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Tag No.: K0311
Based on observation and interview, it was determined the facility failed to ensure openings between floors were enclosed with construction having a fire resistance rating, affecting two of three levels
Findings include:
1. Observation on July 18, 2018, at 8:50 am, revealed on the second floor the corridor access door 238 to the pipe chase and linen chute, was not equipped with an automatic closure and the door did not have a fire resistive rating label.
Interview at the exit conference with the Chief Operating Officer and the Facility Fire Marshal on July 18, 2018, at 3:00 pm, confirmed the access door was not self closing and did not have a fire resistive rating label.
Tag No.: K0363
Based on observation and interview, it was determined the facility failed to maintain doors protecting corridor openings, with positive latching, affecting one of three levels within this component.
Findings include:
1. Observation made on July 18, 2018, at 10:10 am, revealed the ground floor B-wing staff break room corridor door failed to close completely and positively latch into the frame.
Interview at the exit conference with the Chief Operating Officer and the Facility Fire Marshal on July 18, 2018, at 3:00 pm, confirmed the door failed to latch.