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The facility failed to maintain corridor doors to resist the passage of heat/smoke.

NFPA 101 Life Safety Code, 2000, Chapter Chapter 19, Section 19.3.6.3.1, 19.3.6.3.2, 19.3.6.3.3. Section 19. 19.3.6.3.1 "Doors protecting corridor openings shall be constructed to resist the passage of smoke. Clearance between the bottom of the door and the floor covering not exceeding 1 in. shall be permitted for corridor doors." Section 19. 19.3.6.3.2 "Doors shall be provided with positive latching hardware. Roller latches shall be prohibited." Section 19. 19.3.6.3.3 "Hold -open devices that release when the door is pushed or pulled shall be permitted."

On March 08th through the 10th the surveyors, accompanied by one or more of the following facility staff, Director of Security and Transportation, Environmental Safety Specialist, Manager Improvement Construction, Maintenance Supervisor, Safety Officer, Industrial Hygienist, Fire Automation Specialist, observed the following corridor doors would not tightly close when tested or were not smoke resistant or were being held open with impediments.

1. Palo Verde Psychiatric patient room corridor doors 26 total ( These were new corridor doors recently installed since the last survey according to staff)
2. 750 Clean linen missing latching mechanism in the door
4. Vasc lab storage missing self closure on door
7 Soiled linen room GI Lab missing self closure on door
8. GI lab Exam room one approximately 1/2 inch hole went through the entire corridor door and Exam room four had an impediment in use a metal door chalk mounted on the door.

In time of a fire, failing to protect patients from heat and smoke could cause harm to the patients.

The facility failed to provide a medical gas cylinder storage free of combustible materials and failed to mount electrical light switches or receptacles five feet above the floor in several oxygen storage locations in the hospital.

NFPA 101 Life Safety Code, Chapter 19, Section 19.3.2.4 " Medical gas storage and administration areas shall be protected in accordance with NFPA 99, Standard for Health Care Facilities." NFPA 99 Chapter 8, Storage Requirements, Section 8-3.1.11.2 Storage for nonflammable gases less than 3000 cubic feet.
The facility failed to provide a medical gas cylinder storage room free of combustible materials.
" (a) "Storage locations shall be outdoors in an enclosure or within an enclosed interior space of noncombustible or limited-combustible construction, with doors (or gates outdoors) that can be secured against unauthorized entry. (c) "Oxidizing gases such as oxygen and nitrous oxide shall be separated from combustibles or incompatible materials by: (c) (2) A minimum distance of 5 ft. if the entire storage location is protected by an automatic sprinkler system..." NFPA 99 Chapter 8 Storage requirements, Section 8-3.1.11.2 Storage for nonflammable gases less than 3000 cubic feet. (f) Electrical fixtures in storage locations shall meet 4-3.1.1.2 (a) 11d. Section 4-3.1.1.2 (a) 11(d) Ordinary electrical wall fixtures in supply rooms shall be installed in fixed locations not less than 5 ft. (1.5m) above the floor to avoid physical damage.

On March 08th through the 10th the surveyors, accompanied by one or more of the following facility staff, Director of Security and Transportation, Environmental Safety Specialist, Manager Improvement Construction, Maintenance Supervisor, Safety Officer, Industrial Hygienist, Fire Autoamation Specialist, observed oxygen bottles being stored next to combustibles i.e. medical supplies/ boxes, trash containers, etc: and stored adjacent to wall mounted electric light switches and receptacles which were mounted approximately two to three and a half feet (3.5ft) above the floor. in the following locations:

1. Respiratory Therapy
2. Radiology Department
3. GI Lab
4. Childrens Emergency Center

Leaking oxygen will penetrate combustible material and create an extreme fire hazard, which could cause harm to the patients. During movement of medical gases cylinders electrical receptacles mounted below five feet could be damaged which could cause a short or a fire which could cause harm to the patients.

The facility failed to maintain corridor doors to resist the passage of heat/smoke.

NFPA 101 Life Safety Code, 2000, Chapter Chapter 19, Section 19.3.6.3.1, 19.3.6.3.2, 19.3.6.3.3. Section 19. 19.3.6.3.1 "Doors protecting corridor openings shall be constructed to resist the passage of smoke. Clearance between the bottom of the door and the floor covering not exceeding 1 in. shall be permitted for corridor doors." Section 19. 19.3.6.3.2 "Doors shall be provided with positive latching hardware. Roller latches shall be prohibited." Section 19. 19.3.6.3.3 "Hold -open devices that release when the door is pushed or pulled shall be permitted."

On March 08th through the 10th the surveyors, accompanied by one or more of the following facility staff, Director of Security and Transportation, Environmental Safety Specialist, Manager Improvement Construction, Maintenance Supervisor, Safety Officer, Industrial Hygienist, Fire Automation Specialist, observed the following corridor doors would not tightly close when tested or were not smoke resistant or were being held open with impediments.

1. Palo Verde Psychiatric patient room corridor doors 26 total ( These were new corridor doors recently installed since the last survey according to staff)
2. 750 Clean linen missing latching mechanism in the door
4. Vasc lab storage missing self closure on door
7 Soiled linen room GI Lab missing self closure on door
8. GI lab Exam room one approximately 1/2 inch hole went through the entire corridor door and Exam room four had an impediment in use a metal door chalk mounted on the door.

In time of a fire, failing to protect patients from heat and smoke could cause harm to the patients.

The facility failed to provide a medical gas cylinder storage free of combustible materials and failed to mount electrical light switches or receptacles five feet above the floor in several oxygen storage locations in the hospital.

NFPA 101 Life Safety Code, Chapter 19, Section 19.3.2.4 " Medical gas storage and administration areas shall be protected in accordance with NFPA 99, Standard for Health Care Facilities." NFPA 99 Chapter 8, Storage Requirements, Section 8-3.1.11.2 Storage for nonflammable gases less than 3000 cubic feet.
The facility failed to provide a medical gas cylinder storage room free of combustible materials.
" (a) "Storage locations shall be outdoors in an enclosure or within an enclosed interior space of noncombustible or limited-combustible construction, with doors (or gates outdoors) that can be secured against unauthorized entry. (c) "Oxidizing gases such as oxygen and nitrous oxide shall be separated from combustibles or incompatible materials by: (c) (2) A minimum distance of 5 ft. if the entire storage location is protected by an automatic sprinkler system..." NFPA 99 Chapter 8 Storage requirements, Section 8-3.1.11.2 Storage for nonflammable gases less than 3000 cubic feet. (f) Electrical fixtures in storage locations shall meet 4-3.1.1.2 (a) 11d. Section 4-3.1.1.2 (a) 11(d) Ordinary electrical wall fixtures in supply rooms shall be installed in fixed locations not less than 5 ft. (1.5m) above the floor to avoid physical damage.

On March 08th through the 10th the surveyors, accompanied by one or more of the following facility staff, Director of Security and Transportation, Environmental Safety Specialist, Manager Improvement Construction, Maintenance Supervisor, Safety Officer, Industrial Hygienist, Fire Autoamation Specialist, observed oxygen bottles being stored next to combustibles i.e. medical supplies/ boxes, trash containers, etc: and stored adjacent to wall mounted electric light switches and receptacles which were mounted approximately two to three and a half feet (3.5ft) above the floor. in the following locations:

1. Respiratory Therapy
2. Radiology Department
3. GI Lab
4. Childrens Emergency Center

Leaking oxygen will penetrate combustible material and create an extreme fire hazard, which could cause harm to the patients. During movement of medical gases cylinders electrical receptacles mounted below five feet could be damaged which could cause a short or a fire which could cause harm to the patients.