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GEORGE REGIONAL HEALTH SYSTEM
No Description Available
Tag No.: K0025
Based on observations the facility failed to provide the required ? hour fire resistance rating for smoke barrier walls located in an existing fully sprinkled facility. This deficiency was cited in the May 12, 2011 survey.
Smoke barriers shall be provided to divide every story used for sleeping rooms into not less than two smoke compartments. Any required smoke barrier shall be constructed with a fire resistance rating of not less than ? hour. NFPA 101, 19.3.7.3.
Findings include:
While inspecting smoke compartmentalization on June 28, 2011 at 2:30 p.m., the surveyor observed the outpatient smoke barrier wall located between the E.D and the surgery unit incomplete. The smoke barrier wall was observed with 80 to 100 feet of wall unfinished. The wall was constructed 4 feet above the lay-in ceiling leaving a 2 to 4 inch gap across the top of wall, also, the survey observed unsealed penetrations throughout wall. These penetrations were observed ranging in size from a 1 inch to 4 inches in diameter.
These deficient practices have the potential of affecting the entire facility. The administrator and maintenance director were notified during the survey as well as in the exit conference.
No Description Available
Tag No.: K0051
Based on observations the facility failed to provide the required audible visual fire alarm notification devices. This deficiency was cited in the May 12, 2011 survey.
Occupant notification shall provide signal notification to alert occupants of fire or other emergencies. Notification shall be provided by audible and visible signals. NFPA 101, 9.6.3.
Findings include:
While inspecting fire alarm components on June 28, 2011 at 3:25 p.m., the surveyor observed the Medical Records Hall and the front lobby without audible visual notification devices. When the audible alarm system was initiated these areas did not have any audible notification.
This deficient practice has the potential of affecting 2 of 4 smoke compartments. The administrator and maintenance director were notified during the survey and in the exit conference.