| 6400.112(e) | A fire drill shall be held during sleeping hours at least every 6 months. The fire drill conducted on 9/15/2022 at 8:00 pm would not be considered during sleeping hours as "Sleeping hours" means "11:00 PM to 7:00 AM". However, it is strongly recommended that the sleeping-hour drill be held between 2:00 AM and 4:00 AM. | A fire drill shall be held during sleeping hours at least every 6 months. | The ladies at the home are aged and were asleep at the time of the drill in question. To ensure compliance with the spirit of the regulations a drill was conducted in the AM prior to their waking for the day. (Please see document emailed for the home) |
03/20/2023
| Implemented |
| 6400.32(r)(4) | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. Individual #1's bedroom door lock was a "pin key" lock and this type of lock does not allow immediate access | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | A keyed lock was installed to come into compliance with the regulation. |
03/20/2023
| Implemented |