| 6400.110(a) | On 9/29/21, there was no operable fire alarm on the main floor of the home. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | Since individual takes the operable smoke detectors off of the wall, a Fire Safety Monitoring Hourly Charting has been created. |
09/29/2021
| Implemented |
| 6400.110(h) | The agency's Fire Safety Policy and Procedure states "during the time the smoke detector and/or integrated fire system is inoperative, the Supervisor or a designee must conduct hourly site checks to ensure safety". The fire system was inoperative when the individual removed the detectors at approximately 6:45 AM, but the fire safety monitoring procedure was not being utilized until the agency was directed by ODP Licensing Supervisor at approximately 1:30 PM to implement the procedure. | There shall be a written procedure for fire safety monitoring in the event the smoke detector or fire alarm is inoperative. | A Fire Safety Monitoring Hourly Charting Form has been created. Monitoring was being evaluated at 7:00 am to coincide with our policy. However, it was not being documented. |
09/29/2021
| Implemented |