| 6400.112(c) | The fire drill conducted on 2/20/24 at 02:00 AM did not include the amount of time it took for evacuation. | 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. | The fire drills will be tracked by the Operations Manager. Fire Drills will be submitted to the Operations Manager by the 15th of each month to ensure the fire drill was conducted and the date, time, the amount of time it took to evacuate, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative are tracked on the fire drill sheet and correct. The Assistant Executive Director will then review and file these fire drill documents. [A blank "Fire Drill and Safety Checklist" form, that includes evacuation time, was received on 8/27/25 and reviewed 9/4/2025. DPOC by HDKP, HSLS, on 9/4/2025.] |
08/01/2025
| Implemented |