HospitalInspections.org

Based on observation and interview with facility staff the facility failed to ensure guard rails in exit stair are poperly installed. In the event of an emergency all staff and clients using the stairs may be affected.

Findings Include:

On 06/17/2015 between 10:00 a.m. and 1:00 p.m. observation revealed guard rails at interior stairs have openings larger than those that a 6 inch sphere could pass through.

Staff member M confirmed the findings at the time of observation.

Based on observation and interview with facility staff the facility failed to ensure total sprinkler coverage in all areas. In the event of a fire in the affected areas all staff and clients may be affected.

Findings Include:

On 06/17/2015 between 11:30 a.m. and 12:30 p.m. observation revealed the area under the HVAC duct in the mechanical room that is greater than 4 feet in width and the Main Employee Entrance overhang, which is greater than 4 feet wide and combustible, are not sprinkler protected underneath.

Staff member M confirmed the findings at the time of discovery.

Based on observation and interview with facility staff the facility failed to ensure proper suppression coverage of appliances under the kitchen hood. In the event of a fire under the hood all residents and staff in the dining area may be affected.

Findings Include:

On 06/17/2015 at approximately 11:50 a.m. observation revealed the kitchen hood suppression system does not completely cover the range, the broiler, and the griddle.

Staff member M confirmed the findings at the time of discovery.

Based on observation and interview with facility staff the facility failed to ensure guard rails in exit stair are poperly installed. In the event of an emergency all staff and clients using the stairs may be affected.

Findings Include:

On 06/17/2015 between 10:00 a.m. and 1:00 p.m. observation revealed guard rails at interior stairs have openings larger than those that a 6 inch sphere could pass through.

Staff member M confirmed the findings at the time of observation.

Based on observation and interview with facility staff the facility failed to ensure total sprinkler coverage in all areas. In the event of a fire in the affected areas all staff and clients may be affected.

Findings Include:

On 06/17/2015 between 11:30 a.m. and 12:30 p.m. observation revealed the area under the HVAC duct in the mechanical room that is greater than 4 feet in width and the Main Employee Entrance overhang, which is greater than 4 feet wide and combustible, are not sprinkler protected underneath.

Staff member M confirmed the findings at the time of discovery.

Based on observation and interview with facility staff the facility failed to ensure proper suppression coverage of appliances under the kitchen hood. In the event of a fire under the hood all residents and staff in the dining area may be affected.

Findings Include:

On 06/17/2015 at approximately 11:50 a.m. observation revealed the kitchen hood suppression system does not completely cover the range, the broiler, and the griddle.

Staff member M confirmed the findings at the time of discovery.