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1307 CLEVELAND STREET

FRIONA, TX 79035

General Requirements - Other

Tag No.: K0100

Based on observation the facility failed to provide proper labeling for rated walls. Facility to verify all rated walls based on the latest Life Safety Plan and make sure all rated walls are properly marked (stenciling)
All fire walls, fire barriers, fire partitions, smoke barriers, and smoke partitions shall be effectively and permanently identified with signs or stenciling per IBC 2012 section 703.7.

Means of Egress Requirements - Other

Tag No.: K0200

Based on observation at the time of inspection, the facility failed to provide proper documentation identifying required tests on rated doors in the means of egress.

Fundamentals - Building System Categories

Tag No.: K0901

Based on observation at the time of inspection, the facility failed to provide proper documentation identifying the required risk assessment identification assigned to the building systems.

Electrical Systems - Other

Tag No.: K0911

Based on observation at the time of inspection, the facility failed to provide proper labeling to the existing disconnect. All disconnects associated with the essential system must be properly labeled.
NFPA 70, 2011, 110.22 Identification of Disconnecting Means. (A) General. Each disconnecting means shall be legibly marked to indicate its purpose unless located and arranged so the purpose is evident. The marking shall be of sufficient durability to withstand the environment involved.

Based on observation at the time of inspection, a flex conduit was noticed installed in the med gas room.
Mechanical protection of the emergency system. The wiring of the emergency system shall be mechanically protected by installation in nonflexible metal raceways in accordance with NFPA 70, 517.30(C )(3).

Based on observation at the time of inspection, the facility failed to provide properly secured "J" box covers on the roof.
"Covers". All pull boxes, junction boxes, and conduit bodies shall be provided with covers compatible with the box or conduit body construction and suitable for the conditions of use. Where used, metal covers shall comply with the grounding requirements of 250.110." NFPA 70, 2011, 314.28 (C)

Electrical Systems - Maintenance and Testing

Tag No.: K0914

Based on observation at the time of inspection, the facility failed to provide proper documentation identifying tests and associated repairs to patient care receptacles.