Pennsylvania Department of Health
PHILADELPHIA SURGI CENTER, INC.
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

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PHILADELPHIA SURGI CENTER, INC. - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Name: MAIN BUILDING 01 (CLASS C) - Component: 01 - Tag: 0000

Facility ID# 10781500
Component 01
Main Building

Based on a Relicensure Survey completed on October 2, 2024, it was determined Philadelphia Surgi Center, Inc., was not in compliance with the following requirements of the Life Safety Code for an existing Ambulatory Health Care Occupancy.

This is a one-story, Type V (111), protected wood frame building, that is partially sprinklered - only sprinklered in the soiled utility room.

Plan of Correction:

28 Pa. Code § 569.2 STANDARD Fire Alarm System - Testing and Maintenance:

Fire Alarm Systems - Testing and Maintenance
A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.
9.6.1.3, 9.6.1.5

Observations:
Name: MAIN BUILDING 01 (CLASS C) - Component: 01 - Tag: 0345

Based on documentation review and interview, it was determined the facility failed to maintain the fire alarm system in proper operating condition, affecting one fire alarm panel.

Findings Include:

Documentation review on October 2, 2024, between 9:00 a.m. and 10:45 a.m., revealed the facility could not produce a fully detailed report showing that a smoke detector sensitivity testing had occurred within the past two years on all smoke detector devices within the facility.

Exit Interview with the Administrator on October 2, 2024, at 11:15 a.m., confirmed that the report of sensitivity lacked testing information of all smoke detector devices within the facility .

Plan of Correction - To be completed: 10/23/2024

Omega Security Systems, Inc. completed smoke detector sensitivity testing on all smoke detector devices within the facility on Wednesday, October 16, 2024. A detailed report will be provided by Omega Security Systems, Inc. to the Administrative Assistant within 5 business days, October 23, 2024. Our next annual fire inspection is due in August 2025 and the smoke detector sensitivity testing will be due in October 2026.

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