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Based on observation and staff interview University of Miami Hospital failed to comply with NFPA 101 (2000) edition 8.3.4, 19.2.2.2.6, 19.3.7.6. Doors shall be self closing or automatic closing. This deficiency could affect all occupants of the facility in case of a fire or other emergency.

Findings:

During a tour of the facility on 01/28/13 at 2:45 pm with facility staff it was observed that hardware on the smoke barrier doors was preventing the doors to close properly on release of the magnetic locks. This deficiency was corrected on site.

During a tour of the facility on 01/28/13 at 2:48 pm with facility staff it was acknowledged that hardware on the smoke barrier doors was preventing the doors to close properly on release of the magnetic locks. This deficiency was corrected on site.


NFPA 101 (2000) edition
8.3.4. 19.2.2.2.6, 19.3.7.6

Based on a observation, and staff interview University of Miami Hospital failed to maintain the suppression system in reliable operating condition in accordance with NFPA 101 2000 NFPA 96 19.3.2.6. This deficiency could affect all occupants of the facility in case of a fire or other emergency.

Findings:

During a tour of the facility with facility staff on 01/30/2013 at 2:35 pm it was observed that the suppression nozzles were not aligned properly over the commercial cooking equipment (two burner stove) in the kitchen bakery area in the main kitchen on the 4th floor of the East building.

During a tour of the facility with facility staff on 01/30/2013 at 2:38 pm it was acknowledged that the suppression nozzles were not aligned properly over the commercial cooking equipment (two burner stove) in the kitchen bakery area in the main kitchen on the 4th floor of the East building.


NFPA 101 2009 Edition 9.2.3
NFPA 96

Based on observation and staff interview University of Miami Hospital failed to comply with NFPA 99 (2005) edition, 9.4.3.3, 9.7.2.3. When small-size (A, B, D, E) cylinders are in use, they shall be attached to a cylinder stand or to a therapy apparatus of sufficient size to render the entire assembly stable. This deficiency could affect all occupants of the facility in case of a fire or other emergency.

Findings:

During a tour of the facility on 01/28/13 at 2:10 pm with facility staff it was observed that a "E" cylinder Oxygen tank was unsecured in the medicine room on the Penthouse (south) floor.

During a tour of the facility on 01/28/13 at 2:12 pm with facility staff it was acknowledged that a "E" cylinder oxygen tank was unsecured in the medicine room on the Penthouse (south) floor.

During a tour of the facility on 01/30/13 at 11:10 pm with facility staff it was observed that a "E" cylinder Oxygen tank was unsecured in the SICU (Surgical Intensive Care Unit) on the 5th floor.

During a tour of the facility on 01/30/13 at 11:15 pm with facility staff it was acknowledged that a "E" cylinder Oxygen tank was unsecured in the SICU (Surgical Intensive Care Unit) on the 5th floor.

NFPA 101 (2000) edition
NFPA 99 (2005) 9.4.3.3, 9.7.2.3

Based on records review and staff interview, University of Miami Hospital failed to comply with all electrical safety requirements as evidenced by the lack of documentation for the main and feeder breaker exercise. The facility also failed to comply with NFPA 101 19.5.1, 9.1.2 (2000) edition, NFPA 70, NFPA 99 (2005) edition. Major appliances and patient equipment must be plugged directly into wall receptacles and electrical wiring was not in accordance with NFPA 70. This deficiency could affect all occupants of the facility in case of a fire or other emergency.

Findings include:

During the record review on 01/28/13 at 1:15 pm with the facility staff it was revealed there is no record of the performance of the main and feeder breaker exercise.

During the staff interview on 01/28/13 at 1:18 pm the facility staff acknowledged the lack of documentation for the performance of the main and feeder breaker exercise.

During a tour of the facility on 01/28/13 at 3:10 pm with facility staff it was observed that GFCI (Ground Fault Circuit Interrupter) was not installed in the medicine room (1186) on the 11th floor of the East building. The GFCI was installed on site.

During a tour of the facility on 01/28/13 at 3:14 pm with facility staff it was acknowledged that GFCI (Ground Fault Circuit Interrupter) was not installed in the medicine room (1186) on the 11th floor of the East building. The GFCI was installed on site.

During a tour of the facility on 01/31/13 at 11:50 am with facility staff it was observed that a refrigerator was plugged into a surge protector in the Doctor Lounge on the 3rd floor of the East building.

During a tour of the facility on 01/31/13 at 11:50 am with facility staff it was acknowledged that a refrigerator was plugged into a surge protector in the Doctor Lounge on the 3rd floor of the East building.

During a tour of the facility on 01/31/13 at 2:30 pm with facility staff it was observed that surge protectors were being used in the Operating rooms 3, 4, 11, 12 on the 3rd floor of the East building.
It was acknowledged that surge protectors were being used due to the lack of available outlets.

During a tour of the facility on 01/31/13 at 3:45 pm with facility staff it was observed that surge protectors were being used in the Operating rooms 1, 5 on the first floor of the ambulatory surgical area in the East building.


Life Safety Code (2000)
NFPA 70 and NFPA 99