HospitalInspections.org

Based on observation and staff interview, the facility failed to maintain a two-hour fire barrier that separated two non-conforming construction types (Type V (111) and Type II (111) construction). This condition would allow fire to progress through the fire barriers. Facility census was 21.

Findings are:
Observations during the facility tour on 4/16/14, 12:49 pm revealed:
1. Fire proofing failed to be replaced on a structural member above duct work, above the 90 minute fire doors by the 2C Elevator.
In an interview conducted at the time of observations (4/16/14, 12:08 pm), Facilities A confirmed the findings.

Based on observation and staff interview, the facility failed to maintain structural components of Type II (111) construction. This condition would allow fire to weaken structural components. Facility census was 21.

Findings are:
Observations during the facility tour on 4/16/14, at 1:07 pm revealed fire proofing failed to be replaced on a structural I-beam that had six electrical conduits running underneath beam in the Sterilization/Mechanical Room.
In an interview conducted at the time of observations (4/16/14, at 1:07 pm), Facilities A confirmed the finding.