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Tag No.: K0029
Based on observation, on the day of the survey, 5/5/2010, it was determined that the facility failed to ensure that a hazardous area was in accordance with NFPA 101 sections 8.4.1 and/or 19.3.5.4.
Findings include:
1. On the day of the survey, 5/5/2010, in the presence of Staff #34, #35 and #37 at 1:15 PM, it was confirmed that a basement level storage room (approximately 12' x 15' - identified as Pharmacy Storage) had been constructed in the caged enclosure area next to Stair #9. Given the low ceiling height, it was not clear that the single sprinkler provided adequate protection for the space. Nor was it able to be determined if the partition construction extended to the underside of the deck to provide an alternate means of protection for this hazardous area, as required by NFPA 101 sections 8.4.1 and/or 19.3.5.4.
Tag No.: K0130
OTHER LSC DEFICIENCY NOT ON 2786
Based on observation, on the day of the survey, 5/5/2010, it was determined that the facility failed to ensure that a fire door was able to close to a latched closed position.
Findings include:
On the day of the survey, 5/5/2010, in the presence of Staff #34, #35 and #37, at 12:45 PM, it was confirmed that the exterior fire door to the Basement Receiving Room did not close to a latched closed position, in violation of NFPA 101 section 7.2.1.8.
Tag No.: K0029
Based on observation, on the day of the survey, 5/5/2010, it was determined that the facility failed to ensure that a hazardous area was in accordance with NFPA 101 sections 8.4.1 and/or 19.3.5.4.
Findings include:
1. On the day of the survey, 5/5/2010, in the presence of Staff #34, #35 and #37 at 1:15 PM, it was confirmed that a basement level storage room (approximately 12' x 15' - identified as Pharmacy Storage) had been constructed in the caged enclosure area next to Stair #9. Given the low ceiling height, it was not clear that the single sprinkler provided adequate protection for the space. Nor was it able to be determined if the partition construction extended to the underside of the deck to provide an alternate means of protection for this hazardous area, as required by NFPA 101 sections 8.4.1 and/or 19.3.5.4.
Tag No.: K0130
OTHER LSC DEFICIENCY NOT ON 2786
Based on observation, on the day of the survey, 5/5/2010, it was determined that the facility failed to ensure that a fire door was able to close to a latched closed position.
Findings include:
On the day of the survey, 5/5/2010, in the presence of Staff #34, #35 and #37, at 12:45 PM, it was confirmed that the exterior fire door to the Basement Receiving Room did not close to a latched closed position, in violation of NFPA 101 section 7.2.1.8.