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GEISINGER-BLOOMSBURG HOSPITAL
Multiple Occupancies - Construction Type
Tag No.: K0133
Based on observation and interview, it was determined the facility failed to maintain one common wall, affecting one of four floors.
Findings include:
1. Observation on May 02, 2022, at 12:11 p.m., revealed the first floor, common wall doors, within the Administration Building, required adjustment to fully latch.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the common wall deficiency.
Building Construction Type and Height
Tag No.: K0161
Based on observation and interview, it was determined the facility failed to maintain building construction requirements in one location, affecting one of four floors.
Findings include:
1. Observation on May 03, 2022, at 10:12 a.m., revealed a piece of structural angle steel, lacked fireproofing at the first floor, 1928 entrance.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the building construction deficiency.
Exit Signage
Tag No.: K0293
Based on observation and interview, it was determined the facility failed to install exit signage in one location, affecting one of four floors.
Findings include:
1. Observation on May 02, 2022, at 11:47 a.m., revealed exit signage lacking at the bottom of the ramp, entering Radiology.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the exit signage deficiency.
Vertical Openings - Enclosure
Tag No.: K0311
Based on observation and interview, it was determined the facility failed to maintain vertical openings in three locations, affecting two of four floors.
Findings include:
1. Observation on May 02, 2022, between 10:24 a.m., and May 03, 2022, at 10:05 a.m., revealed the following:
a. 10:24 a.m., on May 02, 2022, a hole within the third floor, expansion joint, located closest to the Elevator C.
b. 11:05 a.m., on May 02, 2022, a floor slab penetration around the supply and return air duct work, located within third floor, Staff Lounge Restroom.
c. 10:05 a.m., on May 03, 2022, a horizontal penetration of the first floor portion of the elevator A enclosure, located within.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the vertical opening deficiencies.
Hazardous Areas - Enclosure
Tag No.: K0321
Based on observation and interview, it was determined the facility failed to maintain one hazardous area enclosure, affecting one of four floors.
Findings include:
1. Observation on May 02, 2022, at 11:08 a.m., revealed the East Wing, EVS Closet, lacked a self-closing device.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the hazardous area enclosure deficiency.
Sprinkler System - Maintenance and Testing
Tag No.: K0353
Based on observation and interview, it was determined the facility failed to maintain the automatic sprinkler system in three locations, affecting two of four floors.
Findings include:
1. Observation on May 02, 2022, between 11:01 a.m., and 11:59 a.m., revealed the following:
a. 11:01 a.m., a penetration of the ceiling assembly within the third floor, Multipurpose Room.
b. 11:06 a.m., a missing ceiling tile within the second floor, IT Closet.
c. 11:59 a.m., a missing escutcheon plate within the Labor and Delivery Room 241 bathroom.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the automatic sprinkler system deficiencies.
Portable Fire Extinguishers
Tag No.: K0355
Based on observation and interview, it was determined the facility failed to maintain portable fire extinguishers in one location, affecting one of four floors.
Findings include:
1. Observation on May 02, 2022, at 10:00 a.m., revealed the K Type portable fire extinguisher, located within Dietary, lacked a placard.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the fire extinguisher deficiency.
Corridor - Doors
Tag No.: K0363
Based on observation and interview, it was determined the facility failed to maintain corridor openings, in five locations, affecting three of four floors.
Findings include:
1. Observation on May 02, 2022, between 10:12 a.m., and 11:44 a.m., revealed the following:
a. 10:12 a.m., the distance between the fourth floor, Psychiatric Suite doors exceeded one-eighth-inch.
b. 11:14 a.m., the 311 patient room door was not smoke-tight.
c. 11:16 a.m., the 312 patient room door was not smoke-tight.
d. 11:18 a.m., the 326 patient room door was not smoke-tight.
e. 11:44 a.m., the second floor IT Closet door was not smoke-tight.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the corridor opening deficiencies.
Gas and Vacuum Piped Systems - Other
Tag No.: K0902
Based on observation and interview, it was determined the facility failed to maintain medical gas piping systems, affecting two of four floors.
Findings include:
1. Observation on May 02, 2022, between 10:28 a.m., and 11:51 a.m., revealed the following:
a. 10:28 a.m., medical gas piping within the second floor, protected passageway, lacked labeling and medical gas piping resided on dissimilar metals.
b. 11:51 a.m., medical gas piping was affixed to wiring at the second floor junction of the 1928 and 1991 buildings.
Exit interview with the Facilities Manager on May 03, 2022, between 10:45 a.m., and 11:00 a.m., confirmed the medical gas piping deficiencies.