| 6400.112(e) | The most recent fire drill held during sleep hours was 7/16/15. | A fire drill shall be held during sleeping hours at least every 6 months. | The staff were trained on completing the fired drill from correctly. The Assistant Director will review all overnight drills to ensure they are documented correctly.Att #7 and 8 [Within 30 days of receipt of the plan of correction, all staff responsible for holding fire drills will be trained in the fire drill procedures and accurate documentation to record fire drills as required to ensure a fire drill is held during sleeping hours at least every 6 months. The Assistant Director will review all fire drill records within 15 days of completion to ensure all fire drills are completed and recorded as required including a fire drill shall be held during sleeping hours at least every 6 months. Documentation of reviews and trainings shall be kept. (AS 4/15/16)] |
02/27/2016
| Implemented |