Inspection Report
Biennial License Survey
Census: 3
Capacity: 3
Deficiencies: 1
Sep 9, 2024
Visit Reason
The visit was a biennial license survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for a Level III Residential Care Facility.
Findings
The facility failed to conduct the required two fire drills while residents were asleep within a 12-month period, violating safety standards for emergency drills.
Severity Breakdown
Class II: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to conduct two sleeping fire drills within a one-year period as required by safety standards. | Class II |
Report Facts
Number of required fire drills per year: 6
Number of fire drills conducted while residents asleep: 1
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