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The inspector observed, while accompanied by The Director, The Plant Operations Manager, Executive Vice President Integration and business development, The director of Safety/Security and The Plant technician during the hours of the inspection from 8:00 AM to 5:30 PM on 12/14/2016 that there were the following issues. They were the following issues:

A) All the cross corridor doors on the third floor located at the smoke compartment smoke barrier was not self-closing and released from the magnetic hold device upon activate the fire alarm system.
B) The cross corridor doors located at the smoke compartment smoke barrier was not fully closed at the labor and delivery suite.

The inspector observed, while accompanied by The Director, The Plant Operations Manager, Executive Vice President Integration and business development, The director of Safety/Security and The Plant technician during the hours of the inspection from 8:00 AM to 5:30 PM on 12/14/2016 that there were the following issues. They were the following issues.

A) There was not a door closer provided at the Soiled work room at the LDRP OR suite,
B) The fire rated labels provided at the 2 hours separation between the hospital and LTAC and between the sky bridge and the hospital were not the 90 minutes door and door frame label.
C) The fire rated labels provided at the soiled work room at 4th floor, 3rd floor, LDRP OR suite, pediatric suite, and post-partum suite, were not 45 minutes fire rated.
D) The fire rated labels provided at the equipment storage room exceed 100 sq ft was not a 45 minted fire rated door and door frame label at the south tower.
E) The fire rated labels provided at the lien chute room was not a 45 minted fire rated door and door frame label.
F) There were missing fire sealant or fire caulking at the soiled work room at the post-partum suite and the LDRP OR suite.

The inspector observed, while accompanied by The Director, The Plant Operations Manager, Executive Vice President Integration and business development, The director of Safety/Security and The Plant technician during the hours of the inspection from 8:00 AM to 5:30 PM on 12/14/2016 that there were the following issues. They were the following issues:

A) The plywood permanent installed on the wall inside the medical gas storage room, MDF electrical room, and the nourishment room on the south tower not a fire rated material to be classified as class A, B, or C of flame spreading.

The inspector observed, while accompanied by The Director, The Plant Operations Manager, Executive Vice President Integration and business development, The director of Safety/Security and The Plant technician during the hours of the inspection from 8:00 AM to 5:30 PM on 12/14/2016 that there were the following issues. They were the following issues.

A.) The receptacle was not powered from life safety branch at the generator set location and the generator automatic transfer switch location.

The inspector observed, while accompanied by The Director, The Plant Operations Manager, Executive Vice President Integration and business development, The director of Safety/Security and The Plant technician during the hours of the inspection from 8:00 AM to 5:30 PM on 12/14/2016 that there were the following issues. They were the following issues:
A) The receptacle powered from the generator did not have permanent label to identify on the ICU 5th floor.

The inspector observed, while accompanied by The Director, The Plant Operations Manager, Executive Vice President Integration and business development, The director of Safety/Security and The Plant technician during the hours of the inspection from 8:00 AM to 5:30 PM on 12/14/2016 that there were the following issues. They were the following issues:

A) There was not a mechanical exhaust within 12 " of the floor provided at the medical gas storage room which exceed 3000 cu.ft of medical gas.