| 6400.112(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. The December 26, 2023 fire drill for this home did not indicate am or pm for the fire drill time. | 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. | On 7/29/2024, Residential Program Specialist corrected the December 2023 fire drill to include the time the fire drill was completed. Documentation will be maintained and available for on-site review.
Residential Program Specialists will inspect every licensed 6400 facility homes fire drills to ensure all times are accurately documented. Program Specialists will immediately correct any discrepancies identified during the inspection. Documentation will be maintained and available for on-site review.
Director of Community Living and Residential Services will revise the Fire Drill Form to include AM and PM for staff to circle to ensure accurate times are documented accordingly.
Manager of Compliance and Training will retrain Residential Employees on policy #5.21 Water, Heating, Fire Safety & Emergency Evacuation Standards Policy and Procedure and revised Fire Drill form to ensure written fire drill records 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. Documentation will be maintained and available for on-site review. |
09/30/2024
| Implemented |