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EAGLEVILLE HOSPITAL
Building Construction Type and Height
Tag No.: K0161
Based on observation and interview, it was determined the facility failed to maintain the building construction type, affecting the complete building.
Findings include:
1. Observation January 11, 2023, at 11:45 a.m., revealed a wooden combustible deck was attached to the structure, West side, Grade Level.
Exit interview with the Chief Operating Officer and Director of Operations for Support Services on January 11, 2023, at 12:00 p.m., confirmed the building is a Type II non-combustible building.
Sprinkler System - Maintenance and Testing
Tag No.: K0353
Based on observation and interview, it was determined the facility failed to maintain the sprinkler system that provides fire suppression, for the complete component.
Findings include:
1. Observation on Jnauary 11, 2023, at 11:30 a.m., revealed there was no fire department connection signage located at the FDC, East side.
Exit interview with the Chief Operating Officer and Director of Operations for Support Services on January 11, 2023, at 12:00 p.m., confirmed the lack of fire department connection signage.
Corridor - Doors
Tag No.: K0363
Based on observation and interview, it was determined the facility failed to maintain corridor doors, on one of two floors.
Findings include:
1. Observation on January 11, 2023, at 11:05 a.m., revealed the door to room 138, First Floor, failed to latch when closed in the frame.
Exit interview with the Chief Operating Officer and Director of Operations for Support Services on January 11, 2023, at 12:00 p.m., confirmed the door lacked positive latching.
Electrical Equipment - Power Cords and Extens
Tag No.: K0920
Based on observation and interview, it was determined the facility failed to monitor for the unauthorized use of power taps, on one of two floors.
Findings include;
1. Observation on January 11, 2023, at 10:45 a.m., revealed several small appliances being powered by a multi-outlet power tap, Administration area, Second Floor.
Exit interview with the Chief Operating Officer and Director of Operations for Support Services on January 11, 2023, at 12:00 p.m., confirmed the appliances were being powered by a multi outlet device.
Gas Equipment - Cylinder and Container Storag
Tag No.: K0923
Based on observation and interview, it was determined the facility failed to store portable medical gas cylinders in an approved way.
Findings include:
1. Observation on January 11, 2023, at 11:00 a.m., revealed several E size oxygen cylinders were not being stored in a cart or rack, Oxygen Storage Room, First Floor.
Exit interview with the Chief Operating Officer and Director of Operations for Support Services on January 11, 2023, at 12:00 p.m., confirmed the cylinders were not stored in a secure way.