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the facility failed to provide compatible building construction types for a three story partially sprinklered structure without two hour fire barrier separation between the different types of construction was observed. Findings include:

During the survey, the following are examples of what was observed:
The facility appears to have three different construction types, without seperation, which were:
I (332) - poured in place concrete
II (222) - sprayed on fire protection on steel beams
II (000) - exposed steel beams above a lay-in ceiling (observed in the administration part of the first floor and only in the single story part of this facility)



1. The surveyor could not verify that the one story building was a Type II (222) as indicated on documentation provided by the facility staff.
2. The surveyor could not verify that the ceiling tiles for this section were the type of ceiling tiles to be used in a rated ceiling assembly.
3. The surveyor could not verify that the ceiling grid was the type of grid to be used in a rated ceiling assembly.
4. A two hour fire rated barrier separarting construction types was not observed during the survey.
5. There was not a two hour fire rated barrier separating the single story from the three story

A three story Type II (000) is not allowed per code.
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2000 NFPA 101, 8.2.1* Construction.
Buildings or structures occupied or used in accordance with the individual occupancy chapters (Chapters 12 through 42) shall meet the minimum construction requirements of those chapters. NFPA 220, Standard on Types of Building Construction, shall be used to determine the requirements for the construction classification. Where the building or facility includes additions or connected structures of different construction types, the rating and classification of the structure shall be based on either of the following:
(1) Separate buildings if a 2-hour or greater vertically-aligned fire barrier wall in accordance with NFPA 221, Standard for Fire Walls and Fire Barrier Walls, exists between the portions of the building
Exception: The requirement of 8.2.1(1) shall not apply to previously approved separations between buildings.
(2) The least fire-resistive type of construction of the connected portions, if no such separation is provided

2000 NFPA 101, 19.1.6.2 Health care occupancies shall be limited to the types of building construction shown in Table 19.1.6.2. (See 8.2.1.)

Table 19.1.6.2 Construction Type Limitations
Construction Stories
Type
1 2 3 4 or
More
I(443) X X X X
I(332) X X X X
II(222) X X X X
II(111) X X* X* NP
II(000) X* X* NP NP
III(211) X* X* NP NP
III(200) X* NP NP NP
IV(2HH) X* X* NP NP
V(111) X* X* NP NP
V(000) X* NP NP NP
X: Permitted type of construction.
NP: Not permitted.
*Building requires automatic sprinkler protection. (See 19.3.5.1.)
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The facility failed to provide smoke venting in anesthetizing locations per code. Findings include:

During the survey, the following are examples of what was observed:
O.R.'s 1 and 2 - per observation and interview did not have exhaust fans in the O.R.s to vent the smoke. The O.R.'s HVAC system did shut down under general alarm.

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1999 NFPA 99, 5-4.1.2 Supply and exhaust systems for windowless anesthetizing locations shall be arranged to automatically vent smoke and products of combustion.

1999 NFPA 99, 5-4.1.3 Ventilating systems for anesthetizing locations shall be provided that automatically (a) prevent recirculation of smoke originating within the surgical suite and (b) prevent the circulation of smoke entering the system intake, without in either case interfering with the exhaust function of the system.

1999 NFPA 99, 5-4.1.4 The electric supply to the ventilating system shall be served by the equipment system of the essential electrical system specified in Chapter 3, " Electrical Systems. "

1999 NFPA 99, 5-6.1.1 Ventilating and humidifying equipment for anesthetizing locations shall be kept in operable condition and be continually operating during surgical procedures (see A-5-4.1).