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Tag No.: K0018
This standard is not met as evidenced by
Based on observation the facility failed to maintain doors able to latch closed in the corridor. The evidence includes
On 24 June 2010 the inspector with the facilities manager observed the door to the E.D. scan room door not latching closed.
Tag No.: K0050
This standard is not met as evidenced by.
Based on observation and interview the facility failed to include the transmition of audible alarms during fire drills between 0600 and 2100 hours. The evidence includes
On 24 June 2010 the inspector reviewed the facility fire drill records and interviewed facility staff. The facility was not sounding the fire alarm during daytime fire drills. The facility was using a coded message during the hours of 2100 to 0600. This was confirmed by the faciities manager.
Tag No.: K0147
This standard is not met as evidenced by
Based on observation the facility failed to eliminate the use of extension cords as permanent wiring. The evidence includes.
On 24 June 2010 the inspector observed several locations were extension cords were being used as permanent wiring. This includes the Facilities Managers office, ED managers office room (201), and medical records room.
Tag No.: K0018
This standard is not met as evidenced by
Based on observation the facility failed to maintain doors able to latch closed in the corridor. The evidence includes
On 24 June 2010 the inspector with the facilities manager observed the door to the E.D. scan room door not latching closed.
Tag No.: K0050
This standard is not met as evidenced by.
Based on observation and interview the facility failed to include the transmition of audible alarms during fire drills between 0600 and 2100 hours. The evidence includes
On 24 June 2010 the inspector reviewed the facility fire drill records and interviewed facility staff. The facility was not sounding the fire alarm during daytime fire drills. The facility was using a coded message during the hours of 2100 to 0600. This was confirmed by the faciities manager.
Tag No.: K0147
This standard is not met as evidenced by
Based on observation the facility failed to eliminate the use of extension cords as permanent wiring. The evidence includes.
On 24 June 2010 the inspector observed several locations were extension cords were being used as permanent wiring. This includes the Facilities Managers office, ED managers office room (201), and medical records room.