QA Investigation Results

Pennsylvania Department of Health
Building Inspection Results

Building Inspection Results For:

There are  10 surveys for this facility. Please select a date to view the survey results.

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Initial Comments:
Name - CLASS B ASF Component - 01

Facility ID# 23111501
Component 01

Based on a Relicensure Survey completed on November 18, 2020, it was determined Azura Vascular Care South Philadelphia, 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 III (200), unprotected ordinary construction, which is non-sprinklered.

Plan of Correction:

28 Pa. Code 569.2 STANDARD
Gas and Vacuum Piped Systems - Maintenance

Name - CLASS B ASF Component - 01


Based on document review and interview, it was determined the facility failed to maintain medical gas system components, affecting one of one system.

Findings include:

1. Document review on November 18, 2020, at 9:30 a.m., revealed the facility failed to replace the LED circuit board, which was found deficient, per the August 25, 2020 semi-annual medical gas Manifold inspection report.

Interview at the exit conference with the Administrator on November 18, 2020, at 10:30 a.m., confirmed the deficiency had not been corrected at the time of survey.

Plan of Correction:

On November 18, 2020, Med Gas vendor was contacted to place the order for the LED circuit board. Due COVID, the part of this circuit board is delaying in arriving to the vendor. The completion of this project is expected to be completed by 12.21.2020. Education was completed to show importance of the review of the annual Med Gas reports and how it is vital to act swiftly when repairs are requested.