QA Investigation Results

Pennsylvania Department of Health
CHILDREN'S HOSPITAL OF PHILADELPHIA BRANDYWINE VALLEY SPECIA
Building Inspection Results

CHILDREN'S HOSPITAL OF PHILADELPHIA BRANDYWINE VALLEY SPECIA
Building Inspection Results For:


There are  10 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 - (CHOP) BRANDYWINE VALLEY SPECIALTY Component - 10

Facility ID# 09661501
Component 10

Based on a Relicensure Survey completed on August 8, 2023, it was determined Children's Hospital of Philadelphia Brandywine Valley Specialty was not in compliance with the following requirements of the Life Safety Code for an existing ambulatory health care occupancy.

This is a two-story, Type II (000), unprotected noncombustible structure, which is fully sprinklered.



Plan of Correction:




28 Pa. Code 569.2 STANDARD
Electrical Systems - Other

Name - (CHOP) BRANDYWINE VALLEY SPECIALTY Component - 10
Electrical Systems - Other
List in the REMARKS section, any NFPA 99 Chapter 6 Electrical Systems requirements that are not addressed by the provided S-Tags, but are deficient.

Observations:

Based on observation and interview, it was determined the facility failed to maintain electrical panels, to be accessible, in one of two smoke zones within the component.

Findings include:

1. Observation on August 8, 2023, at 11:59 AM, revealed carts and trash cans were stored against the Electrical Room door, across from Stairtower B, on the 2nd floor.

Interview at the time of the exit conference with the the Facilities Regulatory Coordinator, Administrator and Facilities Maintenance on August 8, 2023, at 1:00 PM, confirmed the Electrical Room door was impeded from being opened.




Plan of Correction:

0911 Failure to maintain electrical panels, to be accessible, in one of the two smoke zones within the component due to moveable carts being placed in front of the electrical closet doors, across from Stairtower B, on the 2nd floor.

The plan of correction to prevent this from occurring in the future is:
1. Place signage on the electrical closet doors stating, "Do Not Block Door to this Electrical Closet".
To be completed by 8/25/2023.
2. Training of staff on the need to keep from moving any carts or storage in front of these electrical closet doors, as well as in the means of egress to the stairtower.
To be completed by 8/25/2023.
3. During normal building tours, staff will survey this area to ensure the doors are not blocked so the electrical closet panels are accessible.
This will be performed on a weekly basis beginning 8/28/23.