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Tag No.: K0372
Based on the observation, the facility failed to provide half hour rating in the smoke barrier wall in accordance with NFPA 101 sections 19.3.7.3 and 8.5.6.2. This standard deficiency affected all smoke compartments in the facility on the day of Survey.
Findings include:
On 6/18/24 at 10:30 AM, observation revealed unsealed holes around data cables at the East Hall smoke barrier wall near Radiology of the facility. The Smoke Barrier Wall was incapable of resisting the passage of smoke throughout the facility.
The finding was acknowledged by the Administrator and Maintenance Supervisor verified this observation during the exit interview on 6/18/24.