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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.112(c) | A fire drill conducted on 3/25/2013 at 2:30 AM does not indicate whether or not the fire alarm was operable. The same drill does not indicate that the individual evacuated to a designated meeting place. | (c) 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.
| A fire drill was conducted on September 10, 2013 to correct the incomplete fire drill that was conducted on 03/25/2013. The September 10, 2013 fire drill was conducted successfully with all the following: Fire alarm was activated by Lynda Keefer. Time it took for evacuation was 2 minutes and 50 seconds to the outside door and 3minutes and 03 seconds to the designated area. The exit used was the front/ Main entrance. Fire alarm was operating without a problem. Overall, the fire drill was done without any issues or incidents and was successful. The Assisted Chief, Nathan Turner, of Fair Oaks fire Department was present during this fire drill. He conducted a thorough inspection of this Watson house, 18 Watson St Sewickley, pa 15143. He increased the evacuation time from 2:30 minutes to 3:30 minutes for this house and sent us a letter to keep on file. In addition, all program coordinators will be in-serviced on how to conduct a successful fire drill including documentation of the Date, time, amount of time it took for evacuation, exit route used, problems encountered, and whether the fire alarm or smoke detector was operative. Furthermore, the program coordinator manager will be monitoring every fire drill monthly in order to prevent reoccurrence in the future. |
10/31/2013
| Implemented |
| 6400.112(d) | A fire drill conducted on 6/20/2013, at 2:10 PM, had an evacuation time of 2 minutes and 54 seconds. A fire drill conducted on 5/31/13, at 1:34 AM, had an evacuation time of 4 minutes and 36 seconds. A fire drill conducted on 3/10/2013, at 2:10 AM, had an evacuation time of 4 minutes and 30 seconds. The home does not have a letter from a fire safety expert extending its safe evacuation time. | (d) Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employee of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home.
| On September 10th, 2013, The Assisted Chief, Nathan Turner, of Fair Oaks fire Department conducted a thorough inspection of this Watson house, 18 Watson St Sewickley, pa 15143. He increased the evacuation time from 2:30 minutes to 3:30 minutes for this house and sent us a letter to keep on file. In addition, this house is staffed with two staff to meet the needs of the individuals and to meet the evacuation required time. furthermore, all program coordinators were in-serviced on how to conduct a successful fire drill including documentation of the Date, time, amount of time it took for evacuation, exit route used, problems encountered, and whether the fire alarm or smoke detector was operative. finally, the program coordinator manager will be monitoring every fire drill monthly in order to prevent reoccurrence in the future.[Per conversation with provider on 12/2/13, effective immediately the home will be staffed with one additional person per shift to aid in evacuation. If fire drills exceed 2 and one half minutes, the home will either obtain a higher maximum safe evacuation time based on physical characteristics of the building or provide additional staff in addition to the above increase so that evacuation can occur within the required timeframe. The home will have 2 fire drills a month for the next three months. (CHG 12/2/13)] |
10/23/2013
| Implemented |
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