HospitalInspections.org

The facility failed to maintain the building construction type per code. Findings include:

During the revisit, the facility was observed with a partial sprinkler system and a non conforming construction type for a facility with partial sprinkler system. (Separation is not maintained between the construction types.) The facility has a waiver until 6/16/2014 for correction K012.
_________________
2000 NFPA 101, 19.1.6.2 Health care occupancies shall be limited to the types of building construction shown in Table 19.1.6.2. (See 8.2.1.)

Table 19.1.6.2 Construction Type Limitations
Construction Stories
Type
1 2 3 4 or
More
I(443) X X X X
I(332) X X X X
II(222) X X X X
II(111) X X* X* NP
II(000) X* X* NP NP
III(211) X* X* NP NP
III(200) X* NP NP NP
IV(2HH) X* X* NP NP
V(111) X* X* NP NP
V(000) X* NP NP NP
X: Permitted type of construction.
NP: Not permitted.
*Building requires automatic sprinkler protection. (See 19.3.5.1.)
.

The facility failed to provide a Type 1 Essential Electrical System (EES) per code. Findings include:

During the revisit, per documentation provided by the facility, generator #1 was installed in 2006 - the EES was not divided into the three separate branches. The facility has a waiver until 4/18/2016 for K-0145.


1999 NFPA 99, 3-4.2.2.2 Emergency System. (a) General. Those functions of patient care depending on lighting or appliances that are permitted to be connected to the emergency system are divided into two mandatory branches, described in 3-4.2.2.2(b) and (c). +All ac-powered support and accessory equipment necessary to the operation of the EPS shall be supplied from the load side of the automatic transfer switch(es), or the output terminals of the EPS, ahead of the main EPS overcurrent protection, as necessary, to ensure continuity of the EPSS operation and performance. (NFPA 110: 5-12.5) (b) Life Safety Branch. The life safety branch of the emergency system shall supply power for the following lighting, receptacles, and equipment: 1. Illumination of means of egress as required in NFPA 101,? Life Safety Code? 2. Exit signs and exit direction signs required in NFPA 101, Life Safety Code 3. Alarm and alerting systems including the following: a. Fire alarms b. Alarms required for systems used for the piping of nonflammable medical gases as specified in Chapter 4, "Gas and Vacuum Systems" 4. * Hospital communication systems, where used for issuing instruction during emergency conditions 5. Task illumination, battery charger for emergency battery-powered lighting unit(s), and selected receptacles at the generator set location 6. Elevator cab lighting, control, communication, and signal systems 7. Automatically operated doors used for building egress. No function other than those listed above in items 1 through 7 shall be connected to the life safety branch. Exception: The auxiliary functions of fire alarm combination systems complying with NAPA 72, National Fire Alarm Code, shall be permitted to be connected to the life safety branch. (c) * Critical Branch. The critical branch of the emergency system shall supply power for task illumination, fixed equipment, selected receptacles, and selected power circuits serving the following areas and functions related to patient care. It shall be permitted to subdivide the critical branch into two or more branches. 1. Critical care areas that utilize anesthetizing gases, task illumination, selected receptacles, and fixed equipment 2. The isolated power systems in special environments 3. Patient care areas - task illumination and selected receptacles in the following: a. Infant nurseries b. Medication preparation areas c. Pharmacy dispensing areas d. Selected acute nursing areas e. Psychiatric bed areas (omit receptacles) f. Ward treatment rooms g. Nurses' stations (unless adequately lighted by corridor luminaires) 4. Additional specialized patient care task illumination and receptacles, where needed 5. Nurse call systems 6. Blood, bone, and tissue banks 7. * Telephone equipment rooms and closets 8. Task illumination, selected receptacles, and selected power circuits for the following: a. General care beds (at least one duplex receptacle per patient bedroom) b. Angiographic labs c. Cardiac catheterization labs d. Coronary care units e. Hemodialysis rooms or areas f. Emergency Room treatment areas (selected) g. Human Physiology Labs h. Intensive Care Units i. Postoperative Recovery Rooms (selected) 9. Additional task illumination, receptacles, and selected power circuits needed for effective facility operation. Single-phase fractional horsepower motors shall be permitted to be connected to the critical branch.