HospitalInspections.org

Based on observation, the facility had dust build up in seven (7) areas of five hundred (500) observations.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, there was a buildup of dust in the following locations of the facility:

a) Room 5410 - electrical closet
b) Room 5007
c) Room E7076
d) Room E6049
e) Room WI-908
f) Room WP1045
g) Room 4221

Based on observation of the facility's doors, one (1) label of four hundred (400) observations is missing.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, that door labeling was missing for room M7616.

Based on observation of the facility's lockers, one (1) of (100) lockers observed is not securely mounted.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, that a locker was not securely mounted inside of room 1318.

Based on observation, of the facility's corridor, three (3) of twenty (20) were obstructed.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, that the facility corridors in the following areas are obstructed with combustible storage:

a) In front of room M11810A
b) In front of room 1600
c) In front of room M7723

Based on observation, the facility had combustible storage that was found directly on the floor for twenty-six (26) of five hundred (500) observations.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, there was combustible storage being stored directly on the floor:

a) Room 1866
b) Room W4-102
c) Room W35-100
d) Room M1810 A
e) Copy room M4826
f) Room M4804
g) Room M4357
h) Room 4263
i) Room M3604D
j) Room 3600
k) Room 3653C
l) Room 3606D
m) Room M3608A
n) Room M3608H
o) Room M3508B
p) Room M3608G
q) Room M3232
r) Room M2627
s) Room M2602
t) Room M2805
u) Room M3284
v) Room M2809
w) Room M2200
x) Room M2303C
y) West Building 2703
z) MLK Building Room C1017

Based on observation, the facility had storage that was too high to the ceiling for (5) of five hundred (500) observations.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17th, 2019 through June 20th, 2019, that there was storage too high to the ceiling in the following areas of the facility:

a) Room M7618
b) Room E5012
c) Room W4-404
d) Dr. Bears Toy Room
e) MLK Building housekeeping closet

Based on observation, the facility had penetrations in the ceiling tiles for twenty-four (24) of (4,000).

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, that there were ceiling tile penetrations found in the following locations:

a) Inside of TPH 1003-M
b) Inside of M5704-M
c) Inside of M5700-M
d) Outside of M5503-M
e) Inside of TP1031-M
f) Inside of WP1044
g) In front of cubicle M3602B
h) Inside of M2642
i) Inside of M2633
j) Inside of M2560D
k) Inside of storage closets RMP2-234
l) Inside of the security office
m) Inside of room 2010


Based on observation, the facility had displaced ceiling tiles for five (5) of (4,000).

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, that there were ceiling tiles that had to be adjusted into the ceiling tile grid in the following locations:

a) Main elevator machine room
b) Inside of E6032
c) In front of E515-M
d) Inside of P1-105
e) Inside of M 4124

Based on observation, the facility fire alarm inspection records are not maintained on site.

The findings include:

Record review at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, found that the fire alarm inspection records are not being maintained onsite at the following facilities:

a) 1310 Southern Avenue, S.E.
b) 1630 Euclid Street, N.W.

Based on observation, the facility sprinkler heads for fifty-four (54) of three thousand (3,000) are dust laden

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, the facility sprinkler heads in the following areas are dust laden:

1. Room 1825
2. Room ED C side bed number 10
3. Room 1.07
4. Room 1.09
5. Room 1.02
6. Room M1217
7. Room M1204A
8. Room 1000
9. Cath lab East building
10. Pre-occupational East Building
11. Outside of Room E2261
12. MRI nursing station East Building
13. Outside of room E3053
14. Room E3051
15. Room E4094
16. Room E4089
17. Room E431
18. Room E4063
19. Room M3118G
20. Outside of E327
21. Outside of E428
22. Room C1020
23. Room M2634A
24. Room 1600
25. Room M7723
26. Room M2558


Based on observation, the facility sprinkler heads for seven (7) of three thousand (3,000) are bent.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, the facility sprinkler heads in the following areas are bent:

1. Alcove E5024
2. Alcove E 5003
3. Alcove E5059
4. Alcove E544
5. Alcove E541
6. Alcove E5080
7. Alcove E5045

Based on observation, the facility fire department connection caps one (1) of fifty (50) is not hand tight.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17th, 2019 through June 20th, 2019, the facility fire department connections caps are not hand tight in the following area:

1. HC -055-1

Based on observation, the facility automatic sprinkler testing and

Based on observation, one (1) of two hundred (200) facility doors do not close into the frame.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, the facility smoke door 5001 does not close in the frame.

Based on observation, the facility door hardware for one (1) of (1) needs repair.

The findings include:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, the facility door hardware in the following area needs to be repaired:

a) Room D5001

Based on observation, the facility fire drill forms are incomplete.

The findings include:

Record and review at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, found that the facility fire drill forms are incomplete.

Based on observation, the facility has decorations that are not flame retardant in two (2) of two (2) areas.

The findings included:

It was observed at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, the facility has decorations in the following areas that are not flame retardant:

a) Room E2312
b) Room 4W1000

Based on observation, the facility's generator testing and maintenance records are not maintained onsite.

The findings include:

Record review at approximately 10:00am through 2:00pm on June 17, 2019 through June 20, 2019, found that the generator testing and maintenance records are not being maintained onsite at the following facility:

a) 1630 Euclid Street, N.W.