HospitalInspections.org

Based upon observations hazardous areas are not maintained to provide required separation and or fire resistant ratings for the hazardous areas.

Findings Include:

On 09-06-2012 at 11:07 a.m. it is observed that rooms K-321-C and K-321-D are required to be constructed with 1 hour fire rated barrier walls. This is also indicated on the hospitals rated walls floor plan book. However, the walls fail to comply with the requirement as the walls are not continuous to the ceiling pan and stop just above the acoustical ceiling tile assembly.

BUSINESS OCCUPANCY
K-130
Based on observation and interviews, it was revealed that the facility had failed to maintain proper use of extension cords and power taps. This violation could affect up to 100% of the ten suite occupants on the second floor.
Survey findings include:
On 9-4-12 at approximately 1030 hours, it was revealed by observation that an extension cord was plugged into two power taps. The Nurse Manager confirmed this evidence.
K-130
Based on observation and interviews, it was revealed that the facility had failed to maintain proper use of extension cords and power taps. This violation could affect up to 100% of the ten suite occupants on the second floor.
Survey findings include:
On 9-4-12 at approximately 1030 hours, it was revealed by observation that an extension cord was plugged into two power taps. The Clinic Director confirmed this evidence.
K-130
Based on observation and interviews, it was revealed that the facility had failed to maintain a proper fire evacuation plan. This violation could affect up to 100% of the ten suite occupants on the second floor.
Survey findings include:
On 9-4-12 at approximately 1035 hours, it was revealed by observation that the fire evacuation map posted on the wall was not accurate and did not reflect the evacuation plan that was practiced. Also, no manual pull stations were included. The Clinic Director confirmed this evidence.
K-130
Based on observation and interviews, it was revealed that the facility had failed to maintain the exit sign by the stairs. This violation affected the entire second floor since this is business use, and there are no smoke barrier walls to form smoke compartments.
Survey findings include:
On 9-4-12 at approximately 1040 hours, it was revealed by observation that the exit sign was not working by the second floor exit stair. The Clinic Director confirmed this evidence.

K-130
Based on observation and interviews, it was revealed that the facility had failed to maintain complete fire drill reports. This violation could affect up to 100% of the ten suite occupants on the second floor.
Survey findings include:
On 9-4-12 at approximately 1045 hours, it was revealed by interview and observation that the fire drill form does not contain adequate information. The Clinic Director confirmed this evidence.

New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that the electrical panels in the east wing are not labeled noting what each breaker supplies power to. Referenced by 38.5.1


New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that there is no sign noting that there is a fire department hose connection in the cabinet on the fourth floor east wing. Referenced by Virginia Statewide Fire Prevention Code 509.1

New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that there is an open junction box east mechanical room and circulator pump electrical box not secured and there is a hole in it that is not closed on the 4th floor. Referenced by 38.5.1


New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that there is a sprinkler head obstructed by duck work in east mechanical room on the fourth floor. Referenced by 11.8.2

New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that the electrical panels in the east wing are not labeled noting what each breaker supplies power to. Referenced by 38.5.1


New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that there is no sign noting that there is a fire department hose connection in the cabinet on the fourth floor east wing. Referenced by Virginia Statewide Fire Prevention Code 509.1

New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that there is an open junction box east mechanical room and circulator pump electrical box not secured and there is a hole in it that is not closed on the 4th floor. Referenced by 38.5.1


New BLD 17 On 9/11/2012 between 1:40 PM and 3:30 PM, it is observed that there is a sprinkler head obstructed by duck work in east mechanical room on the fourth floor. Referenced by 11.8.2