HospitalInspections.org

Based on record review and interview, the facility failed to follow the fire plan.

The findings include:

Record review of the facility's fire plan and interview with Director of Facilities on 8/15/2022 at 11:20 AM revealed no staff members activated the manual pull station to initiate the fire alarm system during an electrical arc flash on a light switch in Critical Care Room 1 in the emergency department.
NFPA 101 2012 Edition 19.7.2.1.2(2)

The Director of Facilities was present when the deficiency was identified, and the deficiency was acknowledged by the Chief Executive Officer during the exit conference on 8/15/2022.