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The inspector observed, while accompanied by the Project Manager and the Safety Officer/Risk Manager during the hours of the inspection from 8:00 am to 11:00 am on 06/17/2015 that the smoke door (building 533- next to room 1404) when released from magnetic hold-open, did not properly latch when self-closed.


Aspen: Corridor doors must be 1 3/4 inch solid bonded wood core doors or they must have a 20 minute fire resistance rating. If the building is sprinklered the door must only resist the passage of smoke. There must be no impediment to closing the door, and latching devices must be provided which will keep the door tightly closed in the frame. LSC 12-3.6.3, 13-3.6.3

The inspector observed, while accompanied by the Project Manager and the Safety Officer/Risk Manager, during the hours of the inspection from 8:00 am to 11:00 am on 06/17/2015 that the above-ceiling smoke wall at the smoke barrier doors (building 533- next to room 1404) had a penetration for wiring that needs to be sealed with rated sealant.

" Pipes, conduits, bus ducts, cables, wires, air ducts, pneumatic tubes and ducts, and similar building service equipment that pass through fire barriers and smoke barriers shall be sealed to prevent the passage of smoke and the products of combustion, with a material capable of maintaining the fire resistance of the fire barrier. " - NFPA 101, 2003: 8.3.5 and 8.5.5.

Based on observation, the facility failed to provide a history of records for receptacle testing per NFPA 99: 3-3.3.3. in patient care areas.


Receptacle Testing in Patient Care Areas - NFFA 99, 1999, 3-3.3.3

(a) The physical integrity of each receptacle shall be confirmed by visual inspection.
(b) The continuity of the grounding circuit in each electrical receptacle shall be verified.
(c) Correct polarity of the hot and neutral connections in each electrical receptacle shall be confirmed.
(d) The retention force of the grounding blade of each electrical receptacle (except locking-type receptacles) shall be not less than 115 g (4 oz).

The inspector observed, while accompanied by the Project Manager and the Safety Officer/Risk Manager during the hours of the inspection from 8:00 am to 11:00 am on 06/17/2015 that the smoke door (building 533- next to room 1404) when released from magnetic hold-open, did not properly latch when self-closed.


Aspen: Corridor doors must be 1 3/4 inch solid bonded wood core doors or they must have a 20 minute fire resistance rating. If the building is sprinklered the door must only resist the passage of smoke. There must be no impediment to closing the door, and latching devices must be provided which will keep the door tightly closed in the frame. LSC 12-3.6.3, 13-3.6.3

The inspector observed, while accompanied by the Project Manager and the Safety Officer/Risk Manager, during the hours of the inspection from 8:00 am to 11:00 am on 06/17/2015 that the above-ceiling smoke wall at the smoke barrier doors (building 533- next to room 1404) had a penetration for wiring that needs to be sealed with rated sealant.

" Pipes, conduits, bus ducts, cables, wires, air ducts, pneumatic tubes and ducts, and similar building service equipment that pass through fire barriers and smoke barriers shall be sealed to prevent the passage of smoke and the products of combustion, with a material capable of maintaining the fire resistance of the fire barrier. " - NFPA 101, 2003: 8.3.5 and 8.5.5.

Based on observation, the facility failed to provide a history of records for receptacle testing per NFPA 99: 3-3.3.3. in patient care areas.


Receptacle Testing in Patient Care Areas - NFFA 99, 1999, 3-3.3.3

(a) The physical integrity of each receptacle shall be confirmed by visual inspection.
(b) The continuity of the grounding circuit in each electrical receptacle shall be verified.
(c) Correct polarity of the hot and neutral connections in each electrical receptacle shall be confirmed.
(d) The retention force of the grounding blade of each electrical receptacle (except locking-type receptacles) shall be not less than 115 g (4 oz).