HospitalInspections.org
Bringing transparency to federal inspections
NORTH BALDWIN INFIRMARY
Egress Doors
Tag No.: K0222
.
Based on observation and interview, the facility failed to provide an emergency release switch for the full time magnetic locks on the Labor and Delivery Unit per the requirements of:
2012 NFPA 101, 19.2.2.2.5.2 (1), and 19.2.2.2.6
This deficiency could affect 10 occupants.
Findings include:
On 06/05/2019, during a tour of the facility from 8:00 am to 12:30 pm, the surveyor observed the Labor and Delivery Unit did not have an emergency release switch that automatically unlocked the full time magnetic locked doors in case of an emergency. This unit did have key pads that released each individual door.
A member of the maintenance staff was present when this deficiency was identified.
.
Cooking Facilities
Tag No.: K0324
.
Based on observation and interview, the facility failed to maintain the kitchen hood per the requirements of:
2012 NFPA 101, 19.3.2.5.1, and 9.2.3
2011 NFPA 96, 4.1.2, 12.1.2.2, and 12.1.2.3
This deficiency could affect 10 occupants.
Findings include:
On 06/05/2019, during a tour of the facility from 08:00 am to 12:30 pm, the surveyor observed the automatic fire extinguishing discharge nozzles were not in line with the cooking appliances. Per the facility the nozzles under the kitchen hood had been moved for the purposes of maintenance and cleaning of the cooking appliances and had not been returned to the approved design alignment prior to cooking operations.
A member of the maintenance staff was present when this deficiency was identified.
.
Fire Alarm System - Testing and Maintenance
Tag No.: K0345
.
Based on observation and interview, the facility failed to maintain the components of the fire alarm system per the requirements of:
2012 NFPA 101, 9.6.1.3
2010 NFPA 72, 10.3.2, and 17.4.4
This deficiency could affect 1 smoke compartment.
Findings include:
On 06/05/2019, during a tour of the facility from 8:00 am to 12:30 pm, the surveyor observed a smoke detector dismounted from its base and hanging by the circuit wiring in the Housekeeping Room 2206 on the Second Floor.
A member of the maintenance staff was present when this deficiency was identified.
.
Corridor - Doors
Tag No.: K0363
.
Based on observation and interview, the facility failed to maintain a corridor door per the requirements of:
2012 NFPA 101, 19.3.6.3.5
42 CFR 482.41 (b) (1) (ii)
This deficiency could affect 20 occupants.
Findings include:
On 06/05/2019, during a tour of the facility from 8:00 am to 12:30 pm, the surveyor observed room 1414's (the Elevator Equipment Room) corridor door failed to positive latch in the frame.
A member of the maintenance staff was present when this deficiency was identified.
Electrical Equipment - Power Cords and Extens
Tag No.: K0920
.
Based on observation and interview, the facility failed to maintain the electrical equipment per the requirements of:
2012 NFPA 99, 10.2.3.6, and 10.2.4
2011 NFPA 70, 400.8
S&C: 14-46-LSC
Findings include:
On 06/05/2019, during a tour of the facility from 8:00 am to 12:30 pm, the surveyor observed a microwave oven plugged into an orange extension cord in the Housekeeping Office.
A member of the maintenance staff was present when this deficiency was identified.