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800 KIRNWOOD DRIVE

DE SOTO, TX 75115

No Description Available

Tag No.: K0130

K0130 Disaster Drills Hospitals

Findings:
The inspector observed, while accompanied by the Plant Operations Manager, during the hours of the inspection from 8:45AM-10AM and 3:15PM to 5PM on 9/28/2016 that there were the following issues:

A) Based on interview with the Plant Operations Manager, the facility was conducting disaster drill rehearsals. However, there was no records of participants maintained for the last three years.

The Standard:
"Each organizational entity shall implement one or more specific responses of the emergency preparedness plan at least semi-annually. At least on semi-annual drill shall rehearse mass casualty response for health care facilities with emergency services, disaster receiving stations, or both. " - NFPA 99, Health Care Facilities Code. U.S.A.: NFPA; 1999, 11-5.3.9.

LIFE SAFETY CODE STANDARD

Tag No.: K0130

K0130 Disaster Drills Hospitals

Findings:
The inspector observed, while accompanied by the Plant Operations Manager, during the hours of the inspection from 8:45AM-10AM and 3:15PM to 5PM on 9/28/2016 that there were the following issues:

A) Based on interview with the Plant Operations Manager, the facility was conducting disaster drill rehearsals. However, there was no records of participants maintained for the last three years.

The Standard:
"Each organizational entity shall implement one or more specific responses of the emergency preparedness plan at least semi-annually. At least on semi-annual drill shall rehearse mass casualty response for health care facilities with emergency services, disaster receiving stations, or both. " - NFPA 99, Health Care Facilities Code. U.S.A.: NFPA; 1999, 11-5.3.9.