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Tag No.: K0293
Based on observation and interview, it was determined the facility failed to maintain illuminated exit signage affecting 1 of 7 exit discharges within the component.
Findings include:
1. Observation on October 25, 2017, at 10:40 AM, revealed the 1st floor South West stairwell lacked an exit sign.
Exit interview with the facility representatives #1 and #2 on October 25, 2017, between 2:00 PM and 2:15 PM, confirmed the needed exit sign.
Tag No.: K0353
Based on documentation review and interview, it was determined the facility failed to maintain the automatic sprinkler system, affecting one of three levels within the component.
Findings include:
1. Observation on October 25, 2017, between 12:00 PM and 12:20 PM revealed:
a. 12:00 PM - The 1st floor Elevator room near X-ray (which had the suspended ceiling removed) lacked upright sprinkler heads.
b. 12:20 PM - The basement level corridor, outside Central Supply, had a group of wires attached to the sprinkler piping
Exit interview with the facility representatives #1 and #2 on October 25, 2017, between 2:00 PM and 2:15 PM, confirmed the sprinkler deficiencies.