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Tag No.: K0034
Based on observation and staff interviews it was observed that the facility failed to provide and maintain the vertical stair enclosures in accordance to the Life Safety Code [2000 Ed] Sections 19.2.2.3, 7.2.2.1 and Section 7.1.3.2.1. The deficient practice could affect all the patients, staff and an undeterminable number of visitors within 2 of 4 smoke compartments of this building.
Findings include:
1. On June 15th, 2014 at 8:44 am, while on tour it was observed that two electrical conduits were installed within Stair #0070-S that did not serve this stairway. This condition does not meet NFPA 101(1999 Ed) 7.1.3.2.1(e) (1).
This deficient practice was confirmed by observation and interview with Staff J (Regional Director of Facilities), Staff C (Facilities Manager), Staff N (Lead Mechanic) at the time of discovery.
Tag No.: K0056
Based on observation and staff interviews it was observed that the facility failed to provide and maintain a sprinkler system that was installed in accordance to the Life Safety Code [2000 Ed] Sections 19.3.5.1, 9.7.1.1 and NFPA 13 [1999 Ed] Section 5.1.1. The deficient practice could affect all the patients, staff and an undeterminable number of visitors within 4 of 4 smoke compartments of this building.
Findings include:
1. On June 15th, 2014 at 8:15 am, while on tour it was observed that no non-combustible shields were installed in Electrical rooms #0054-M and #0055-M to protect this important electrical equipment from sprinkler discharge. This condition does not meet NFPA 13 (1999 Ed) section 5-13.11.
This deficient practice was confirmed by observation and interview with Staff J (Regional Director of Facilities), Staff C (Facilities Manager), Staff N (Lead Mechanic) at the time of discovery.
Tag No.: K0130
Based on observation and staff interviews it was observed that the facility failed to provide and maintain their designated handicap toilets in accordance to ANSI A117.1-2003. The deficient practice could affect all the patients, staff and an undeterminable number of visitors within 3 of 4 smoke compartments of this building.
Findings include:
1. On June 14th, 2014 at 1:41 PM, while on tour it was observed that in the men and women handicap toilets for the Main Lobby the towel dispenser and toilet dispenser obstructed the clear forward reach required for the sink listed in Section 309 and 308 of ANSI A117.1 (2003 Ed). During the tour of the remaining handicap toilets, it was discovered that 8 locations were found that did not meet the requirements for clear forward reach at a sink.
These deficient practices were confirmed by observation and interview with Staff J (Regional Director of Facilities), Staff C (Facilities Manager), Staff N (Lead Mechanic) at the time of discovery.