Initial Comments:
Name - 1ST FLOOR TENANT SPACE Component - 01
Facility ID #50581501
Component 01
1st Floor Tenant Space
Based on a Relicensure Survey completed on March 18, 2024, it was determined that Advanced Surgery Center of Lancaster was not in compliance with the following requirements of the Life Safety Code for a new ambulatory health care occupancy.
This is a two-story, Type III (200), protected ordinary structure, which is fully sprinklered. The tenant space is on the ground floor.
Plan of Correction:
NFPA 101 STANDARD
Utilities - Gas and Electric
Name - 1ST FLOOR TENANT SPACE Component - 01
Utilities - Gas and Electric
Equipment using gas or related gas piping complies with NFPA 54, National Fuel Gas Code, electrical wiring and equipment complies with NFPA 70, National Electric Code. Existing installations can continue in service provided no hazard to life.
20.5.1, 21.5.1, 21.5.1.2, 9.1.1, 9.1.2
Observations:
Based on observation and interview, it was determined the facility failed to maintain the physical integrity of electrical receptacles, affecting the entire component.
Findings include:
1. Observation on March 18, 2024, at 10:05 AM, revealed the wall receptacle located between the Office Manager's Office and the Consultation Room was physically broken.
Interview with the Radiologic Technologist on March 18, 2024, at 10:05 AM, confirmed the compromised physical integrity of the electrical receptacle.
Plan of Correction:The facility corrected the action immediately on Monday, March 18th, 2024 by purchasing a new receptacle and replacing this. The integrity of these receptacles is checked and tested on an bi-annual basis from a third party company and going forward will also be reviewed and check monthly by the center's radiology technologist. We will add this to his monthly life safety checklist including his generator follow up and other life safety equipment checks.
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