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Based on observation, the facility failed to maintain the integrity of the corridor doors, as evidenced by doors that failed to close and latch and by doors that were obstructed. This failure affected 3 of 4 floors in the Hospital, 1 of 3 smoke compartments in the Valley Medical Unit and 1 of 2 smoke compartments at the Ambulatory Surgery Center. This could result in the potential spread of smoke in the event of a fire causing harm to patient, staff and visitors.

Findings:

During a tour with facility staff on March 22, 2010 through March 26, 2010, the corridor doors were observed.

Hospital - Fourth Floor on 3/22/10:
At 9:35 a.m., the door to Room 4017 failed to latch when closed.
At 9:37 a.m., there was a trash can in front of the door to Room 4016, impeding the closure of the door.
At 9:38 a.m., the door to Room 4015 failed to latch when closed.
At 9:40 a.m., there was a trash can in front of the door to Room 4013, impeding the closure of the door.
At 9:42 a.m., there was a trash can in front of the door to Room 4006, impeding the closure of the door.
At 9:43 a.m., the door to Room 4002 failed to latch when closed.
At 9:46 a.m., there was a trash can in front of the door to Room 4030, impeding the closure of the door.
At 9:48 a.m., there was a soiled linen cart in front of the door to Room 4030, impeding the closure of the door.
At 9:49 a.m., there was a trash can in front of the door to Room 4024, impeding the closure of the door.

Valley Medical Unit (VMU) on 3/22/10:
At 12:59 p.m., there were 3 approximately 1/4 inch to 1 inch penetrations in the door to Room 1621.

Hospital - First Floor on 3/25/10:
At 9:50 a.m., in the Cath Lab, x ray equipment was obstructing the closure of door 1A27.


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Hospital - Second Floor West on 3/22/10:
At 11:02 a.m., the corridor door latching mechanism was covered with scotch tape in the Nurses Lounge, Room #2151. The door was prevented from positive latching upon closure.

Hospital - First Floor on 3/22/10:
At 1:35 p.m., the door to the ED X-Ray Room 1, had a large cement door stop in front of it. The door was prevented from closing and latching.
At 1:50 p.m., the door to the ED Module F room had a door wedge holding the door open. The door was prevented from closing.
At 1:50 p.m., the door to the ED Room 1B21, Module F, Exam Room 2 had a door wedge preventing the door from closing.

Ambulatory Surgery Center - Ontario on 3/23/10:
At 2:15 p.m., the latching mechanism for door H1148, was covered with scotch tape, preventing the door from latching upon closure.

Based on observation, the facility failed to ensure smoke barrier doors on hold open magnetic devices close during activation of the fire alarm system as evidenced by doors failing to release from the magnetic devices and positive latch. This failure affected 2 of 4 floors in the Hospital and could result in the spread of fire and or smoke from one smoke compartment to another, causing potential harm to patients, staff and visitors.

Findings:

During the testing of the Fire Alarm System with facility staff on March 22, 2010 through March 26, 2010, doors held open by magnetic devices were observed.

Hospital - Third Floor East on 3/24/10:
At 3:00 p.m., the smoke barrier doors labeled H3032 failed to release from the magnetic device and latch during the activation of the Fire Alarm System.





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Hospital - Third Floor East on 3/24/10:
At 2:59 p.m., the smoke barrier door labeled H3025 failed to release from the magnetic device and positive latch on both sides after activation of an initiating device.

Hospital - First Floor on 3/25/10:
At 11:58 a.m., the smoke barrier door labeled 1500 in the Heart Care Unit, failed to release from the magnet device and positive latch on both sides after activation of an initiating device.

Based on observation and interview, the facility failed to provide visible exit signs to direct patients, visitors and staff to their path of egress as evidenced by missing directional signs and an exit sign that was covered. This failure affected basement level and 1 of 2 smoke compartments at the Ambulatory Surgery Center and could create confusion in the event of a fire or other emergency requiring evacuation.

Findings:

During a tour of the facility with facility staff on March 22, 2010 through March 25, 2010, the exit signs were observed.

Hospital - Basement on 3/23/10:
At 10:00 a.m., in the Kitchen the exit door leading to the loading dock failed to have an exit sign.

Ambulatory Surgery Center - Ontario on 3/23/10:
At 3:10 p.m., in the Operating Room area, the exit sign leading to one set of exit doors was covered by a manila folder that had been taped over it.
At 3:10 p.m., during an interview, Staff 3 stated that the exit door had been disconnected due to construction and that the sign should not have been covered but, should have a directional arrow pointing to the other set of exit doors at the other end of the corridor.
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Based on observation, the facility failed to ensure that the smoke barrier doors could protect against fire as evidenced by smoke barrier doors that failed to latch. This failure affected 1 of 3 smoke compartments in the Valley Medical Unit and could result in the spread of smoke and fire resulting in potential harm to patients, staff and visitors in the event of fire.

Findings:

During the facility tour and fire alarm testing with facility staff on March 22, 2010 through March 26, 2010, the smoke barrier doors were observed.

Hospital - Valley Medical Unit (VMU) on 3/24/10:
At 1:27 p.m., the smoke barrier double doors labeled 1660B failed to positive latch on both sides during the testing of the fire alarm system.

NFPA 101, 2000 Edition
Section 7.2 Means of Egress Components
7.2.1.4.5 The forces required to fully open any door manually in a means of egress shall not exceed 15 lbf (67 N) to release the latch, 30 lb (133 N) to set the door in motion, an d 15 lbf (67 N) to open the door to the minimum required width. Opening forces for interior side-hinged or pivoted-swinging doors without closures shall not exceed 5 lb (22 N). These forces shall be applied to the latch stile.

Based on observation, the facility failed to provide a clear path of egress and readily accessible exit doors as evidenced by egress path obstructions and an exit door that exceeded the required force to open. This failure affected 2 of 4 floors in the Hospital and 1 of 3 smoke compartments in the Valley Medical Unit and could delay evacuation in the event of an emergency, resulting in potential harm to patient, staff and visitors.

Findings:

During a tour of the facility with facility staff on March 22, 2010 through March 25, 2010, the paths to egress and the exit doors were observed.

Hospital - Fourth Floor on 3/22/10:
At 10:05 a.m., the egress to both exits in the Same Day Surgery patient holding room were obstructed by medical equipment, clean linen carts and soiled linen bins.

Hospital - Valley Medical Unit (VMU) on 3/22/10:
At 10:20 a.m., the panic hardware to exit door 1200A left side was stuck and could not be opened by the surveyor. Staff 3 attempted to open the door and failed, a second attempt was made by Staff 3 with much force and the door released and opened.

Hospital - First Floor Surgery on 3/25/10:
At 11:20 a.m., 2 of 2 egress corridors in the operating suite were obstructed by storage on both sides, one of the corridors was obstructed by three level One Rapid Infusions and a computer on wheels on one side and two large metal shelf carts one filled with clean linen and the other cart was filled with surgery supples on the opposite side leaving less than 2 feet as a means of egress.
At 11:24 a.m., the second exit corridor in the operating suite, was obstructed by a soiled linen cart, a metal shelf cart with clean linen and a metal cart with a stack of pillows on one side of the corridor and 2 large scopes on the other side leaving approximately 2 1/2 feet as a means of egress in the corridor.

NFPA 72, 1999 Edition, 2-8.2 Location and Spacing
2-8.2.1 Manual fire alarm boxes shall be located throughout the protected area so that they are unobstructed and accessible.

NFPA 72, 1999 Edition, Table 7-3.2, #6. Batteries - Fire Alarm Systems
d. Sealed Lead -Acid Type
1. Charger Test (Replace battery every 4 years.)

Based on observation, the facility failed to maintain the integrity of its fire alarm system and devices in accordance with NFPA 72, as evidenced by failure of multiple devices, obstruction of a manual pull station and expired batteries in a Fire Alarm Panel. This affected 2 of 4 floors and the basement in the Hospital, 1 of 3 smoke compartments in Valley Medical Unit and the Fire Alarm Panel at the Ambulatory Surgery Center. This failure had the potential for alarm failure and could result in the delay of notifying patients, staff, and visitors in the event of a fire.

Findings:

During the testing of the fire alarm system with facility staff on March 23, 2010 through March 26, 2010, the fire alarm system and initiating devices were observed.

Hospital - Third Floor East (Post Partum Wing) on 3/24/10:
At 2:59 p.m., the chime above manual pull station 053-016 failed to activate an audible alarm.
At 3:04 p.m., the chimes and strobes failed to activate an audible alarm when smoke detector 5312 was tested.
At 3:06 p.m., the chimes and strobes failed to activate an audible alarm when smoke detector 5311 was tested.
At 3:10 p.m. the chimes and strobes failed to activate when manual pull station 053-005 was tested.
Staff stated that the compartment was under construction that was completed on 2/4/10 and was on a fire watch up until that day. Staff stated the fire alarm vendor was on site and initiated a fire watch on the Third floor East and West. The alarm signals for the above devices were received at Engineering and PBX (on site monitoring stations).

Hospital - Third Floor East (Post Partum Wing) on 3/25/10:
Between 9:20 a.m., and 9:35 a.m., smoke detectors 5311, 5312 and manual pull stations 053-016 and 053-005 were retested and all initiating devices except for the chime next to room H3004 activated an audible and visual alarm and the smoke barrier doors released and latched. The fire watch was abated at 9:35 a.m.

Hospital - First Floor on 3/25/10:
At 11:48 a.m., the chime in the back corridor of ICU located next to room 1019 failed to activate an audible alarm during the testing of the fire alarm system.
At 12:00 p.m., in the Heart Care Unit the chime next to room 20 failed to activate an audible alarm during the testing of the fire alarm system.
At 1:28 p.m., in the ED Fast Track Department the chime next to Module H failed to activate an audible alarm during the testing of the fire alarm system.

Hospital - Basement on 3/25/10:
At 3:13 p.m., in the Diagnostic Imaging Department the chime next to door 0075, chime next to door 0167, 0146 and door B170 failed to activate an audible alarm during fire alarm testing.
At 3:34 p.m., in CT/MRI the chime next to Door 5-B232A failed to activate an audible alarm during fire alarm testing.



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Hospital - Basement on 3/23/10:
At 10:05 a.m., in the Basement level there was a manual pull station blocked by wood pallets and stacks of boxes in the loading dock area.

Valley Medical Unit (VMU) on 3/24/10:
At 1:36 p.m., in the Valley Medical Unit by Room 1543, the chime failed to activate during fire alarm testing.

Hospital - Third Floor West on 3/24/10:
At 2:36 p.m., the chime by room 3126 failed to activate during fire alarm testing.
At 2:40 p.m., the chime and strobe by Room LDRP7 failed to activate during fire alarm testing.

Hospital - Third Floor West on 3/25/10:
At 9:25 a.m., the strobe and chime next to Room LDRP9 failed to activate during fire alarm testing.
Hospital - First Floor (Cath Lab) on 3/25/10:
At 9:51 a.m., on the 1st floor, Cath Lab, 1 strobe and chime by Room 1242, 1 strobe and chime in the recovery/post op area, 1 strobe and chime in room 1241a (alcove above the printer) and the strobe and chime next to procedure room 1 and procedure room 2 failed to activate an audible and visual during fire alarm testing. The signals were received by engineering and PBX (monitoring station). Staff 3 stated the fire alarm vendor was on site and was on his way to Cath Lab.
At 11:43 a.m., in ICU, the chime next to room 1019 failed to activate during fire alarm testing.
At 11:58 a.m., in the Heart Care Unit, the strobe and chime by smoke barrier door 1500 failed to activate an audible and visual alarm after activation of an initiating device. The signal was received at engineering and PBX.
At 1:30 p.m., in the Emergency Department, manual pull station # 41-06 failed to activate the strobes and chimes. The signal was received at engineering and PBX.
Hospital - Basement level on 3/25/10:
At 2:23 p.m., in the Basement level, IP Pharmacy, the strobe failed to activate during fire alarm testing.
At 3:15 p.m., in Diagnostic Imaging the chime in the hallway across from room 0059 failed to activate during fire alarm testing.
At 3:15 p.m., in Diagnostic Imaging the chime in the hallway by Room 5 failed to activate during fire alarm testing.

Hospital - First Floor (Cath Lab) on 3/25/10:
At 4:00 p.m., the smoke detector in post op and the smoke detector in pre op were re-tested and all initiating devices activated an audible and visual alarm.

Ambulatory Surgery Center - Ontario on 3/23/10:
At 1:15 p.m., the lead acid batteries in the fire alarm panel were dated 2/4/04.

Based on observation, the facility failed to maintain its Automatic Sprinkler System in accordance with NFPA 25, as evidenced by failure of an Inspectors Test Valve, sprinkler escutcheon rings that were not flush with the ceiling and sprinkler escutcheon rings that were missing. This failure affected 4 of 4 floors and the basement in the Hospital, and could result in the automatic sprinkler system not functioning as designed in the event of a fire.

Findings:

During a tour of the facility with facility staff on March 22, 2010, through March 26, 2010, the automatic sprinkler system was observed.

Hospital - Fourth Floor on 3/22/10:
At 10:00 a.m., the sprinkler escutcheon ring was missing in the Same Day Surgery waiting area.

Valley Medical Unit (VMU) on 3/22/10:
At 10:27 a.m., the sprinkler escutcheon ring was not flush with the ceiling in Room 1622.
At 10:30 a.m., the sprinkler escutcheon ring was not flush with the ceiling in the IT Room.
At 10:36 a.m., the sprinkler escutcheon ring was not flush with the ceiling in room 1683.

Hospital - First Floor on 3/26/10:
At 9:20 a.m., the Inspectors Test Valve (ITV) located outside the new Emergency Department failed to send a signal to the monitoring station when the valve was tested. The alarm/bell outside the facility activated an audible alarm within 27 seconds but no signal was received at PBX or engineering.





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Hospital - Third Floor West on 3/22/10:
At 9:45 a.m., the "Clinical Manager" office #H3086 had a sprinkler head escutcheon ring missing.
At 9:47 a.m., the Nursing Station Locker Restroom had a sprinkler head escutcheon ring missing.
At 9:50 a.m., the "Family Birthing Services" office #3154 had a sprinkler head escutcheon ring missing.

Hospital - First Floor on 3/22/10:
At 1:42 p.m., area D in the ED there was a sprinkler head missing an escutcheon ring.
At 1:43 p.m., in area E "Nourishment" in the ED the sprinkler head was missing an escutcheon ring.
At 1:44 p.m., Med Room D & E in the ED had a sprinkler head missing an escutcheon ring.

Hospital - Basement on 3/23/10:
At 9:12 a.m., Medical Transcription Office B108 there were 3 sprinkler heads missing escutcheon rings.

Based on observation, the facility failed to maintain the portable fire extinguishers as evidenced by a fire extinguisher that was blocked from access and a fire extinguisher that was not secured. This affected 1 of 4 floors in the Hospital and 1 of 2 smoke compartments at the Ambulatory Surgery Center, resulting in the inaccessibility to the fire extinguishers in the event of a fire, which could cause potential harm to patients and staff.

NFPA 10, 1998 Edition
4-3.2 * Procedures. Periodic inspection of fire extinguishers shall include a check of at least the following items:
(a) Location in designated place
(b) No obstruction to access or visibility
(c) Operating instructions on nameplate legible and facing outward
(d) *Safety seals and tamper indicators not broken or missing
(e) Fullness determined by weighing or "lifting"
(f) Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
(g) Pressure gauge reading or indicator in the operable range or position
(h) Condition of tires, wheels, carriage, hose and nozzle checked (for wheeled units)
( i) HMIS label is in place

Findings:

During a tour of the facility with facility staff on March 22, 2010 through March 26, 2010, the fire extinguishers were observed.

Hospital - Third Floor West on 3/22/10:
At 9:45 a.m., Room H3070 "Computer Room" there was a fire extinguisher that was blocked from access by 8 - 10 boxes stacked under it.

Ambulatory Surgery Center - Ontario on 3/23/10:
At 2:10 p.m., in Room H1149 there was a fire extinguisher on the floor under the desk.

Based on observation and interview, the facility failed to provide unobstructed corridors as evidenced by storage in the exit corridors. This failure affected 2 of 4 floors in the Hospital and could result in the delay of an evacuation in the event of a fire or other emergency causing potential harm to patients, staff and visitors.

Findings:

During a tour of the facility with facility staff on March 22, 2010 through March 26, 2010, the egress corridors were observed.

Hospital - Fourth Floor East on 3/22/10:
At 9:25 a.m., and again at 10:00 a.m., a vital sign monitor observed in the corridor across Room 4102, two vital sign monitors and a wheel chair were observed in the corridor across Room 4004 and two vital sign monitors observed next to Room 40024.

Hospital - Third Floor East on 3/22/10:
At 3:45 p.m., and again at 3:20 p.m., two vital sign monitors and a crash cart were observed next to and in front of fire door H3032.

Based on observation the facility failed to maintain the integrity of the medical gas storage by failing to provide proper storage of oxygen cylinders per NFPA 99, as evidenced by oxygen stored with combustible material. This failure affected 1 of 4 floors in the Hospital and 1 of 2 smoke compartments at the Chemical Dependency Recovery Program, resulting in the increase risk of a fire hazard causing potential harm to patient, staff and visitors.

NFPA 99, 1999 Edition 4-3.1.1.2, 8-3.1.11.2
Storage Requirements 4-3.1.1.2 (a) -Storage Requirements (any Quantity; In-Storage, Connected, or Both)
(4) Electrical wall fixtures, switches, and receptacles shall be installed in fixed locations not less than 152 cm (5 ft) above the floor as a precaution against physical damage.
(5) Storage locations for oxygen and nitrous oxide shall be free of flammable materials.
(7) Combustible materials, such as paper, cardboard, plastics, and fabrics shall not be stored or kept near supply system cylinders or manifolds containing oxygen or nitrous oxide. Racks for cylinder storage shall be permitted to be of wooded construction. Wrappers shall be removed prior to storage.
8-3.1.11.2-Storage for nonflammable gases less than 3000ft.
(c) Oxidizing gases such as oxygen and nitrous oxide shall be separated from combustibles or incompatible materials by either: (Electrical - Combustibles)
1. A minimum distance of 20 ft, non-sprinklered or
2. A minimum distance of 5 feet if the entire storage location is protected by an automatic sprinkler system designed in accordance with NFPA 13.

Findings:

During a tour of the facility with facility staff on March 22, 2010 through March 25, 2010, the oxygen storage was observed.
Hospital First Floor on 3/22/10:
At 12:54 p.m., there were 6 "E" oxygen tanks stored in a non-flammable cabinet that were exposed to combustible material such as diapers, respiratory supplies, nasal cannulas, nebulizer, mask and plastic tubing. The oxygen tanks did not fit into the cabinet properly and the lid/door to the cabinet could not be closed.




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Kaiser Chemical Dependency Recovery Program - Marigold Avenue, on 3/23/10:
At 11:15 a.m., at the CDRP facility there was a room with 6 oxygen "E" tanks stored 2 inches from a 32 gallon container labeled "Biohazard" and 5 soiled linen carts approximately 2 feet from the oxygen tanks. The room did not have a sign indicating that it was used for oxygen storage.

Based on observation, interview and document review, the facility failed to maintain humidity levels at 35% or greater in accordance with NFPA 99, 1999 Edition as evidenced by documentation of humidity levels less than 35% in Cath Lab operating rooms 1 and 2 and in operating room 5. This failure affected 1 of 4 floors in the Hospital and could increase the risk of a fire resulting in potential harm to patients and staff.

Findings:

During observation, record review and interview with facility staff on March 22, 2010 through March 25, 2010, the humidity logs were reviewed, the operating rooms were observed and staff were interviewed.

Hospital - First Floor on 3/22/10:
At 3:00 p.m., procedure room 5 had a humidity level of 10% for the months of January 2010, February 2010 and part of March 2010. When interviewed on March 22, 2010 at 3:00 p.m., Staff 3 stated that the probe was replaced on March 19, 2010. When asked if the facility continued to do procedures in that room, Staff 3 stated that they had manually checked the humidity level in the room and it was in range but, had failed to document it.



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Hospital - 3/24/10:
At 10:30 a.m., the facility failed to provide written documentation of the humidity levels for Cath Lab 1 and 2. During interview, Staff 1 stated that the humidity levels for Cath Lab 1 and 2 were not checked by engineering. Staff also stated he did not know if the humidity levels were check daily by the Cath Lab staff.

Hospital - First Floor on 3/25/10:
At 10:00 a.m., during fire alarm testing in the Cath Lab, Staff 8 was ask if the humidity levels were checked and Staff stated "no". Staff 8 also stated she did not know if there was a way to check the humidity levels and went into procedure room 1 and looked for a wall monitor. The wall monitor indicated the humidity level was at 41%. The humidity level in procedure room 2 could not be checked because a procedure was in progress.

Hospital - on 3/26/10:
At 9:30 a.m., Staff 1 provided daily humidity logs for Cath Lab operating room 1 and 2. During an interview, Staff 1 stated the daily humidity checks were implemented on March 19, 2010, for the Cath Lab 1 and also stated the checks would be done manually by engineering staff. On March 19, 2010, the humidity log noted Cath Lab 1 humidity level was 22% at 8:00 a.m., 24% at 12:00 p.m., 27% at 4:00 p.m., and 33% at 8:00 p.m., and noted Cath Lab 2 humidity level was 27% at 8:00 a.m., 25% at 12:00 p.m., 26% at 4:00 p.m., and 31% at 8:00 p.m., on 3/20/10, the humidity level for Cath Lab 1 was 27% at 8:00 a.m., 29% at 12:00 p.m., 20% at 4:00 p.m., and 27% at 8:00 p.m., and noted Cath Lab 2 was 31% at 8:00 a.m., 30% at 12:00 p.., 30% at 4:00 p.m., and 30% at 8:00 p.m., there was no written documentation in the comments or corrective action taken on the log. The log also noted the Acceptable Range for humidity levels to be 30% to 60%.

Based on document review and interview, the facility failed to maintain the generator log as evidenced by no documentation of the transfer time when the emergency generator was exercised under load for 30 minutes per month. This failure affected the Ambulotory Surgery Center and could result in the emergency generator not functioning as required in the event of an emergency causing potential harm to patients, staff and visitors.
NFPA 99 (1999 Edition) 3-4.4.1 Maintenance and Testing of Essential Electrical System.
3-4.4.1.1 Maintenance and Testing of Alternate Power Source and Transfer Switches.
(a) Maintenance of Alternate Power Source. The generator set or other alternate power source and associated equipment, including all appurtenant parts, shall be so maintained as to be capable of supplying service within the shortest time practicable and within the 10-second interval specified in 3-4.1.1.8 and 3-4.3.1. Maintenance shall be performed in accordance with NFPA 110, Standard for Emergency and Standby Power Systems, Chapter 6.

Findings:
During document review with facility staff on March 22, 2010 through March 26, 2010, the facility generator test and inspection logs were reviewed and staff were interviewed.
Ambulatory Surgery Center - Ontario:
On March 23, 2010 at 1:00 p.m., the facility failed to document the transfer time of the emergency generators when exercised under load for 30 minutes per month. When interviewed on March 23, 2010, at 1:00 p.m., Staff 2 acknowledged the paperwork was not filled out completely and stated he would make sure the all required information including time was documented.

Based on observation, the facility failed to maintain its electrical equipment and appliances in accordance with NFPA 70 as evidenced by failing to prevent electrical appliances from being plugged into multi-plug power strips, orange extension cords and broken electrical cover plates. This failure affected 3 of 4 floors and the basement in the Hospital and 1 of 2 smoke compartments at the Ambulatory Surgery Center, resulting in the increase risk of an electrical hazard.

NFPA 70 Section 400-8 1999 Ed. Uses not permitted. Unless specifically permitted in section 400-7, flexible cords and cables shall not be used for the following:

(1) As a substitute for a fixed wiring of a structure
(2) Where run through holes in walls, structural ceilings, suspended ceilings, dropped ceilings, or floors.
(3) Where run through doorways, windows, or similar openings
(4) Where attached to building surfaces
(5) Where concealed behind building walls, structural ceilings, suspended ceilings, or floors
(6) Where installed in raceways, except as otherwise permitted in this code

NFPA 70, article 110-12(c) states there shall not be damaged parts that may adversely affect safe operation or mechanical strength of the equipment such as parts that are broken.

Findings:

During a tour of the facility with facility staff on March 22, 2010 through March 26, 2010, the electrical system was observed.

Hospital - Third Floor East on 3/22/10:
At 9:23 a.m., Room 3037 "Nourishment Station", had a broken electrical cover plate in the wall below the nurse call panel.

Hospital - Second Floor West on 3/22/10:
At 10:37 a.m., Room 2136 "Assistant Dept. Admin" office had a refrigerator plugged into a multi-plug surge protection strip.

Hospital - Second Floor East on 3/22/10:
At 10:58 a.m., Room 2035 "Pharmacy Satellite" medication room had an orange extension cord used to plug in a refrigerator.

Hospital - First Floor on 3/22/10:
At 12:50 p.m., Unit B, CCU Room 1544A had a microwave and refrigerator plugged into a multi-plug surge protection strip.
At 1:30 p.m., in CCU Unit A, Dialysis room there were two interconnected multi-plug surge protectors under the desk.
At 1:55 p.m., the ED Utilization office had a water cooler plugged into an orange extension cord.

Hospital - Basement Level on 3/23/10:
At 9:35 a.m., Room B119 "Health Connect Training" had 6 interconnected multi-plug surge protection strips under the desks.
At 9:38 a.m., Room 0511 was missing an electrical cover plate.
At 10:00 a.m., the electrical cover plate was broken in the Cardiology corridor next to room 0183.

Ambulatory Surgery Center - Ontario on 3/23/10:
At 1:48 p.m., the Medical Records office had a refrigerator and a microwave plugged into a multi-plug surge protection strip.