HospitalInspections.org

Based on observation, the facility failed to continuously maintain the automatic sprinkler system in a reliable operating condition.

Findings:

1. On September 12, 2016 at approximately 2:30 PM, during a tour of the third floor of the Community Wing of the facility, it was observed that the top of a rack serving the Information Technology System, was located approximately 2 inches below a sprinkler head.

2. On September 13, 2016 at approximately 11:30 AM, it was observed that the facility did not have an adequate supply of spare sprinkler heads and sprinkler wrenches.

Failure to maintain the sprinkler system in reliable operating condition may result in injury to patients in the event of a fire emergency.

This finding was verified on September 12, 2016, by the Director of Engineering and the Facilities Manager.

Based on observation, the facility failed to maintain electrical wiring and equipment in accordance with the National Electrical Code, 9-1.2 and NFPA 99 18.9.1 and 19.9.1.

Findings::

During a tour of the second floor of the Community Wing of the facility, on September 12, 2016 at approximately 2:45 PM, a relocatable power tap was observed affixed to the wall of the soiled utility room. The cord to the power tap was running through a ceiling tile and was plugged in above the ceiling. In addition, the power tap was not of the type approved for use in hospitals.

Failure to use relocatable power taps in an appropriate manner may result in a fire, or in electrical shocks to staff or patients.

This finding was verified by the Director of Engineering and the Facilities Manager.