SHEPHERD PERSONAL CARE HOME INC.

2020 · 8 cited

1. The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.

   Life Safety CodeCited Nov 23, 2020Corrected Nov 24, 2020

2. The facility failed to ensure the primary power source for the fire alarm system was on a dedicated electrical circuit.

   Life Safety CodeCited Nov 23, 2020Corrected Nov 24, 2020

3. 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 Nov 23, 2020Corrected Nov 24, 2020

4. The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

   Life Safety CodeCited Nov 23, 2020Corrected Nov 24, 2020

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

   Life Safety CodeCited Nov 23, 2020Corrected Nov 24, 2020

6. The facility failed to ensure the outside areas, grounds, adjacent buildings, and all site features were maintained free of fire or health hazards; and/or failed to ensure that water would drain away from the facility to prevent standing water near the building.

   Life Safety CodeCited Nov 23, 2020Corrected Nov 30, 2020

7. The facility failed to implement procedures that assure safe and sanitary use and storage of oxygen.

   Life Safety CodeCited Nov 23, 2020Corrected Nov 24, 2020

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

   Life Safety CodeCited Nov 23, 2020Corrected Nov 24, 2020