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Based on observation the facility failed to provide a functioning exhaust fan at all required spaces, as required by:

Department of State Health Services, Facility Licensing Group, Title 25, Texas Administrative Code, Chapter 133, Hospital Licensing State Regulations
(3) Mechanical requirements. Mechanical requirements shall be in accordance with §133.162(d)(3) of this title and this paragraph.
(A) Outside air shall be supplied to each patient room by a central air handling unit to provide make-up air for air exhausted from the bathroom in accordance with Note 3 of Table 3 of §133.169(c) of this title.
(B) Each patient room bathroom shall be exhausted continuously to the exterior in accordance with Table 3 of §133.169(c) of this title.
(C) The isolation room exhaust shall be a dedicated system which exhausts all air continuously to the exterior in accordance with Table 3 of §133.169(c) of this title. Multiple isolation rooms may be interconnected to the same exhaust system.

Figure: 25 TAC §133.169(c) Page 1 of 9
TABLE 3
VENTILATION REQUIREMENTS FOR HOSPITALS AND OUTPATIENT FACILITIES ¹

The Maintenance Director stated on 06/25/19 that the situation will be corrected and all required exhaust fans will be working correctly.
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