Improper Storage and Egress in Dining Room Area
Summary
A portion of the Delaware dining room was observed to have been converted into a temporary storage area for food preparation and storage, which included the use of three refrigerator/freezer units and the storage of multiple combustible boxes. This area, open to the corridor, did not meet the provisions required by NFPA 101, 19.3.6.1(1)(a), as it was separated from the rest of the unit only by portable cubicle dividers. These dividers failed to maintain the necessary egress requirements as specified by NFPA 101, 19.3.6.1(7)(c). The deficiency was confirmed by the Facilities Director during the surveyor's observation.
Plan Of Correction
K361: Corridors - Areas Open to Corridor The facility will ensure spaces open to corridors meet all provisions as required. This will be accomplished by the following: • The facility will remove dry storage including combustible boxes located in the temporary kitchen area. These items will be moved to the Franklin clean utility room and/or the Medora pantry, until the new commercial kitchen is completed. Expected completion date for new commercial kitchen is 7.4.25. • The facility will audit the temporary kitchen space daily to ensure that combustibles remain removed from the temporary kitchen area. Audits will be done until the time the new commercial kitchen is completed, expected completion date 7.4.25. • No other residents affected, as we only have one temporary kitchen set up. • Commercial kitchen completion is expected 7.4.25. The temporary kitchen will be taken down and moved to the new kitchen. Once the new kitchen is in place, there will no longer be an issue.
Penalty
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