ESPLANADE GARDENS SENIOR INC

2025 · 16 cited

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

   Life Safety CodeCited Aug 20, 2025Corrected —

2. The facility failed to have and enforce a smoking policy.

   Life Safety CodeCited Aug 20, 2025Corrected —

3. The facility failed to ensure equipment could be accessed to the facility could inspect, test, and service the equipment.

   Life Safety CodeCited Aug 20, 2025Corrected —

4. The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.

   Life Safety CodeCited Aug 20, 2025Corrected —

5. The facility failed to provide food storage areas to maintain a four-day minimum supply of non-perishable food, that food was not stored on the floor, and that area temperatures in food storage areas did not exceed 85 degrees F.

   Life Safety CodeCited Aug 20, 2025Corrected —

6. The facility failed to provide required exit signs.

   Life Safety CodeCited Aug 20, 2025Corrected —

7. The facility failed to provide smoke compartmentation where required.

   Life Safety CodeCited Aug 20, 2025Corrected —

8. The facility failed to protect hazardous areas as required by the referenced codes and standards.

   Life Safety CodeCited Aug 20, 2025Corrected —

9. The facility failed to provide exhaust for odor-producing areas.

   Life Safety CodeCited Aug 20, 2025Corrected —

10. The facility failed to ensure the building electrical system met the referenced codes and standards.

    Life Safety CodeCited Aug 20, 2025Corrected —

11. The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

    Life Safety CodeCited Aug 20, 2025Corrected —

12. 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 20, 2025Corrected —

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

    Life Safety CodeCited Aug 20, 2025Corrected —

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

    Life Safety CodeCited Aug 20, 2025Corrected —

15. The facility failed to provide the minimum levels of illumination required in the facility.

    Life Safety CodeCited Aug 20, 2025Corrected —

16. The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

    Life Safety CodeCited Aug 20, 2025Corrected —