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The facility failed to ensure the existing type of building construction met the required building construction type required in Chapter 19.

Observation determined:1) The one-hour fire rated ceilings had multiple unsealed spaces throughout the basement and the first floor.

2) An unprotected structural column in the Boiler Room.3) Fire-rated ceiling tiles were removed above the Laminar Hood in Pharmacy.

The facility failed to provide corridors that were separated from use areas by walls with at least ?-hour fire resistance rating.

Observation determined the first floor corridor walls did not extend to the fluted deck.

1) Unsealed spaces were not sealed with fire rated materials between the steel support beam and the concrete block wall supporting the beam. 2) Unsealed spaces were not sealed with fire rated materials at the head of wall joint between the steel beam and the fluted roof deck.

The facility failed to ensure two (2) of two (2) smoke barriers within the facility were smoke resisting and had a fire resistance rating of at least one-half hour.

Observation determined the north and south smoke barriers had multiple openings around pipes, conduits and low voltage wires penetrating the smoke barriers. These spaces were not properly sealed with appropriate fire sealant materials, existing applications of fire caulk had fallen away, or the installation was incomplete.

The facility failed to separate four (4) of six (6) hazardous areas from other spaces with construction having a one-hour fire resistance rating.

Observation determined:

1) Unsealed spaces around five (5) through-wall pipe penetrations of the west Boiler Room wall into the Boiler Room exit stairway enclosure.

2) Multiple unsealed spaces in the fire-rated ceiling in the basement "Old Radiology Storage Room". 3) Unsealed spaces in the fire-rated ceiling in the Medical Records Storage Room ceiling.4) Unsealed spaces filled with fiberglass insulation around multiple through-wall pipe penetrations of the south Boiler Room wall.
5) The first floor Supply Room door did not self-close to the latched position.