Failure to Submit Required Construction Plans Before Generator Installation
Summary
The deficiency involves the facility’s failure to comply with Florida Administrative Code 59A-4.134 and the Florida Building Code requirements for plans submittal prior to construction work. Surveyors, during record review with the Maintenance Director and the Administrator between 9:15 AM and 1:30 PM, determined that the facility did not submit required plans to the Agency’s Office of Plans and Construction before installing a 250 KW generator outside the building. This generator was installed directly in front of four identified rooms, including room 30, without prior written approval or documented review by the Office of Plans and Construction as required for construction, additions, or modifications. During the review, the facility was unable to provide documentation that these four rooms, including room 30, would never be used as patient rooms, despite the generator’s placement directly in front of them. The Maintenance Director and the Administrator acknowledged that the facility failed to provide such documentation and that plans had not been submitted to the Office of Plans and Construction before the generator installation. The survey findings state that this failure to submit plans and obtain approval before the work could affect all occupants in the facility in case of a fire or other emergency.
Plan Of Correction
The following resident room numbers 24, 25, 28, and 30 have been decommissioned and have been taken out of service until the generator is relocated. The four rooms will remain out of service until the project is complete and deemed in compliance by AHCA. A submission for the relocation of the generator will be sent to the Office of Plans and Construction for a full plan review. This submission to the OPC will occur no later than . Upon approval of the project from OPC with an issued project number, the relocation of the generator will immediately be initiated. The facility has determined that all residents have the potential to be affected. An in-service education will be conducted by the administrator. The administrator will conduct a three month review of all necessary paperwork for relocation paperwork.
Penalty
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