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Based on observation and staff interview, the facility failed to separate hazardous areas from use areas. This condition had the potential to allow smoke and fire to migrate into other areas of the facility.

Findings are:
Observations during the facility tour on 2/10/15, at 1:43 pm revealed:
1. The MRI/CT Waiting Area Soiled Utility Room Door failed to self-close.
2. The Mamo Dressing Area Soiled Utility Room Door failed to self-close.
The door closures failed to be installed on 12/12/14, as indicated by the plan of correction.
In an interview conducted at the time of observations (2/10/15, at 1:43 pm ), Safety A acknowledged the findings.

NFPA 101, 2000, 38.3.2.1*
Hazardous areas including, but not limited to, areas used for general storage, boiler or furnace rooms, and maintenance shops that include woodworking and painting areas shall be protected in accordance with Section 8.4.

K130C

Based on observation and staff interview, the facility failed to separate hazardous areas from use areas. This condition had the potential to allow smoke and fire to migrate into other areas of the facility. Facility census was 90.

Findings are:
Observations during the facility tour on 2/10/15, at 1:19 pm revealed the Lower Level EVS Shredding Room Door failed to close or latch when self-closed. A new door frame failed to be installed by the contractor on 01/01/2015, as indicated by the plan of correction.
In an interview conducted at the time of observations (2/10/15, at 1:19 pm), Safety A acknowledged the findings.

NFPA 101, 2000, 38.3.2.1*
Hazardous areas including, but not limited to, areas used for general storage, boiler or furnace rooms, and maintenance shops that include woodworking and painting areas shall be protected in accordance with Section 8.4.