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UNITY PSYCHIATRIC CARE-COLUMBIA
Hazardous Areas - Enclosure
Tag No.: K0321
Based on observations, the facility failed to protect the hazardous areas.
The findings included:
1. Observation on 11/30/2021 at 10:01 AM, revealed the storage of combustibles of 100 square feet in the middle of the meeting room. NFPA 101, 19.3.2.1 (2012 Edition)
2. Observation on 11/30/2021 at 10:15 AM, revealed the door to the dry goods storage room did not self-close within the frame. NFPA 101, 19.3.2.1.3 (2012 Edition)
The Maintenance Director was present when these deficiencies were identified and the Interim Administrator acknowledged these deficiencies during the exit conference on 11/30/2021.
Cooking Facilities
Tag No.: K0324
Based on interview, the facility failed to protect the cooking facilities.
The findings included:
Interview with kitchen staff member #1 on 11/30/2021 at 11:21 AM, revealed the kitchen staff member was not knowledgeable of proper fire procedures for fires under the kitchen hood including the manual activation of the hood suppression system. NFPA 101, 19.3.2.5.2 (2012 Edition) NFPA 101, 9.2.3 (2012 Edition) NFPA 96, 10.2.1 (2011 Edition) NFPA 96, 10.5.7 (2011 Edition)
The Maintenance Director was present when this deficiency was identified and the Interim Administrator acknowledged this deficiency during the exit conference on 11/30/2021.
Corridor - Doors
Tag No.: K0363
Based on observations, the facility failed to protect the corridor openings.
The findings included
Observation on 11/30/2021 at 10:13 AM, revealed the door to the storage room in the corridor behind the kitchen, damaged and did not close within the frame without moving the broken pieces. NFPA 101, 19.3.6.3.10 (2012 Edition)
The Maintenance Director was present when this deficiency was identified and the Interim Administrator acknowledged this deficiency during the exit conference on 11/30/2021.