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EVANGELICAL COMMUNITY HOSPITAL
No Description Available
Tag No.: K0029
Based on observation and interview, it was determined the facility failed to maintain three hazardous area enclosures, affecting one of four floors.
Findings include:
1. Observation on July 9, 2014, between 8:27 a.m. and 9:44 a.m. revealed the following doors to hazardous areas would not close due to contact with the floor:
a. Corrected.
b. 8:29 a.m., basement-level, Form Storage Room 0840;
c. Corrected.
Exit interview on July 10, 2014, between 12:20 p.m. and 12:40 p.m. with the Facilities Manager confirmed the doors would not close.
Observation made during a Revisit survey on November 17, 2014, at 8:00 AM revealed the basement-level, Form Storage Room 0840 door to a hazardous area would not close due to contact with the floor. This was confirmed by the Director of Plant Engineering at the time of the observation.
No Description Available
Tag No.: K0038
Based on observation and interview, it was determined the facility failed to maintain exit access in one location, affecting one of four floors.
Findings include:
1. Observation on July 10, 2014, at 10:12 a.m. revealed the third floor, Third Medical, exit access corridor system was used as a large storage area.
Exit interview on July 10, 2014, between 12:20 p.m. and 12:40 p.m. with the Facilities Manager confirmed the storage in the corridor.
Observation made during a Revisit survey on November 17, 2014, at 9:00 AM revealed the third floor, Third Medical, exit access corridor system was still being used as a large storage area. This was confirmed by the Director of Plant Engineering at the time of the observation.
No Description Available
Tag No.: K0077
Based on observation and interview, it was determined the facility failed to maintain the piped-in medical gas system in one location, on one of four floors of the building.
Findings include:
1. Observation on July 9, 2014, at 9:44 a.m. revealed medical gas piping, within the basement-level Bed Repair Room, lacked shut-off valves at the base of the risers.
Exit interview on July 10, 2014, between 12:20 p.m. and 12:40 p.m. with the Facilities Manager confirmed the lack of shut-off valves.
Observation made during a Revisit survey on November 17, 2014, at 8:30 AM revealed medical gas piping, within the basement-level Bed Repair Room, still lacked shut-off valves at the base of the risers. This was confirmed by the Director of Plant Engineering at the time of the observation.