HospitalInspections.org

Based on observation the facility failed to provide smoke barriers that would provide at least a one half hour fire resistance rating in accordance with the LSC sections 19.3.7.3, 19.3.7.5, 19.1.6.3, 19.1.6.4.

Findings include:

On 7/15/10, at approximately 1:00 p.m., during inspections of smoke barrier walls with the Facility Director, the following observations were made.

1. Corrected 9/15/10
2. Corrected 9/15/10
3. Corrected 9/15/10
4. Corrected 9/15/10
5. Corrected 9/15/10
6. Corrected 9/15/10
7. Corrected 9/15/10
8. Corrected 9/15/10
9. Corrected 9/15/10

On 7/19/10, at approximately 10:00 a.m., during inspections of smoke barrier walls with the Facility Director, the following observations were made.

1. Corrected 9/15/10

2. Observed the east smoke barrier wall of the joint camp room to have several penetrations through the wall, and the smoke barrier wall not finished to the deck. Observation with the Facility Director during the 9/22/10 survey confirms that this remains uncorrected.

3. Observed the fourth floor B building managers office to have a sprinkler pipe and electrical conduit through the smoke barrier wall and the top of wall not fire stopped. Observation with the Facility Director during the 9/22/10 survey confirms that this remains uncorrected.

4. Observed the fourth floor B building staff rest room next to the nurses station to have several penetrations through the smoke barrier wall and the top of wall not fire stopped. Observation with the Facility Director during the 9/22/10 survey confirms that this remains uncorrected.

5. Observed the smoke barrier wall above the cross-corridor doors next to room # 487 not finished to the deck as required. Observation with the Facility Director during the 9/22/10 survey confirms that this remains uncorrected.

6. Observed the smoke barrier wall in room # 487 not finished to the deck as required. Observation with the Facility Director during the 9/22/10 survey confirms that this remains uncorrected.

7. Corrected 9/15/10
8. Corrected 9/15/10
9. Corrected 9/15/10

10. Observed the smoke barrier wall next to room # 3379 not finished to the deck as required. Observation with the Facility Director during the 9/22/10 survey confirms that this remains uncorrected.

11. Corrected 9/15/10
12. Corrected 9/15/10
13. Corrected 9/15/10
14. Corrected 9/15/10
15. Corrected 9/15/10
16. Corrected 9/15/10
17. Corrected 9/15/10
18. Corrected 9/15/10
19. Corrected 9/15/10

On 7/27/10, at approximately 2:00 p.m., during inspections of smoke barrier walls with the Facility Director, the following observations were made.

1. Corrected 9/15/10
2. Corrected 9/15/10
3. Corrected 9/15/10