Eganza Incorporated

2021 · 9 cited

1. The facility's plan failed to document the contact information for the EMC for the area.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

2. The facility failed to notify the EMC of the facility's plan, take actions to coordinate with the EMC, and document communications with the EMC.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

3. The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

4. The facility failed to include a section addressing communication in the emergency preparedness and response plan.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

5. The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

6. The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

7. The facility failed to comply with Chapter 33, Existing Residential Board and Care Occupancies.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

8. The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021

9. The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

   Life Safety CodeCited Aug 23, 2021Corrected Sep 15, 2021