HospitalInspections.org

On 03/11/14 at 11:10 AM the surveyor, accompanied by the Engineering Supervisor, observed that the corridor door for the Richardson 9 Electrical Room is damaged to the core, negating the assembly ' s ability to resist the passage of smoke as required by section 19.3.6.3 of the Life Safety Code.

On 03/12/14 at 10:30 AM, the surveyor while accompanied by a Representative of the Engineering Department observed that there were voids around electrical wires that penetrate the floor of Nuclear Medicine Room #3 and there were three (3) conduit pipes that penetrate the floor that were not sealed with materials having a fire resistance rating of at least one (1) hour.

The facility did not ensure that door openings in smoke barriers have at least a 20-minute fire protection rating or are at least 1¾-inch thick solid bonded wood core. Doors are self-closing or automatic closing, as required by the referenced "Life Safety Code ", section # ' s 19.2.2.2.6, 19.3.7.5, 19.3.7.6 & 19.3.7.7

On 03/13/14 at 09:27 AM the surveyor while accompanied by the Vice President, Administration observed that the door within the smoke barrier wall that runs through the Hemodialysis Nursing Unit (West Tower 6/Podium 6) was damaged and no longer could resist the passage of smoke; i.e. door physically damaged-outer layer of veneer is taped to the face of the door

On 03/12/14 at 09:10 AM the surveyor, accompanied by the Engineering Supervisor, observed that the corridor door for the NICU Clean Storage/Laundry Room lacks a self-closing device as required by section 19.3.2.1 of the Life Safety Code.

The surveyor was not provided with documentation from the Vice President, Administration to indicate that all employees are in serviced annually as to their duties during a fire emergency as, required by " CT Fire Prevention Code "; i.e. documentation provided indicated only 10 of 13 staff members from the Hemodialysis Nursing Unit had fire safety training within the last year;

On 03/11/14 at 11:10 AM the surveyor, accompanied by the Engineering Supervisor, observed that the corridor door for the Richardson 9 Electrical Room is damaged to the core, negating the assembly ' s ability to resist the passage of smoke as required by section 19.3.6.3 of the Life Safety Code.

On 03/12/14 at 10:30 AM, the surveyor while accompanied by a Representative of the Engineering Department observed that there were voids around electrical wires that penetrate the floor of Nuclear Medicine Room #3 and there were three (3) conduit pipes that penetrate the floor that were not sealed with materials having a fire resistance rating of at least one (1) hour.

The facility did not ensure that door openings in smoke barriers have at least a 20-minute fire protection rating or are at least 1¾-inch thick solid bonded wood core. Doors are self-closing or automatic closing, as required by the referenced "Life Safety Code ", section # ' s 19.2.2.2.6, 19.3.7.5, 19.3.7.6 & 19.3.7.7

On 03/13/14 at 09:27 AM the surveyor while accompanied by the Vice President, Administration observed that the door within the smoke barrier wall that runs through the Hemodialysis Nursing Unit (West Tower 6/Podium 6) was damaged and no longer could resist the passage of smoke; i.e. door physically damaged-outer layer of veneer is taped to the face of the door

On 03/12/14 at 09:10 AM the surveyor, accompanied by the Engineering Supervisor, observed that the corridor door for the NICU Clean Storage/Laundry Room lacks a self-closing device as required by section 19.3.2.1 of the Life Safety Code.

The surveyor was not provided with documentation from the Vice President, Administration to indicate that all employees are in serviced annually as to their duties during a fire emergency as, required by " CT Fire Prevention Code "; i.e. documentation provided indicated only 10 of 13 staff members from the Hemodialysis Nursing Unit had fire safety training within the last year;