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Based on observation and interview, it was determined that the facility failed to ensure the safety of residents, staff, and other occupants of the building by allowing unapproved portable space heating units in the facility.

The findings include:

During the life safety code tour on June 3, 2010, at 11:00 a.m., with the Director of Maintenance, an unapproved portable space heater was noted to be located in the X-Ray office. An interview revealed the Director of Maintenance was not aware of the requirements regarding portable space heaters. An unapproved space heater was also observed in the Respitory Therapy office during the survey.

Reference: NFPA 101 (2000 Edition).

19.7.8 Portable Space-Heating Devices.
Portable space-heating devices shall be prohibited in all health care occupancies.
Exception: Portable space-heating devices shall be permitted to be used in nonsleeping staff and employee areas where the heating elements of such devices do not exceed 212?F (100?C).

Based on observation and interview, it was determined that the facility failed to ensure the safety of residents, staff, and other occupants of the building by allowing unapproved portable space heating units in the facility. The facility has the capacity for 25 beds with a census of 10 on the day of survey.

The findings include:

During the life safety code tour on June 3, 2010, at 8:20 a.m., with the Director of Maintenance, an unapproved portable space heater was noted to be located in the Purchasing office. An interview revealed the Director of Maintenance was not aware of the requirements regarding portable space heaters. An unapproved space heater was also observed in the Maintenance Shop during the survey.

Reference: NFPA 101 (2000 Edition).

19.7.8 Portable Space-Heating Devices.
Portable space-heating devices shall be prohibited in all health care occupancies.
Exception: Portable space-heating devices shall be permitted to be used in nonsleeping staff and employee areas where the heating elements of such devices do not exceed 212?F (100?C).

Based on interview and record review, the facility failed to develop a fire watch policy to ensure the safety of occupants of the building in case of sprinkler system failure. The facility has the capacity for 25 beds with a census of 10 on the day of survey.

The findings include:

During the life safety code tour on June 3, 2010, at 11:25 a.m., a review of policies and procedures revealed no fire watch policy in case of a failure of the facility's sprinkler system. The Director of Maintenance stated the facility had fire watches in the past but was not aware the facility needed a fire watch policy.

Based on interview and record review, the facility failed to develop a fire watch policy to ensure the safety of occupants of the building in case of fire alarm failure.

The findings include:

During the life safety code tour on June 3, 2010, at 11:25 a.m., a review of policies and procedures revealed no fire watch policy in case of a failure of the facility's fire alarm system. The Director of Maintenance stated the facility had fire watches in the past but was not aware the facility needed a fire watch policy.

Based on interview and record review, the facility failed to develop a fire watch policy to ensure the safety of occupants of the building in case of fire alarm failure. The facility has the capacity for 25 beds with a census of 10 on the day of survey.

The findings include:

During the life safety code tour on June 3, 2010, at 11:25 a.m., a review of policies and procedures revealed no fire watch policy in case of a failure of the facility's fire alarm system. The Director of Maintenance stated the facility had fire watches in the past but was not aware the facility needed a fire watch policy.

Based on observation and interview, it was determined that the facility failed to ensure the safety of residents, staff, and other occupants of the building by allowing unapproved portable space heating units in the facility.

The findings include:

During the life safety code tour on June 3, 2010, at 11:00 a.m., with the Director of Maintenance, an unapproved portable space heater was noted to be located in the X-Ray office. An interview revealed the Director of Maintenance was not aware of the requirements regarding portable space heaters. An unapproved space heater was also observed in the Respitory Therapy office during the survey.

Reference: NFPA 101 (2000 Edition).

19.7.8 Portable Space-Heating Devices.
Portable space-heating devices shall be prohibited in all health care occupancies.
Exception: Portable space-heating devices shall be permitted to be used in nonsleeping staff and employee areas where the heating elements of such devices do not exceed 212?F (100?C).

Based on observation and interview, it was determined that the facility failed to ensure the safety of residents, staff, and other occupants of the building by allowing unapproved portable space heating units in the facility. The facility has the capacity for 25 beds with a census of 10 on the day of survey.

The findings include:

During the life safety code tour on June 3, 2010, at 8:20 a.m., with the Director of Maintenance, an unapproved portable space heater was noted to be located in the Purchasing office. An interview revealed the Director of Maintenance was not aware of the requirements regarding portable space heaters. An unapproved space heater was also observed in the Maintenance Shop during the survey.

Reference: NFPA 101 (2000 Edition).

19.7.8 Portable Space-Heating Devices.
Portable space-heating devices shall be prohibited in all health care occupancies.
Exception: Portable space-heating devices shall be permitted to be used in nonsleeping staff and employee areas where the heating elements of such devices do not exceed 212?F (100?C).

Based on interview and record review, the facility failed to develop a fire watch policy to ensure the safety of occupants of the building in case of sprinkler system failure. The facility has the capacity for 25 beds with a census of 10 on the day of survey.

The findings include:

During the life safety code tour on June 3, 2010, at 11:25 a.m., a review of policies and procedures revealed no fire watch policy in case of a failure of the facility's sprinkler system. The Director of Maintenance stated the facility had fire watches in the past but was not aware the facility needed a fire watch policy.

Based on interview and record review, the facility failed to develop a fire watch policy to ensure the safety of occupants of the building in case of fire alarm failure.

The findings include:

During the life safety code tour on June 3, 2010, at 11:25 a.m., a review of policies and procedures revealed no fire watch policy in case of a failure of the facility's fire alarm system. The Director of Maintenance stated the facility had fire watches in the past but was not aware the facility needed a fire watch policy.

Based on interview and record review, the facility failed to develop a fire watch policy to ensure the safety of occupants of the building in case of fire alarm failure. The facility has the capacity for 25 beds with a census of 10 on the day of survey.

The findings include:

During the life safety code tour on June 3, 2010, at 11:25 a.m., a review of policies and procedures revealed no fire watch policy in case of a failure of the facility's fire alarm system. The Director of Maintenance stated the facility had fire watches in the past but was not aware the facility needed a fire watch policy.