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Based on a tour of the facility and staff interview (EMP), it was determined that the facility to maintain soiled and clean linens in properly ventilated and temperature controlled areas according to acceptable standards of practice as cited in ANSI/ASHRAE/ASHE Standard 170-2013, Ventialtion of Health Care Facilities, Table 7.1 Design Parameters.


Findings include:


1) Review of ANSI/ASHRAE/ASHE Standard 170-2013, Ventialtion of Health Care Facilities, Table 7.1 Design Parameters Soiled linen sorting and storage areas shall be maintained under negative pressure in relation to adjacent areas, have a minimum of 10 total air changes per hour, and all room air must be exhausted to the outside. Clean linen storage areas are required to be maintained under positive pressure in relation to adjacent areas, have two total air changes an hour and temperature shall be controlled between 72 and 78 degrees fahrenheit.


2) During tour of the facility's clean and soiled linen storage area in the basement of the hospital on February 16, 2017 at approximately 11:00 AM, observations of the clean and soiled linen storage area revealed that neither the clean or soiled linens were being stored according to standards documented in ANSI/ASHRAE/ASHE Standard 170-2013, Ventialtion of Health Care Facilities, Table 7.1.


During an interview on Februry 17, 2017 at approximately 9:30 AM, when asked if the facility was storing clean and soiled linens in the basement according to acceptable standards of practice, EMP1 revealed "no."