QA Investigation Results

Pennsylvania Department of Health
CHILDREN'S HOSPITAL OF PHILADELPHIA KING OF PRUSSIA SPECIALT
Building Inspection Results

CHILDREN'S HOSPITAL OF PHILADELPHIA KING OF PRUSSIA SPECIALT
Building Inspection Results For:


There are  9 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.



Initial Comments:
Name - KING OF PRUSSIA SPECIALTY CARE CENTER Component - 01

Facility ID# 24041501
Component 01

Based on a Relicensure Survey completed on March 8, 2019, it was determined that King of Prussia Specialty Care Center was not in compliance with the following requirements of the Life Safety Code for an existing Ambulatory health care occupancy.

This is a four-story, Type II (000), unprotected non-combustible construction, with a mechanical penthouse, which is fully sprinklered.


Plan of Correction:




28 Pa. Code 569.2 STANDARD
Emergency Lighting

Name - KING OF PRUSSIA SPECIALTY CARE CENTER Component - 01
Emergency Lighting
Emergency lighting of at least 1-1/2 hour duration is provided automatically in accordance with 7.9.
20.2.9.1, 21.2.9.1, 7.9

Observations:

Based on observation and interview, it was determined the facility failed to maintain emergency lighting affecting two of four levels within this facility.

Findings include:

1. Observation made on March 8, 2019 between 10:15 am and 11:05 am, revealed that following emergency back-up battery lighting fixtures failed to illuminate when tested.

a. 10:15 am, Ground floor inside emergency electrical room both emergency back-up battery lighting fixtures.
b. 11:05 am, mechanical penthouse all three (3) emergency back-up battery lighting fixtures.

Interview with the Maintenance Supervisor at the exit conference on March 8, 2019 at 11:20 am, confirmed the emergency back-up battery lighting fixtures failed to work.







Plan of Correction:

S 0291
Emergency Lighting systems located in the following areas will be tested and maintained in accordance with NFPA 101, 2012 sections 7.9. 20.2.9.1, 21.2.9.1, 7. Written Preventative Maintenance tasks and procedures for qualified staff which will include an Annual 90 minute testing and monthly testing in accordance with manufacture requirements. The PMs will be managed by the facilities CMMS process. The equipment batteries will be changed to new and confirmed as operating properly.
To prevent a reoccurrence Facilities maintenance staff will be retrained in NFPA 101 maintenance requirements for battery backed emergency lighting.
a. Ground floor inside emergency electrical room both emergency back-up battery lighting fixtures.
b. Mechanical penthouse all three (3) emergency back-up battery lighting fixtures.



28 Pa. Code 569.2 STANDARD
Sprinkler System - Maintenance and Testing

Name - KING OF PRUSSIA SPECIALTY CARE CENTER Component - 01
Sprinkler System - Maintenance and Testing
Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available.
a) Date sprinkler system last checked _____________________
b) Who provided system test ____________________________
c) Water system supply source __________________________
Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system.
9.7.5, 9.7.7, 9.7.8, and NFPA 25

Observations:

Based on observation and interview, it was determined that the facility failed to maintain the automatic fire sprinkler system in reliable operating condition affecting one of four levels within this facility.

Finding include:

1. Observation made on March 8, 2019, at 11:10 am, revealed that within the 3rd floor stair tower A sprinkler standpipe water pressure gauge was dated 2013.

Interview with the Maintenance Supervisor at the exit conference on March 8, 2019 at 11:15 am, confirmed the sprinkler water pressure gauge was not maintained.








Plan of Correction:

S 0353
Sprinkler System - Maintenance and Testing Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25 at the following location. The sprinkler gage will be changed.

To prevent a reoccurrence Facilities Maintenance staff will be trained in NFPA 25 and that gauges are either test every 5 years or replaced in accordance with NFPA 25.

3rd floor stair tower A sprinkler standpipe water pressure gauge was dated 2013 and will be replaced.