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Tag No.: K0130
Based on observation and confirmed by staff, the facility failed to provide two conforming smoke compartments as required. Section 21.3.7.2 states ambulatory health care facility shall be divided into not less than two smoke compartments.
THE FINDINGS INCLUDE:
During the morning hours of 3/13/13 while performing the building tour, it was observed that the facility did not provide a conforming smoke barrier on the 1st and 2nd floors of the building. According the building floor plans provided, the 1st floor is 29,803 square feet (sf.) in size, and the 2nd floor is 25,167 sf. in size.
NOTE: A waiver request was submitted by the facility to utilize a smoke partition, in conjunction with other automatic fire safety features, to divide the 1st and 2nd floors of the building into multiple smoke compartments in lieu of a smoke barrier wall. This waiver request has been DENIED by CMS.