HospitalInspections.org

Horizontal sliding doors that are part of the required means of egress are permitted, provided that: on or adjacent to the door there shall be a readily visible, durable sign in letters not less than 25 mm (1 inch) high on contrasting background that reads: THIS DOOR TO REMAIN OPEN WHEN THE BUILDING IS OCCUPIED. NFPA 101 (2003), 7.2.1.4.1.4 (2).

This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the existing sliding entry doors, both to the Main Entry Lobby and to the Emergency Department, both were equipped with thumb-latch locking devices but did not have the required signs displayed or installed.

A placard shall be placed conspicously near the Class "K" fire extinguisher that serves the kitchen ventilation hood. Placard to read: "Fire Protection System shall be activiated prior to using Fire Extinguisher." NFPA 10, 4.3.2.2.

This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the existing Class "K" fire extinguisher mounted near the kitchen ventilation hood did not have the required placard permanently mounted near it (rather, the existing placard with the required text was loosely stuck behind wall-mounted electrical conduit quite a distance from the fire extinguisher).

Each operating room, PACU, and recovery room shall be provided with conveniently mounted temperature and humidity indicated devices. TDHLR (2010) ?133.163 (ee)(3)(D).
This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the required temperature indicator was not installed in the Operating Room.

Emergency system critical care area receptacles shall be identfied. Indicate the Panelboard and Circuit number with nonremovable labels. NFPA 70. 517.19(A).

This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the required receptacle identifying labels were not installed on emergency system receptacles in all patient rooms.

Horizontal sliding doors that are part of the required means of egress are permitted, provided that: on or adjacent to the door there shall be a readily visible, durable sign in letters not less than 25 mm (1 inch) high on contrasting background that reads: THIS DOOR TO REMAIN OPEN WHEN THE BUILDING IS OCCUPIED. NFPA 101 (2003), 7.2.1.4.1.4 (2).

This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the existing sliding entry doors, both to the Main Entry Lobby and to the Emergency Department, both were equipped with thumb-latch locking devices but did not have the required signs displayed or installed.

A placard shall be placed conspicously near the Class "K" fire extinguisher that serves the kitchen ventilation hood. Placard to read: "Fire Protection System shall be activiated prior to using Fire Extinguisher." NFPA 10, 4.3.2.2.

This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the existing Class "K" fire extinguisher mounted near the kitchen ventilation hood did not have the required placard permanently mounted near it (rather, the existing placard with the required text was loosely stuck behind wall-mounted electrical conduit quite a distance from the fire extinguisher).

Each operating room, PACU, and recovery room shall be provided with conveniently mounted temperature and humidity indicated devices. TDHLR (2010) ?133.163 (ee)(3)(D).
This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the required temperature indicator was not installed in the Operating Room.

Emergency system critical care area receptacles shall be identfied. Indicate the Panelboard and Circuit number with nonremovable labels. NFPA 70. 517.19(A).

This STANDARD is not being met, as evidenced by: Based on observation during the Survey on the afternoon of 05/01/2013, with the maintenance director, the required receptacle identifying labels were not installed on emergency system receptacles in all patient rooms.