HospitalInspections.org

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to maintain the ability of doors to be held open only by devices arranged to automatically close such doors upon activation of the fire alarm. This could result in the passage of smoke or fire one compartment into another compartment thereby exposing residents, staff and/or visitors to the toxic products of combustion.

The findings include, but are not limited to:
The cross corridor doors by room 340 were observed to not close and latch. Fixed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observation and interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to assure proper clearances of the facilities portable fire extinguishers. This potentially delays a quick response to contain a fire from spreading which could expose and endanger residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
The fire extinguisher in the second floor IT room was observed to be blocked by storage. Fixed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to properly maintain the storage of medical gas in the facility. This could result in the rapid spread of smoke and fire in the event of ignition which could potentially endanger the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
An unsecured oxygen cylinder was observed in the C Section #2. Fixed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to have the emergency generator meet the requirements of the Fire Safety Code. This could result in conditions that would result in the failure of the emergency generator that would not be detected by staff in a timely manner which would endanger the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
The three generators were observed to have a stop on the generators, when asked the maintenance director could not confirm that the generators had a remote stop.

NFPA 110 1999 Edition 3-5.6 All level 1 and 2 installations shall have a remote manual stop station of a similar type to a break-glass station located outside the room housing the prime mover, where so installed or located elsewhere on the premises where the prime mover is located outside the building.

A-3-5.5.6 For level 1 and level 2 systems located outdoors, the manual shutdown should be located external to the weatherproof enclosure and should be appropriately identified.
The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to restrict the use of multi-plug outlets (power strips) to providing power to permitted electrical equipment. This could result in a fire from overheating of the plug strip due to the heavy power draw endangering the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
1. A power strip was observed to be plugged into another power strip in the physicians room across from room 342. Removed while surveyor was on site.
2. Lab break room refrigerator was observed to be plugged into a power strip. Removed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to properly install alcohol based hand rub dispensers. Dispensers installed improperly could result in hand rub coming in contact with an electrical source resulting in a fire causing potential endanger to residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
A dispenser was observed to be installed directly above an electrical outlet between rooms 341 and 342. Removed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to maintain the ability of doors to be held open only by devices arranged to automatically close such doors upon activation of the fire alarm. This could result in the passage of smoke or fire one compartment into another compartment thereby exposing residents, staff and/or visitors to the toxic products of combustion.

The findings include, but are not limited to:
The cross corridor doors by room 340 were observed to not close and latch. Fixed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observation and interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to assure proper clearances of the facilities portable fire extinguishers. This potentially delays a quick response to contain a fire from spreading which could expose and endanger residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
The fire extinguisher in the second floor IT room was observed to be blocked by storage. Fixed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to properly maintain the storage of medical gas in the facility. This could result in the rapid spread of smoke and fire in the event of ignition which could potentially endanger the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
An unsecured oxygen cylinder was observed in the C Section #2. Fixed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to have the emergency generator meet the requirements of the Fire Safety Code. This could result in conditions that would result in the failure of the emergency generator that would not be detected by staff in a timely manner which would endanger the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
The three generators were observed to have a stop on the generators, when asked the maintenance director could not confirm that the generators had a remote stop.

NFPA 110 1999 Edition 3-5.6 All level 1 and 2 installations shall have a remote manual stop station of a similar type to a break-glass station located outside the room housing the prime mover, where so installed or located elsewhere on the premises where the prime mover is located outside the building.

A-3-5.5.6 For level 1 and level 2 systems located outdoors, the manual shutdown should be located external to the weatherproof enclosure and should be appropriately identified.
The above was discussed and acknowledged by the Engineering Manager.

Based upon observations and staff interviews on 10/13/2014 between approximately 1000 and 1530 hours Multicare Auburn Medical Center has failed to restrict the use of multi-plug outlets (power strips) to providing power to permitted electrical equipment. This could result in a fire from overheating of the plug strip due to the heavy power draw endangering the residents, staff and/or visitors within the facility.

The findings include, but are not limited to:
1. A power strip was observed to be plugged into another power strip in the physicians room across from room 342. Removed while surveyor was on site.
2. Lab break room refrigerator was observed to be plugged into a power strip. Removed while surveyor was on site.

The above was discussed and acknowledged by the Engineering Manager.