| 6400.112(c) | The written fire drill record for the fire drill conducted 2/25/2021 did not include the time of the fire drill; an "X" was written were the time was to be documented. The written fire drill record for the fire drill conducted 4/20/2021 did not include problems encountered, this section was left blank. The written record for the fire drill conducted on 6/25/2021 did not include whether the smoke detectors were operative. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | August 10th 2021: The fire drill documentation will be updated with specific details/instructions on how to completely and accurately complete the document to prevent inaccuracies and to ensure each section is completed in its entirety. Additionally, the documentation will be updated to denote if the fire alarm activated was operable at the time of the drill. |
08/16/2021
| Implemented |
| 6400.112(h) | The written fire drill record for the fire drill conducted on 6/4/2021 had a the section that states, "Drill participates met at the designated meeting place: "yes no" this section was left blank; therefore compliance could not be measured. | Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill. | August 10th 2021: The fire drill documentation will be updated with specific details/instructions on how to completely and accurately complete the document to prevent inaccuracies and to ensure each section is completed in its entirety. |
08/16/2021
| Implemented |