HospitalInspections.org

Based on observations and staff interviews, on August 2nd, 2011 through August 4th, 2011 the following Life Safety items were observed as noncompliant, specific findings include:

1. Main Building Ground floor pharmacy storage room -There was no sprinkler nor smoke detection at the pharmacy storage Corrected 10/12/2011

2. Main building ground Floor outpatient surgery -There was no sprinkler coverage nor smoke detection at the pack U and recovery area Corrected 10/12/2011


3. Main building 2nd floor B wing staff closet had storage within 18 inches of sprinkler head.Corrected 10/12/2011

4. Main building 2nd floor Pathology. The facility is utilizing special locking systems and does not have sprinkler coverage in the Pathology closet. Waiver till 8/30/2012

5. Main building 7th floor IT closet. The facility is utilizing special locking systems and does not have sprinkler coverage in the IT closet. Waiver till 8/30/2012

6. Main building 7th floor Dr. sleep room, The facility is utilizing special locking systems and does not have sprinkler coverage in the doctors sleep room. Waiver till 8/30/2012

7. Main Building, ground, outside the emergency entrance -The facility is utilizing heat tape instead of electronic heating elements on the emergency power supply on back flow valves. Waiver till 8/30/2012

8. Main Building, ground floor, Kitchen walk-in cooler -The facility us utilizing special locking devices and does not have its walk-in cooler sprinklered. Waiver till 8/30/2012

9. Main building, 3rd floor, 5A area, the patient bathroom are equipped with sprinklers but the shower located in the bathroom area not protected due to the location of the sprinkler head against the bulkhead not prevent proper coverage in the area. Waiver till 8/30/2012

10. Main building 5th floor, F wing, the curtains in the patient showers do not provide the 18 inch separation at the ceiling or have the mesh top that will allow for proper coverage of the shower. Waiver till 8/30/2012