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Tag No.: K0018
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, OB isolation anteroom door was equipped with roller latching hardware.
Tag No.: K0027
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to assure the doors in egress corridors had the required smoke control amenities. Second and third floor bariatric room ' s double doors had a gap between the door ' s meeting edges. This could allow smoke from the egress corridor to enter the patient care room. A smoke tight seal at the meeting edges of the doors when closed should be provided.
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to maintain egress corridors. Unattended coffee pot with no smoke detection was at the ICU alcove off of the corridor.
Tag No.: K0029
Based on observations during the tour of the facility on the afternoon of 9/23/2015, with Director -Engineering Safety Officer, the facility failed to maintain a rated barrier. Maintenance storage, near maintenance office, opened onto egress corridor because door was being replaced. The door was just not installed yet.
Tag No.: K0039
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to maintain a clear and unobstructed egress path. The corridor near GI department contained stretchers, which impeded egress path. Also at the MRI department, furniture was in the marked egress path. There are other egress paths that meet code out of this suite but they were not marked.
Tag No.: K0056
Based on observations during the tour of the facility on the afternoon of 9/23/2015, with Director -Engineering Safety Officer, the facility failed to provide a sprinklered smoke compartment. The entire smoke compartment was sprinklered except for the pharmacy ' s storage closet.
Tag No.: K0145
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to maintain a clear and unobstructed egress path. The corridor near GI department contained stretchers, which impeded egress path. Also at the MRI department, furniture was in the marked egress path. There are other egress paths that meet code out of this suite but they were not marked.
Tag No.: K0018
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, OB isolation anteroom door was equipped with roller latching hardware.
Tag No.: K0027
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to assure the doors in egress corridors had the required smoke control amenities. Second and third floor bariatric room ' s double doors had a gap between the door ' s meeting edges. This could allow smoke from the egress corridor to enter the patient care room. A smoke tight seal at the meeting edges of the doors when closed should be provided.
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to maintain egress corridors. Unattended coffee pot with no smoke detection was at the ICU alcove off of the corridor.
Tag No.: K0029
Based on observations during the tour of the facility on the afternoon of 9/23/2015, with Director -Engineering Safety Officer, the facility failed to maintain a rated barrier. Maintenance storage, near maintenance office, opened onto egress corridor because door was being replaced. The door was just not installed yet.
Tag No.: K0039
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to maintain a clear and unobstructed egress path. The corridor near GI department contained stretchers, which impeded egress path. Also at the MRI department, furniture was in the marked egress path. There are other egress paths that meet code out of this suite but they were not marked.
Tag No.: K0056
Based on observations during the tour of the facility on the afternoon of 9/23/2015, with Director -Engineering Safety Officer, the facility failed to provide a sprinklered smoke compartment. The entire smoke compartment was sprinklered except for the pharmacy ' s storage closet.
Tag No.: K0145
Based on observations during the tour of the facility on the morning of 9/24/2015, with Director -Engineering Safety Officer, the facility failed to maintain a clear and unobstructed egress path. The corridor near GI department contained stretchers, which impeded egress path. Also at the MRI department, furniture was in the marked egress path. There are other egress paths that meet code out of this suite but they were not marked.