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Tag No.: K0025
Based upon observation and staff interview, the facility fails to assure that spaces between penetrating items and smoke barriers are filled with a material that is capable of maintaining the smoke resistance of the smoke barrier. The deficient practice would not prevent the passage of smoke to other areas of the building, affecting all residents in 3 of 3 smoke zones. The facility has a capacity of 25 with a census of 12 at the time of the survey.
Findings include:
During the tour conducted on 1/13/14 the following is observed:
-1) At 1:45 p.m., there are unsealed gaps around cables in the smoke barrier wall outside the CNO's office that will not resist the passage of smoke.
-2) At 1:50 p.m., there are unsealed gaps around cables in the smoke barrier wall by the dining room that will not resist the passage of smoke.
-3) At 2:20 p.m., there are unsealed gaps around cables in the smoke barrier wall of the outpatient hall that will not resist the passage of smoke.
Administrator was present and acknowledged the findings.
NFPA Standard: Smoke barriers shall be continuous from an outside wall to an outside wall. Such barriers shall be continuous through all concealed spaces, such as those found above a ceiling, including interstitial spaces per NFPA 101, 8.3.2. When pipes, conduits, cables, wires, air ducts and similar building service equipment pass through smoke barriers, the space between the penetrating item and the smoke barrier shall be filled with a material that is capable of maintaining the smoke resistance of the smoke barrier or protected by an approved device that is designed for the specific purpose per 2000 NFPA 101, 8.3.6.1
Tag No.: K0025
Based upon observation and staff interview, the facility fails to assure that spaces between penetrating items and smoke barriers are filled with a material that is capable of maintaining the smoke resistance of the smoke barrier. The deficient practice would not prevent the passage of smoke to other areas of the building, affecting all residents in 3 of 3 smoke zones. The facility has a capacity of 25 with a census of 12 at the time of the survey.
Findings include:
During the tour conducted on 1/13/14 the following is observed:
-1) At 1:45 p.m., there are unsealed gaps around cables in the smoke barrier wall outside the CNO's office that will not resist the passage of smoke.
-2) At 1:50 p.m., there are unsealed gaps around cables in the smoke barrier wall by the dining room that will not resist the passage of smoke.
-3) At 2:20 p.m., there are unsealed gaps around cables in the smoke barrier wall of the outpatient hall that will not resist the passage of smoke.
Administrator was present and acknowledged the findings.
NFPA Standard: Smoke barriers shall be continuous from an outside wall to an outside wall. Such barriers shall be continuous through all concealed spaces, such as those found above a ceiling, including interstitial spaces per NFPA 101, 8.3.2. When pipes, conduits, cables, wires, air ducts and similar building service equipment pass through smoke barriers, the space between the penetrating item and the smoke barrier shall be filled with a material that is capable of maintaining the smoke resistance of the smoke barrier or protected by an approved device that is designed for the specific purpose per 2000 NFPA 101, 8.3.6.1