| 6400.66 | The utility area egress does not have a light outside of the egress door. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| DISCLAIMER: THE DEPARTMENT DOES NOT PERMIT APPEAL/RESOLUTION OF DISPUTED DEFICIENCIES UNTIL AND UNLESS A PROVIDER SUBMITS A PLAN TO CORRECT DEFICIENCIES THAT THE DEPARTMENT HAS ALLEGED. ACCORDINGLY, THIS PLAN OF CORRECTION IS SUBMITTED TO MEET REGULATORY REQUIREMENTS. IT IS NOT AN ADMISSION OF ANY ALLEGED DEFICIENCY OR ALLEGED VIOLATION AND SHOULD NOT BE UTILIZED AS AN ADMISSION BY ANY COURT OR TRIBUNAL IN ANY LEGAL PROCEEDING.
1. STEPS HOPE WILL TAKE TO ENSURE THAT THE DEFICIENCY IS CORRECTED WITH RESPECT TO THE INDIVIDUAL/INDIVIDUALS IDENTIFIED WITHIN THIS DEFICIENCY:
Hope Enterprises will relocate the light outside the egress door from the utility area to assure safety and to avoid accidents.
2 STEPS HOPE WILL TAKE TO IDENTIFY ANY OTHER INDIVIDUALS THAT MAY BE AT RISK ON ACCOUNT OF THE DEFICIENCY AND STEPS HOPE WILL TAKE TO ENSURE THAT THE DEFICIENCY IS CORRECTED FOR ANY OTHER AT RISK INDIVIDUALS:
Hope Enterprises will inspect every licensed 6400 facility¿s egresses to have a light fixture outside the egress door to assure safety and to avoid accidents. Hope Enterprises will install a light fixture outside identified egresses doors without adequate lighting during inspection. Documentation will be maintained and available for on-site review.
3. STEPS HOPE WILL TAKE TO ENSURE THAT THE CORRECTION OF THIS DEFICIENCY IS PERMANENT AND THAT THE DEFICIENCY DOES NOT REOCCUR:
Hope Enterprises will retrain all staff on the requirement that all facilities¿ rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes, that are used by individuals are lighted to assure safety and to avoid accidents. Hope Enterprises will assure its policies require staff to inspect facilities¿ rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes that are used by individuals at least once per month to ensure that they are lighted to assure safety and to avoid accidents. Documentation will be maintained and available for on-site review. |
07/30/2021
| Implemented |