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Tag No.: K0700
Based on observation and interview, the facility failed to maintain fire walls. The deficient practice affected 2 of 3 smoke compartments, staff and patients.
The findings include:
Observation and interview with the Site Manager of Engineering on 6/18/2019 at 2:10 PM confirmed improperly sealed penetrations in a 2-hour fire wall above ceiling in the physician's on-call room by 4 water pipes.
2012 NFPA 101, 19.7.6, 4.6.12, 8.3.5.1
The Site Manager of Engineering was present when the deficiencies were identified and acknowledged by the Administrator during the exit conference on 6/18/2019.