HospitalInspections.org

Based on observation and staff interview it was determined that the facility failed to maintain exit access corridors in accordance with NFPA 101 Life Safety Code 2012 Edition.

Findings:

It was observed 11/27/17 at 12:00 PM that 3 large linen carts were being stored in the corridor, in the area of Materials Management. Staff RR and PP explained the items in the cart were clean items that had been delivered from laundry service, and belonged to the Dietary Department.

Storing these carts in the corridor could impede exiting in the event of a fire. The combustible materials also present a potential fire hazard within the means of egress.

This finding was confirmed with Staff RR and PP at the time of observation.

Based on observation and staff interview it was determined that the facility failed to maintain exit discharges in accordance with NFPA 101 Life Safety Code 2012 Edition.

Findings:

It was observed 11/27/17 at 11:45 AM that the exit discharge located near the gift shop, did not safely discharge to a public way. After leaving the building from the exit a person would have to climb a steep hill of grass before reaching the sidewalk.

This finding was confirmed with Staff PP at the time of observation.

Based on observation and staff interview it was determined that the facility failed to maintain a placard at the location of the kitchen fire extinguisher, in accordance with NFPA 96 Ventilation Control and Fire Protection of Commercial Cooking Operations 2011 Edition.

Findings:

It was observed 11/29/17 at 2:00 PM that the K-type fire extinguisher located in the kitchen did not have a placard posted near it. NFPA 96 requires a placard be conspicuously placed near the extinguisher, stating the fire protection system shall be activated prior to using the fire extinguisher.

This finding was confirmed with Staff RH and PR at the time of observation.

Based on observation and staff interview it was determined that the facility failed to maintain patient areas free of portable space heaters.

Findings:

It was observed 11/29/17 at 10:00 AM that a portable space heater was being used to supplement heat in the endoscopy procedure room.

Portable space heating devices are prohibited in patient areas within a health care occupancy.

This finding was confirmed with Staff O at the time of observation.