EMMAJO SAFE HAVEN INC

The facility failed to conduct required fire drills and document fire drills on the required form.

Health VisitCited Jan 13, 2025Corrected —

The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.

Health VisitCited Jan 13, 2025Corrected —

The facility failed to search the NAR and EMR annually.

Health VisitCited Jan 13, 2025Corrected —

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

Health VisitCited Jan 13, 2025Corrected —

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

Life Safety CodeCited Sep 25, 2018Corrected Sep 28, 2018

The facility failed to provide the required sprinkler system to meet NFPA 13, 13D, or 13R.

Life Safety CodeCited Sep 25, 2018Corrected Sep 29, 2018

The facility failed to ensure ramps did not exceed a slope of 1:12, and/or failed to provide all acceptable features of ramps, guardrails, fences, and handrails.

Life Safety CodeCited Sep 25, 2018Corrected Oct 17, 2018

The facility failed to provide an effective, less toxic, less flammable, ongoing pest control program.

Life Safety CodeCited Sep 25, 2018Corrected Sep 30, 2018

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

Life Safety CodeCited Sep 25, 2018Corrected Sep 26, 2018

The facility failed to ensure the building was kept in good repair.

Life Safety CodeCited Sep 25, 2018Corrected Sep 27, 2018

The facility failed to provide an initial gas pressure test of the gas lines from the meter; and/or failed to ensure additional gas pressure tests were performed when gas service was interrupted; and/or that all gas heating systems were documented

Life Safety CodeCited Sep 25, 2018Corrected Oct 1, 2018

The facility failed to ensure hot water for resident use was maintained between 100 degrees Fahrenheit and 120 degrees Fahrenheit.

Life Safety CodeCited Sep 25, 2018Corrected Nov 20, 2018

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

Life Safety CodeCited Sep 25, 2018Corrected Oct 15, 2018

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 Sep 25, 2018Corrected Oct 18, 2018

The facility failed to ensure interior walls and/or ceilings were constructed with a material having at least a 20-minute fire rating, or at least 3/8 gypsum board.

Life Safety CodeCited Sep 25, 2018Corrected Sep 27, 2018

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 Sep 25, 2018Corrected Sep 28, 2018