential of affecting staff preparation and experience in providing for the protection of all 7 residents, staff and visitors in the event of a fire, affecting 3 of 3 smoke zones. The facility has a capacity of 18 with a census of 7 at the time of the survey.
Findings include:
During the tour conducted on 02/14/2013, a review of records between 2:00 p.m. and 3:00 p.m. for the last 5 quarters revealed the following:
-- 1. Drills conducted in close proximity.
a. Drills for the 2nd shift conducted at 4:13 p.m., 4:00 p.m., 4:38 p.m., 4:40 p.m., and 3:54 p.m. on 01/20/12, 04/26/12, 07/30/12, 10/30/12 and 01/23/13, respectively.
Maintenance Staff A was present and acknowledged the results of the record review.
NFPA Standard: Requires drills be conducted at least quarterly on each shift under varied conditions to simulate the unusual conditions occurring in case of fire. The fire alarm shall be transmitted during drills although a coded announcement may be used between 9:00 p.m. and 6:00 a.m. 2000 NFPA 101, 19.7.1.2