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ST GABRIELS HOSPITAL
No Description Available
Tag No.: K0046
Based on observations and interview with staff, the facility has failed to ensure that 1 of several emergency lights have been maintained in accordance with NFPA LSC (00) Section 7.9, 19.2.9.1. This deficient practice could affect residents, staff and visitors in the event of an emergency evacuation during a power outage.
Findings include:
On facility tour between 11:00 AM and 3:00 PM on 12/08/2014, it was observed during the facility tour that the battery backup powered emergency light located by the patient exam room 201, was inoperative when tested at the time of the inspection.
This deficient practice was verified by the Maintenance Staff Member (DS).
No Description Available
Tag No.: K0052
Based on observation and staff interview, the facility failed to install and maintain the fire alarm system in accordance with the requirements of 2000 NFPA 101, Sections 19.3.4.1 and 9.6, as well as 1999 NFPA 72, Sections 2-3.4.5.1.2, 2-3.5.1. These deficient practices could adversely affect the functioning of the fire alarm system that could delay the timely notification and emergency actions for the facility thus negatively affecting patients, staff, and visitors of the facility.
Findings include:
On facility tour between 9:00 AM on 12/08/2014 and 4:30 PM on 12/09/2014, observations revealed the smoke detectors located in the corridor outside of the operating room 2102 and the smoke detector that is located within the Health Information Management office were installed within 36 inches of HVAC diffusers.
This deficient practice was verified by the Maintenance Staff Member (DS).
LIFE SAFETY CODE STANDARD
Tag No.: K0046
Based on observations and interview with staff, the facility has failed to ensure that 1 of several emergency lights have been maintained in accordance with NFPA LSC (00) Section 7.9, 19.2.9.1. This deficient practice could affect residents, staff and visitors in the event of an emergency evacuation during a power outage.
Findings include:
On facility tour between 11:00 AM and 3:00 PM on 12/08/2014, it was observed during the facility tour that the battery backup powered emergency light located by the patient exam room 201, was inoperative when tested at the time of the inspection.
This deficient practice was verified by the Maintenance Staff Member (DS).
LIFE SAFETY CODE STANDARD
Tag No.: K0052
Based on observation and staff interview, the facility failed to install and maintain the fire alarm system in accordance with the requirements of 2000 NFPA 101, Sections 19.3.4.1 and 9.6, as well as 1999 NFPA 72, Sections 2-3.4.5.1.2, 2-3.5.1. These deficient practices could adversely affect the functioning of the fire alarm system that could delay the timely notification and emergency actions for the facility thus negatively affecting patients, staff, and visitors of the facility.
Findings include:
On facility tour between 9:00 AM on 12/08/2014 and 4:30 PM on 12/09/2014, observations revealed the smoke detectors located in the corridor outside of the operating room 2102 and the smoke detector that is located within the Health Information Management office were installed within 36 inches of HVAC diffusers.
This deficient practice was verified by the Maintenance Staff Member (DS).