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HOLLY HILL MENTAL HEALTH SERVICES
No Description Available
Tag No.: K0050
42 CFR 483.70(a)
By document review on 8/23/11 at approximately noon the following fire drills were non-compliant: specific findings include the last four fire drills on third shift for 2010 & 2011 were held between 6:50 AM and 7:15 AM only. Fire drills are to be held at unexpected times.
No Description Available
Tag No.: K0067
42 CFR 483.70(a)
By observation on 8/23/11 at approximately noon the following Heating, Ventilating, and Air Conditioning (HVAC) item was not compliant with NFPA 90A, specific findings include; duct detector for AHU#2 outside unit behind gym did not have an access door.
No Description Available
Tag No.: K0074
42 CFR 483.70(a)
By observation on 8/23/11 at approximately noon the following canopy was non-compliant, specific findings include: the canopy to the front entrance could not be confirmed to meet NFPA 701. It was noted by survey team members that the canopy was removed.
No Description Available
Tag No.: K0160
42 CFR 483.70(a)
By observation on 8/23/11 at approximately noon the following ASME/ANSI item was non-compliant, specific findings include; date of last inspection on the elevator was May 2010.
LIFE SAFETY CODE STANDARD
Tag No.: K0050
42 CFR 483.70(a)
By document review on 8/23/11 at approximately noon the following fire drills were non-compliant: specific findings include the last four fire drills on third shift for 2010 & 2011 were held between 6:50 AM and 7:15 AM only. Fire drills are to be held at unexpected times.
LIFE SAFETY CODE STANDARD
Tag No.: K0067
42 CFR 483.70(a)
By observation on 8/23/11 at approximately noon the following Heating, Ventilating, and Air Conditioning (HVAC) item was not compliant with NFPA 90A, specific findings include; duct detector for AHU#2 outside unit behind gym did not have an access door.
LIFE SAFETY CODE STANDARD
Tag No.: K0074
42 CFR 483.70(a)
By observation on 8/23/11 at approximately noon the following canopy was non-compliant, specific findings include: the canopy to the front entrance could not be confirmed to meet NFPA 701. It was noted by survey team members that the canopy was removed.
LIFE SAFETY CODE STANDARD
Tag No.: K0160
42 CFR 483.70(a)
By observation on 8/23/11 at approximately noon the following ASME/ANSI item was non-compliant, specific findings include; date of last inspection on the elevator was May 2010.