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EL PASO BEHAVIORAL HEALTH SYSTEM
No Description Available
Tag No.: K0014
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide the following:
An Interior Finish Log tracking the following finish materials at corridors and exitways:
(A) Wall protection
(vinyl, wood, or other kinds of wall mounted protection - including wall base, handrails, etc.)
(B) Flooring materials
(C) Lay-in Ceiling Tiles
No Description Available
Tag No.: K0052
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide the following:
The required log indicating the Fire Alarm System - tested by staff monthly for compliance with NFPA 70 & NFPA 72.
No Description Available
Tag No.: K0074
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide a Log tracking the following:
(1) Draperies, curtains, and cubicle curtains.
(2) Newly upholstered furniture and new mattresses purchased since March 2003.
No Description Available
Tag No.: K0130
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide the following:
(1) The required Air Filter Change Log (Differential Pressures across >75%).
(2) The log for the Electrical Power Distribution and Grounding Systems - Effectiveness in regards to General Areas - 1 per year.
LIFE SAFETY CODE STANDARD
Tag No.: K0014
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide the following:
An Interior Finish Log tracking the following finish materials at corridors and exitways:
(A) Wall protection
(vinyl, wood, or other kinds of wall mounted protection - including wall base, handrails, etc.)
(B) Flooring materials
(C) Lay-in Ceiling Tiles
LIFE SAFETY CODE STANDARD
Tag No.: K0052
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide the following:
The required log indicating the Fire Alarm System - tested by staff monthly for compliance with NFPA 70 & NFPA 72.
LIFE SAFETY CODE STANDARD
Tag No.: K0074
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide a Log tracking the following:
(1) Draperies, curtains, and cubicle curtains.
(2) Newly upholstered furniture and new mattresses purchased since March 2003.
LIFE SAFETY CODE STANDARD
Tag No.: K0130
Based on observations made during the review of the logs, policies and procedures of the facility on 12/06/2012 while accompanied by the Assistant Administrator and Director of Maintenance, the facility failed to provide the following:
(1) The required Air Filter Change Log (Differential Pressures across >75%).
(2) The log for the Electrical Power Distribution and Grounding Systems - Effectiveness in regards to General Areas - 1 per year.