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Tag No.: K0011
Based on observation and staff interview, the facility is not maintaining the fire resistant rating of all two hour fire rated walls as required. The facility has a capacity of 25 with a census of 5 patients.
Findings include:
Observation and staff interview on 3/16/15, at 2:28 p.m., revealed a penetration, (approximately 1/4 inch), around communications lines extending through the 2 Hour Firewall in the 1967 Building Corridor near the Cafeteria.
Maintenance Staff A verified observations during the survey process.
Tag No.: K0011
Based on observation and staff interview, the facility is not maintaining the fire resistant rating of all two hour fire rated walls as required. The facility has a capacity of 25 with a census of 5 patients.
Findings include:
Observation and staff interview on 3/16/16 at 2:28 p.m., revealed a hole, (approximately 2 inches), extending through the 2nd Floor Two Hour Firewall separating the 1950 Building from the 1967 Building.
Maintenance Staff A verified observations during the survey process.