HospitalInspections.org

Based on observations during the tour of the facility on the morning of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to assure the integrity of the corridor. Positive latching hardware was not latching at second floor (old tower) janitor closet leading into the egress corridor.

Based on observations during the tour of the facility on the afternoon of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to assure the integrity of the smoke compartment. At least one hole existed above the first floor double corridor smoke barrier doors below second floor ' s RT. The rating was jeopardized and these penetrations need to be caulked. The facility shall ensure that these anomalies are mitigated throughout the facility.

Based on observations during the tour of the facility on the afternoon of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to assure the protection of a hazardous room. Second floor (old tower) storage and recovery ' s soiled utility did not latch.

Based on observations during the tour of the facility on the afternoon of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to provide an egress path out the building. Exit door in the operating suite did not open when pushing the panic hardware. Although marked by an exit sign, this exit access is not a required exit since several other marked existing exits met code.

Based on observations during the tour of the facility on the morning of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to maintain the integrity of sprinklered smoke compartment. The entire smoke compartment was sprinklered except for the fifth floor classroom toilet.


Based on observations during the tour of the facility on the afternoon of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to maintain a rated door. Stair door 50 EIS was difficult to open.

Based on observations during the tour of the facility on the afternoon of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to maintain safety in the kitchen. NFPA 96 states that all deep fat fryers shall be installed with at least a 16 inch space between the fryer and surface flames from adjacent cooking equipment.

Based on observations during the tour of the facility on the morning of 4/2/2013, with the Director of Administration Facilities, Director of Environmental Service and Engineer Manager, the facility failed to provide, at emergency generator set location, a light fixture which illuminates the generator that is energized by battery power. The battery in turn must be charged by an electrical connection to a life safety branch panelboard.