Bringing transparency to federal inspections
Tag No.: K0011
Based on observations, it was determined that the facility failed to ensure the fire/smoke spread requirements. This has the possibility to affect 5% of the occupants.
The findings include:
It was observed on 11-22-10 between the hours of 8:30am and 12:30pm that the fire doors in the horizontal exit can not have a mag-lock device.
Tag No.: K0017
Based on observations, it was determined that the facility failed to ensure the fire/smoke spread requirements. This has the possibility to affect 8% of the occupants.
The findings include:
It was observed on 11-23 and 29-10 between the hours of 8:30am and 4:30pm that the 1hr. fire/smoke rated exit corridor has unprotected openings;
1- Old Rehab Hallway (exit corridor) has 2 unprotected pass-thru windows.
2- Pharmacy has 3 pass-thru windows to the exit corridor. All 3 have non-functional roll-up fire doors. The fire doors do not close properly and no fusable links on both sides of the wall they are in.
Tag No.: K0018
Based on observations, it was determined that the facility failed to ensure the fire/smoke spread requirements. This has the possibility to affect 20% of the occupants.
The findings include:
It was observed on 11-22 and 23-10 between the hours of 8:30am and 4:30pm that the fire doors do not close and latch properly;
1- 2nd fl., Main exit corridor - into ICU 2600 Block and the HBO Unit
2- 1st fl., exit corridor - into Cashier Hall no door and hall is not fire/smoke rated
3- 1st fl., exit corridor - into Radiology
Tag No.: K0029
Based on observastions, it was determined that the facility failed to ensure the fire/smoke spread requirements. This has the possibility to affect 10% of the occupants.
The findings include:
It was observed on 11-29-10 between the hours of 10:00am and 1:00pm that the fire doors do not close and latch properly;
1- 1st fl., exit corridor - into Central Plant
2- 1st fl., exit corridor by stairway "P"- fire separation fire doors across exit corridor
Tag No.: K0062
Based on observations, it was determined that the facility failed to ensure proper maintaince on the sprinkler system. This has the possibility to affect 10% of the occupants.
The findings include:
It was observed on 11-29-10 between the hours of 10:00am and 1:00pm the following;
1- 1st fl., all the rooms off the Maint. Hallway - many sprinkler heads were covered with dust and lint
2- 1st fl., Print Shop storage room is missing a sprinkler head or heads
3- out side-rear of hospital the FDC sign on the high fence is missing