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Tag No.: K0052
Based on observations made during the survey of the facility while accompanied by the CEO, Chief Nursing Officer, Incident Specialist, HR Director, Director of Facilities, Director of Quality, Secretary for Engineering Svstems, it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.
Tag No.: K0130
Based on observations made during the survey of the facility while accompanied by the CEO, Chief Nursing Officer, Incident Specialist, HR Director, Director of Facilities, Director of Quality, Secretary for Engineering Svstems, it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:
1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually
Tag No.: K0052
Based on observations made during the survey of the facility while accompanied by the CEO, Chief Nursing Officer, Incident Specialist, HR Director, Director of Facilities, Director of Quality, Secretary for Engineering Svstems, it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance with requirement for monthly testing by staff of the fire alarm system and its automatic signal response.
Tag No.: K0130
Based on observations made during the survey of the facility while accompanied by the CEO, Chief Nursing Officer, Incident Specialist, HR Director, Director of Facilities, Director of Quality, Secretary for Engineering Svstems, it was observed that while it appears the facility had accomplished some of the requirements, the facility failed to provide logs indicating consistent, systematic compliance on the following issues and items:
1. Air filter change log.
2. Electrical power and distribution and grounding systems - Effectiveness.
Critical Areas: Semi-annually.
General Areas: Annually