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1239 S TRENTON AVE

TULSA, OK 74120

Fire Drills

Tag No.: K0712

Based on record review and interview the facility failed to include the transmission of a fire alarm signal on each fire drill.

Findings:

Record review showed the facility fire drills for 2019, and 2018 did not document a transmission of a fire alarm signal for every fire drill completed.

On 06/19/19 at 1:07 pm the surveyor stated to Staff B the facility fire alarm drills should include documentation there was a transmission of a fire alarm signal for each fire drill. Staff B stated they would add that to the fire drill documentation.

Soiled Linen and Trash Containers

Tag No.: K0754

Based on observation and interview the facility failed to ensure soiled linen/trash containers exceeding 32 gallons in capacity were stored in a protected hazardous area when not attended.

Findings:

On 06/20/19 at 03:02 pm a combustible plastic barrel container exceeding 32 gallons with soiled linen was observed stored open to the egress corridor on the third floor.

On 06/20/19 at 03:02 pm the surveyor asked staff N why the soiled linen container was stored open to the egress corridor. Staff N stated the container should be stored in the laundry room and not outside of the room. The surveyor asked staff N what the size of the container was. Staff N stated probably 44 gallon. The surveyor stated any container over 32 gallons needs to be store in a one hour fire rated protected area to meet compliance. Staff N stated they will correct it.