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LAKEWOOD HEALTH CENTER
Multiple Occupancies - Construction Type
Tag No.: K0133
Based on observations and staff interview, it was revealed that 1 of 2 - two hour fire separation was found not in compliance with NFPA 101 "The Life Safety Code" 2012 edition (LSC) sections 19.1.3.3. These deficient conditions could allow the products of combustion to travel from one building to another, which could negatively affect 4 of 15 patients, as well as an undetermined number of staff, and visitors.
Findings include:
On facility tour between 10:30 a.m. to 2:30 p.m. on 05/09/2017, observations revealed that the fire rated double doors in the 2 hour fire wall located by room 147 had a gap between the door leaved the measured 3/8th of an inch.
This deficient condition was verified by a Maintenance Supervisor.