| 6400.112(d) | The evacuation time for the fire drill held on 10/24/16 was 4 minutes and 30 seconds. The evacuation time for the fire drill held on 11/22/16 was 2 minutes and 48 seconds. The evacuation time for the fire drill held on 1/25/17 was 4 minutes. The evacuation time for the fire drill held on 4/9/17 was 4 minutes and 30 seconds. The most recent extended evacuation time of 6 minutes specified in writing by a fire safety expert was completed December 2, 2011. | 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 employe 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. | A letter was sent certified 7/12/2017 to Hermitage Fire Chief John Flynn, about the 6 minute extended evacuation time at 1604 Highland Ave. group home. . There has been no response as of 7/18/2017, a phone call log will be kept of attempts and letters sent will be logged until we are able to speak to someone and get a response about the letter that was sent. CEO will also follow up with Hermitage Fire Department as needed. [On 7/18/17, at 3:00AM, a fire drill was conducted with an evacuation time of 2 minutes and 28 seconds. Within 30 days of receipt of the plan of correction, the CEO or designated management shall develop and implement policies and procedures for staff persons who conduct fire drills to implement when fire drills held at community homes encounter problems including exceeding required evacuation times. Within 60 days of receipt of the plan of correction, all staff responsible for conducting fire drill shall be trained in aforementioned policies and procedures. Documentation of training shall be kept. At least monthly for 3 months and continuing at least quarterly, a designated management staff person shall review fire drill records to ensure fire drill are conducted and documented as required. Documentation of reviews shall be kept. (AS 7/27/17)] |
07/27/2017
| Implemented |