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Based on observations made during tour of the facility, it was determined that the facility failed to maintain required fire/smoke barriers to resist the passage of smoke and flames which could endanger the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 12:51 PM while on tour with facility staff, 4th floor Elevator B lobby ceiling tile damaged in need of replacement to ensure smoke tight in accordance with NFPA 101 (2000) 4.6.12, 8.2.3.2.3.1, 19.3.7.1, 19.7.6.
2) On July 27, 2012 at 1:19 PM while on tour with facility staff, Surgery Electrical room by Janitorial room observed fire/smoke wall penetration of electrical conduit not properly sealed to prevent spread in accordance with NFPA 101 (2000) 4.6.12, 8.2.3.2.3.1, 19.3.7.1, 19.7.6.

Based on observation, facility failed to provide automatic fire sprinkler coverage throughout which could lead to the spread and failure to contain a fire endangering the patients, staff, and other building occupants.

The findings include:

On July 27, 2012 at 10:35 AM while on tour with facility staff, CT Room #1 storage closet observed to have no automatic fire sprinkler system coverage in accordance with NFPA 13(1999) 1-3, 1-6.1, 5-1.1(1-3), 12-1, NFPA 25 (1998) 1-4, 1-4.4, 1-4.5, 1-4.6, NFPA 101(2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

Based on observation, the facility failed to maintain the sprinkler system in accordance with NFPA 25 which could result in the failure of the system to activate or properly control a fire endangering the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 12:31 PM while on tour with facility staff, 4th floor West NTU outside rooms 415 and 418 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

2) On July 27, 2012 at 11:06 AM while on tour with facility staff, Hemo Lab dictation areas both north and south observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

3)On July 27, 2012 at 11:12 AM while on tour with facility staff, Hallway between Hemo Lab and Micro Lab observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

4) On July 27, 2012 at 11:18 AM while on tour with facility staff, Micro Lab Room B-5 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

5) On July 27, 2012 at 11:55 AM while on tour with facility staff, Room B18 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

6) On July 27, 2012 at 11:59 AM while on tour with facility staff, RAD #2 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

Based on observation, facility failed to maintain Ventilation Air Controls to ensure proper operation which could lead to failure of the system to convey and exhaust odors and gases which could potentially harm patients, staff, or other building occupants.

The findings include:

On July 27, 2012 at 9:44 AM while on tour with facility staff, Restroom for Pediatrics wing no negative pressure draw was found from the provided exhaust fan in accordance with NFPA 91 (1999) 7-1, 7-2, 7-3, 7-4, 7-5, 7-6, 7-7, NFPA 101 (2000) 4.6.12, 9.2.1, 19.5.2.1, 19.7.6.

Based on observation and staff interview, facility failed to maintain commercial cooking equipment which could result in a fire endangering the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 8:15 AM to 11:15 AM during records review with staff, Fire suppression report dated 6/18/2012 from Fields Fire Protection deficiencies list showed that the automatic shut down for the electrical equipment under the hood was not functioning. A work order was provided but item has not been corrected at time of survey with equipment still in use not in accordance with NFPA 17A (1998) 2-4.3.1, NFPA 96 (1998) 1-1.1, 1-1.2, 1-3.1(a-f), 1-3.4, 7-4.1, 7-4.2, NFPA 101 (2000) 4.6.12, 9.2.3, 19.3.2.6, 19.7.6.
2) On July 27, 2012 at 10:27 AM while on tour with facility staff, 1st floor Kitchen Fryer Hood fire suppression system nozzle protecting the griddle appears to have been knocked out of alignment and pointing toward the standing area instead of over the griddle in accordance with NFPA 17A (1998) 2-4.3.1, NFPA 96 (1998) 1-1.1, 1-1.2, 1-3.1(a-f), 1-3.4, 7-1.1, 7-1.2, 7-2.2.1(d), 8-1.6, 9-1.2.2, NFPA 101 (2000) 4.6.12, 9.2.3, 19.3.2.6, 19.7.6.

Based on observations, the facility failed to maintain proper fire separation and storage of combustible storage containers which should be protected as hazardous area occupancy necessary to minimize danger to patients, staff, or other building occupants from smoke, fumes or panic should a fire occur.

The findings include:

1) On July 26, 2012 at 2:40 PM while on tour with facility staff, 3rd floor Northeast nurse station open to egress corridor observed (4) four 32 gallon new labeled Soiled Linen mobile containers not stored in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.
2) On July 26, 2012 at 2:45 PM while on tour with facility staff, 3rd floor Northwest nurse station open to egress corridor observed (3) three 32 gallon new labeled Soiled Linen mobile containers not stored in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.
3) On July 27, 2012 at 9:41 AM while on tour with facility staff, Hospice & Out Patient wing observed (3) three 32 gallon new labeled Soiled Linen mobile containers stored open to the egress pathway not in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.
4) On July 27, 2012 at 11:38 AM while on tour with facility staff, Hallway across from RAD #2 behind the corridor door found a 32 gallon labeled soiled linen mobile cart not properly stored in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.

Based on observation, facility failed to inspect and maintain generator equipment which could result in failure of the emergency power system endangering patients, staff, and other building occupants.

The findings include:

On July 27, 2012 at 10:58 AM while on tour with facility staff, Emergency Department Consult Reception office Generator #4 Alarm Panel, observed a piece of rolled up paper stuffed into the pressure switch for alarm silence to keep panel alarm from being heard when panel was activated not allowing for the proper monitoring for the generator should a trouble arise rendering the unit inoperable or in need of immediate service in accordance with NFPA 70 (1999) Article 700-7(a-d), NFPA 99 (1999) 3-4.1.1.15(a-b), NFPA 101 (2000) 4.6.12, 9.1.3, 19.5.1, 19.7.6, NFPA 110 (1999) 3-5.5.2(d), Table 3-5.5.2(d), 3-5.6, 3-5.6.1, 3-5.6.2.

Based on observation, the facility failed to maintain electrical equipment and wiring which could endanger the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 12:38 PM while on tour with facility staff, 4th floor West Nourishment Room refrigerator found utilizing a power strip device for power supply not direct plug to outlet in accordance with NFPA 70 (1999) Articles 400-4, 400-7(a-b), 400-8, 440-55(a-c), NFPA 99 (1999) 3-3.2.1.1, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
2) On July 26, 2012 at 3:23 PM while on tour with facility staff, 4th floor OR Cath Supply room refrigerator found utilizing a power strip APC device for power supply not direct plug to outlet in accordance with NFPA 70 (1999) Articles 400-4, 400-7(a-b), 400-8, 440-55(a-c), NFPA 99 (1999) 3-3.2.1.1, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
3) On July 27, 2012 at 9:10 AM while on tour with facility staff, 1st floor Baby Wing Electrical room Panel 2ND conductors 2, 4, 6, 7, 8, 9, 10, 12, 17, 19, 20 panel legend has marked as spares but are in the on position not in accordance with NFPA 70 (1999) Article 110-22, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1., 19.7.6.
4) On July 27, 2012 at 10:33 AM while on tour with facility staff, CT Room #1 observed Code Cart utilizing an extension cord for power in lieu of proper outlet in accordance with NFPA 70 (1999) Article 400-7(b), NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
5) On July 27, 2012 at 10:35 AM while on tour with facility staff, CT Room #1 storage closet observed combustible storage directly under and within the required 3 foot clearance area for the electrical panel not in accordance with NFPA 70 (1999) 110-26(a)(1-3), NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
6) On July 27, 2012 at 10:44 AM while on tour with facility staff, Emergency Department Suite electrical Panel NLT conductors 2, 3, 5, 6, 10, 27, 30, 32, 34, 38, 40, 41, 42 panel legend has marked as spares but are in the on position not in accordance with NFPA 70 (1999) Article 110-22, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
7) On July 27, 2012 at 11:09 AM while on tour with facility staff, Hemo Lab outlet behind Architect Machine damaged power cord sheath has come loose from plug head exposing internal wires not in accordance with NFPA 70 (1999) Article 110-12(c), NFPA 99 (1999) 3-3.2.1.1, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.

These findings were re-confirmed with the Facility Director, Assistant Facility Director, Plant Ops Supervisor, and Facilities Secretary during the closing conference at 3:30 PM on July 27, 2012.

Based on observations made during tour of the facility, it was determined that the facility failed to maintain required fire/smoke barriers to resist the passage of smoke and flames which could endanger the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 12:51 PM while on tour with facility staff, 4th floor Elevator B lobby ceiling tile damaged in need of replacement to ensure smoke tight in accordance with NFPA 101 (2000) 4.6.12, 8.2.3.2.3.1, 19.3.7.1, 19.7.6.
2) On July 27, 2012 at 1:19 PM while on tour with facility staff, Surgery Electrical room by Janitorial room observed fire/smoke wall penetration of electrical conduit not properly sealed to prevent spread in accordance with NFPA 101 (2000) 4.6.12, 8.2.3.2.3.1, 19.3.7.1, 19.7.6.

Based on observation, facility failed to provide automatic fire sprinkler coverage throughout which could lead to the spread and failure to contain a fire endangering the patients, staff, and other building occupants.

The findings include:

On July 27, 2012 at 10:35 AM while on tour with facility staff, CT Room #1 storage closet observed to have no automatic fire sprinkler system coverage in accordance with NFPA 13(1999) 1-3, 1-6.1, 5-1.1(1-3), 12-1, NFPA 25 (1998) 1-4, 1-4.4, 1-4.5, 1-4.6, NFPA 101(2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

Based on observation, the facility failed to maintain the sprinkler system in accordance with NFPA 25 which could result in the failure of the system to activate or properly control a fire endangering the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 12:31 PM while on tour with facility staff, 4th floor West NTU outside rooms 415 and 418 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

2) On July 27, 2012 at 11:06 AM while on tour with facility staff, Hemo Lab dictation areas both north and south observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

3)On July 27, 2012 at 11:12 AM while on tour with facility staff, Hallway between Hemo Lab and Micro Lab observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

4) On July 27, 2012 at 11:18 AM while on tour with facility staff, Micro Lab Room B-5 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

5) On July 27, 2012 at 11:55 AM while on tour with facility staff, Room B18 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

6) On July 27, 2012 at 11:59 AM while on tour with facility staff, RAD #2 observed intermix of green (intermediate) and red (ordinary) temperature early suppression fast response sprinklers protecting a single space not in accordance with NFPA 13 (1999) 5-1.1(1-3), 5-3.1.4, 5-3.1.4.2(1-7), 5-3.1.5.1, 5-3.1.5.2, NFPA 25 (1998) 1-4, 1-4.1, 1-4.2, 1-4.4, 1-4.5, 1-4.6, 1-11, NFPA 101 (2000) 1.2.1, 1.2.3, 1.4.1, 4.6.12, 9.7.1.1, 19.1.1.1.1, 19.1.1.1.2, 19.1.1.1.3, 19.1.1.2, 19.1.1.3(1-3), 19.3.5, 19.7.6.

Based on observation, facility failed to maintain Ventilation Air Controls to ensure proper operation which could lead to failure of the system to convey and exhaust odors and gases which could potentially harm patients, staff, or other building occupants.

The findings include:

On July 27, 2012 at 9:44 AM while on tour with facility staff, Restroom for Pediatrics wing no negative pressure draw was found from the provided exhaust fan in accordance with NFPA 91 (1999) 7-1, 7-2, 7-3, 7-4, 7-5, 7-6, 7-7, NFPA 101 (2000) 4.6.12, 9.2.1, 19.5.2.1, 19.7.6.

Based on observation and staff interview, facility failed to maintain commercial cooking equipment which could result in a fire endangering the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 8:15 AM to 11:15 AM during records review with staff, Fire suppression report dated 6/18/2012 from Fields Fire Protection deficiencies list showed that the automatic shut down for the electrical equipment under the hood was not functioning. A work order was provided but item has not been corrected at time of survey with equipment still in use not in accordance with NFPA 17A (1998) 2-4.3.1, NFPA 96 (1998) 1-1.1, 1-1.2, 1-3.1(a-f), 1-3.4, 7-4.1, 7-4.2, NFPA 101 (2000) 4.6.12, 9.2.3, 19.3.2.6, 19.7.6.
2) On July 27, 2012 at 10:27 AM while on tour with facility staff, 1st floor Kitchen Fryer Hood fire suppression system nozzle protecting the griddle appears to have been knocked out of alignment and pointing toward the standing area instead of over the griddle in accordance with NFPA 17A (1998) 2-4.3.1, NFPA 96 (1998) 1-1.1, 1-1.2, 1-3.1(a-f), 1-3.4, 7-1.1, 7-1.2, 7-2.2.1(d), 8-1.6, 9-1.2.2, NFPA 101 (2000) 4.6.12, 9.2.3, 19.3.2.6, 19.7.6.

Based on observations, the facility failed to maintain proper fire separation and storage of combustible storage containers which should be protected as hazardous area occupancy necessary to minimize danger to patients, staff, or other building occupants from smoke, fumes or panic should a fire occur.

The findings include:

1) On July 26, 2012 at 2:40 PM while on tour with facility staff, 3rd floor Northeast nurse station open to egress corridor observed (4) four 32 gallon new labeled Soiled Linen mobile containers not stored in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.
2) On July 26, 2012 at 2:45 PM while on tour with facility staff, 3rd floor Northwest nurse station open to egress corridor observed (3) three 32 gallon new labeled Soiled Linen mobile containers not stored in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.
3) On July 27, 2012 at 9:41 AM while on tour with facility staff, Hospice & Out Patient wing observed (3) three 32 gallon new labeled Soiled Linen mobile containers stored open to the egress pathway not in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.
4) On July 27, 2012 at 11:38 AM while on tour with facility staff, Hallway across from RAD #2 behind the corridor door found a 32 gallon labeled soiled linen mobile cart not properly stored in accordance with NFPA 101 (2000) 19.3.2.1, 19.7.5.5.

Based on observation, facility failed to inspect and maintain generator equipment which could result in failure of the emergency power system endangering patients, staff, and other building occupants.

The findings include:

On July 27, 2012 at 10:58 AM while on tour with facility staff, Emergency Department Consult Reception office Generator #4 Alarm Panel, observed a piece of rolled up paper stuffed into the pressure switch for alarm silence to keep panel alarm from being heard when panel was activated not allowing for the proper monitoring for the generator should a trouble arise rendering the unit inoperable or in need of immediate service in accordance with NFPA 70 (1999) Article 700-7(a-d), NFPA 99 (1999) 3-4.1.1.15(a-b), NFPA 101 (2000) 4.6.12, 9.1.3, 19.5.1, 19.7.6, NFPA 110 (1999) 3-5.5.2(d), Table 3-5.5.2(d), 3-5.6, 3-5.6.1, 3-5.6.2.

Based on observation, the facility failed to maintain electrical equipment and wiring which could endanger the patients, staff, and other building occupants.

The findings include:

1) On July 26, 2012 at 12:38 PM while on tour with facility staff, 4th floor West Nourishment Room refrigerator found utilizing a power strip device for power supply not direct plug to outlet in accordance with NFPA 70 (1999) Articles 400-4, 400-7(a-b), 400-8, 440-55(a-c), NFPA 99 (1999) 3-3.2.1.1, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
2) On July 26, 2012 at 3:23 PM while on tour with facility staff, 4th floor OR Cath Supply room refrigerator found utilizing a power strip APC device for power supply not direct plug to outlet in accordance with NFPA 70 (1999) Articles 400-4, 400-7(a-b), 400-8, 440-55(a-c), NFPA 99 (1999) 3-3.2.1.1, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
3) On July 27, 2012 at 9:10 AM while on tour with facility staff, 1st floor Baby Wing Electrical room Panel 2ND conductors 2, 4, 6, 7, 8, 9, 10, 12, 17, 19, 20 panel legend has marked as spares but are in the on position not in accordance with NFPA 70 (1999) Article 110-22, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1., 19.7.6.
4) On July 27, 2012 at 10:33 AM while on tour with facility staff, CT Room #1 observed Code Cart utilizing an extension cord for power in lieu of proper outlet in accordance with NFPA 70 (1999) Article 400-7(b), NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
5) On July 27, 2012 at 10:35 AM while on tour with facility staff, CT Room #1 storage closet observed combustible storage directly under and within the required 3 foot clearance area for the electrical panel not in accordance with NFPA 70 (1999) 110-26(a)(1-3), NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
6) On July 27, 2012 at 10:44 AM while on tour with facility staff, Emergency Department Suite electrical Panel NLT conductors 2, 3, 5, 6, 10, 27, 30, 32, 34, 38, 40, 41, 42 panel legend has marked as spares but are in the on position not in accordance with NFPA 70 (1999) Article 110-22, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.
7) On July 27, 2012 at 11:09 AM while on tour with facility staff, Hemo Lab outlet behind Architect Machine damaged power cord sheath has come loose from plug head exposing internal wires not in accordance with NFPA 70 (1999) Article 110-12(c), NFPA 99 (1999) 3-3.2.1.1, NFPA 101 (2000) 4.6.12, 9.1.2, 19.5.1, 19.7.6.

These findings were re-confirmed with the Facility Director, Assistant Facility Director, Plant Ops Supervisor, and Facilities Secretary during the closing conference at 3:30 PM on July 27, 2012.