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COMANCHE COUNTY HOSPITAL
No Description Available
Tag No.: K0050
Based upon a review of records and staff interview, the facility fails to assure that fire drills are held at unexpected times, under varying conditions and at least once per shift per quarter. This has the potential of affecting staff preparation and experience in providing for the protection of all residents, staff and visitors in the event of a fire, affecting 3 of 3 smoke zones. The facility has a capacity of 12 with a census of 1 at the time of the survey.
Findings include:
During the tour conducted on 04/13/2011, between 12:00 p.m. and 4:00 p.m., a review of records for the last 4 quarters, revealed the following:
-- 1. Fire drills were conducted within close proximity of each other:
a. Drills for the 1st Shift, 3rd & 4th Qtrs. 2010 and 1st Qtr. 2011, were conducted at 10:55 a.m., 12:05 p.m. and 11:05 a.m., respectively.
b. Drills for the 2nd Shift, 3rd & 4th Qtrs. 2010 and 1st Qtr. 2011, were conducted at 4:10 p.m., 4:10 p.m. and 4:20 p.m., respectively.
Staff A and Staff M were present and acknowledged the results of the records review.
NFPA Standard: Requires drills be conducted at least quarterly on each shift under varied conditions to simulate the unusual conditions occurring in case of fire. The fire alarm shall be transmitted during drills although a coded announcement may be used between 9:00 p.m. and 6:00 a.m. 2000 NFPA 101, 19.7.1.2
No Description Available
Tag No.: K0069
Based upon a review of records and staff interview, the facility fails to assure that cooking facilities are protected and maintained in accordance with NFPA 96. The deficient practice increases the risk of fire due to an accumulation of grease and other combustible materials in the kitchen hood exhaust system, affecting 1 of 3 smoke zones. The facility has a capacity of 12 with a census of 1 at the time of the survey.
Findings include:
During the tour conducted on 04/13/2011, between 12:00 p.m. and 4:00 p.m., a review of records for the last four quarters revealed no inspection or cleaning of the kitchen hood exhaust system within the last 12 months.
Staff A and Staff M were present and acknowledged the results of the records review.
NFPA Standard: Hoods, grease removal devices, fans, ducts, and other appurtenances shall be cleaned to bare metal at frequent intervals prior to surfaces becoming heavily contaminated with grease or oily sludge. After the exhaust system is cleaned to bare metal, it shall not be coated with powder or other substance. The entire exhaust system shall be inspected by a properly trained, qualified, and certified company or person(s). 1998 NFPA 96, 8-3.1