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Based on observation and facility staff interview, the facility staff failed to ensure space heaters met the requirements of NFPA 101, 2012 edition. The facility census was 11.

Observations on 10/19-20/2022, during the facility tour, showed the following areas contained space heaters:

-Administrative office contained an electric coil heater with fan;
-Infection control office contained an electric coil heater with fan;
-OB Director's office contained an electric coil heater with fan;
-OB nurse's station contained an electric coil heater with fan;
-DON office contained an electric coil heater with fan;

During an interview on 10/28/2022 at 10:45 A.M., the Director of Facilities said the facility policy does not allow space heaters.

19.7.8 Portable Space-Heating Devices. Portable spaceheating
devices shall be prohibited in all health care occupancies,
unless both of the following criteria are met:
(1) Such devices are used only in nonsleeping staff and employee
areas.
(2) The heating elements of such devices do not exceed
212°F (100°C)