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Based on observation and interview, it was determined the facility failed to maintain building construction in one location, affecting one of four floors.

Findings include:

1. Observation on December 9, 2019, at 8:33 a.m., revealed combustible insulating material, with sealed pipe penetrations at the exterior wall location within the basement-level HVAC Shop.

Exit interview with facility representative #1, facility representative #2, and facility representative #3, on December 10, 2019, between 9:40 a.m. and 9:50 a.m., confirmed the building construction deficiency.

Based on observation and interview, it was determined the facility failed to maintain building construction in one location, affecting one of two floors.

Findings include:

1. Observation on December 9, 2019, at 8:02 a.m., revealed a horizontal structural steel beam, located within the basement-level, 0506 Mechanical Room, lacked spray fireproofing (exterior bearing wall location).

Exit interview with facility representative #1, facility representative #2, and facility representative #3, on December 10, 2019, between 9:40 a.m. and 9:50 a.m., confirmed the building construction deficiency.

Based on observation and interview, the means of egress was not free from all obstructions, affecting one of seven smoke compartments on the third floor.

Findings include:

1. Observation on December 9, 2019, between 9:20 a.m. and 9:55 a.m., revealed:

a. 9:20 a.m. - Two stationary chairs placed in the 3rd floor corridor near room #3326.

b. 9:55 a.m. - A couch was placed in the 3rd floor corridor near room # 3523.

Exit interview with facility representatives #1 and #2, on December 10, 2019, at 9:00 a.m., confirmed the egress obstructions.

Based on observation and interview, it was determined the facility failed to maintain exit signage in one location, affecting one of four floors.

Findings include:

1. Observation on December 10, 2019, at 8:08 a.m., revealed exit signage located closest to the SM Stair Tower enclosure lacked a chevron to direct exit access corridor occupants into the stair tower enclosure.

Exit interview with facility representative #1, facility representative #2, and facility representative #3, on December 10, 2019, between 9:40 a.m. and 9:50 a.m., confirmed the exit signage deficiency.

Based on observation and interview, it was determined the facility failed to maintain hazardous areas, affecting one of seven smoke compartments on the third floor.

Findings include:

1. Observation on December 9, 2019, at 9:35 a.m., revealed the third floor storage room door #3404 had a hold-open device which would not release the door if the fire alarm was activated.

Exit interview with facility representatives #1 and #2, on December 10, 2019, at 9:00 a.m., confirmed the hold open device.

Based on observation and interview, it was determined the facility failed to maintain the building fire alarm system.

Findings include:

1. Observation on December 9, 2019, at 9:10 a.m., revealed seven deficiencies associated with the most recent building fire alarm inspection.

Exit interview with facility representative #1, facility representative #2, and facility representative #3, on December 10, 2019, between 9:40 a.m. and 9:50 a.m., confirmed the building fire alarm system deficiency.

Based on documentation review and interview, it was determined the facility failed to maintain the automatic sprinkler system, affecting one of seven smoke compartments on the third floor.

Findings include:

1. Observation on December 9, 2019, at 11:25 a.m., revealed the third-floor electrical closet #3528 lacked sprinkler coverage.

Exit interview with facility representatives #1 and #2, on December 10, 2019, at 9:00 a.m., confirmed the lack of sprinkler coverage.

Based on observation and interview, it was determined the facility failed to maintain automatic sprinkler systems, affecting one of seven smoke compartments on the third floor.

Findings include:

1. Observation on December 9, 2019, at 9:45 a.m., revealed electrical conduits wire tied to the sprinkler piping located in the third-floor corridor near employee lounge #3508.

Exit interview with facility representatives #1 and #2, on December 10, 2019, at 9:00 a.m., confirmed the electrical conduits attached to the sprinkler piping.

Based on observation and interview, it was determined the facility failed to maintain one smoke barrier separation wall, affecting one of four floors.

Findings include:

1. Observation on December 9, 2019, at 12:12 p.m., revealed a conduit penetration of the portion of the smoke barrier separation wall located on the first floor, closest to room 1476.

Exit interview with facility representative #1, facility representative #2, and facility representative #3, on December 10, 2019, between 9:40 a.m. and 9:50 a.m., confirmed the smoke barrier separation wall deficiency.

Based on observation and interview, it was determined the facility failed to maintain electrical wiring and equipment, affecting one of five smoke compartments.

Findings include:

1. Observation on December 9, 2019, at 11:50 a.m., revealed the Social Services office had a refrigerator and microwave oven plugged into an electrical multiplier.

Exit interview with the director of facilities on December 10, 2019, 12:45 p.m., confirmed the unauthorized electrical multiplier.

Based on observation and interview, it was determined the facility failed to maintain cylinder and container storage in one location, affecting one of four floors.

Findings include:

1. Observation on December 9, 2019, at 8:33 a.m., revealed two e-style oxygen cylinders were unsecured within the first floor Ambulance Storage Room.

Exit interview with facility representative #1, facility representative #2, and facility representative #3, on December 10, 2019, between 9:40 a.m. and 9:50 a.m., confirmed the cylinder storage deficiency.