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Tag No.: K0017
Based on observation it was determined that the facility failed to provide corridor walls that could provide at least 30 minute fire-resistance rating in accordance with the LSC section 19.3.6.1, 19.3.6.2.1. This deficient practice could potentially affect 20% of the occupants of the facility. Findings include:
1. On 8/2/11 at approximately 12:15 PM the 3rd floor surgical pharmacy was observed to be equipped with a sliding glass window in the corridor wall that creates an opening approximately 2 feet by 3 feet in size. The surgical pharmacy does not meet the requirements of Section 19.3.6.1 for spaces open to the corridor. This observation was verified by the director of engineering.
10/11/11 - The facility has contacted a fire alarm company to install smoke detection in the space open to corridor. Expected completetion should be two weeks from this date.
2. On 8/2/11 at approximately 1:30 PM the 1st floor cashiers office was observed to be equipped with a sliding glass window in the corridor wall that creates an opening approximately 2 feet by 3 feet in size. The cashiers office does not meet the requirements of Section 19.3.6.1 for spaces open to the corridor. This observation was verified by the director of engineering.
10/11/11 - The facility has contacted a fire alarm company to install smoke detection in the space open to corridor. Expected completetion should be two weeks from this date.
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Tag No.: K0038
Based on observation the facility failed to provide approved exit access in accordance with the LSC section 19.2.1. This deficient practice could potentially affect 20% of the occupants of the facility by making the exit unaccessible during an evacuation emergency. Findings include:
1. On 8/2/11 at approximately 1:15 PM the exit corridor from the maintenance/boiler area was observed to discharge into the trash compactor room instead of a public way. This observation was verified by the director of engineering.
10/11/11 - The facility has secured funding and has had architectural drawings developed. The facility is making progress reconstructing the corridor to exit to a public way.
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