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Tag No.: K0038
Based on observation and interview, the facility failed to ensure all means of egress was in compliance with chapter seven of National Fire Protection Association 101, specifically, 7.1.10.2.1 that no furnishings or other objects will obstruct exits. This has the potential to affect all patients receiving services at the facility. The facility had a census of five patients at the time of survey.
Findings include:
On 02/02/16 at 10:15 AM a tour was taken of the building with Staff Q and M. On 02/01/16 at 10:34 AM the path of egress in suite 104 as described on its evacuation was observed to travel down the hall, turns right, goes through an exam room and out an exit discharge door in the exam room. Tracing the path of egress revealed upon entering the exam room the lights were off and the room was pitch dark without windows/ Upon turning on the lights, an unlit exit sign was observed above the exit discharge door within, and two chairs were observed in front of the door.
On 02/01/16 at 10:34 AM in an interview, Staff Q and M confirmed the chairs were in place in front of the exit discharge door
Tag No.: K0061
Based on observation and interview, the facility failed to have installed a supervisory attachment installed to each of the control valves, specifically the outside screw and yoke at the sprinkler riser, of its sprinkler system. This has the potential to affect all patients receiving services at the facility. The facility had a census of five patients at the time of survey.
Findings include:
On 02/01/16 at 1:01 PM a tour was conducted of the facility with Staff Q and M.
On 02/01/16 at 1:20 PM observation of the outside screw and yoke at the sprinkler system ' s riser revealed it to be open with a loop of link chain hanging off the screw. Staff Q then proceeded to wrap the chain through the yoke and stem and lock it with a u-bolt lock.
On 02/01/16 at 1:20 PM he/she said he was told it was okay to use a chain to keep the valve open, and that the valve had to have been left unsecured since Friday, 01/29/16.