AHCA Logo
Provider Name: SAME DAY SURGERY CENTER
Provider Type: Ambulatory Surgical Center
Inspection Data from January 1, 2008 to present
Export Results


Survey DateInspection TypeTrack IDDeficiencyRequirement DescriptionCorrection Date
07/24/2017Fire/Life/Safety57RLK0316GENERATOR - FUEL TESTINGA fuel quality test shall be performed at least annually using tests approved by ASTM standards. NFPA 101 (2012) 20.5.1 & 21.5.1, 9.1.3 thru 9.1.3.2, NFPA 110 (2010) 8.3.8. 09/05/2017
03/10/2015Fire/Life/SafetyNCT1K0046EMERGENCY LIGHTINGEmergency lighting shall be provided in accordance with Section 7.9 for a minimum of 1 1/2 hours in the event of failure of normal lighting. (NEW) In addition, one or more battery powered emergency lighting units shall be provided as required in section 700.12(f) of NFPA 70, National Electrical Code. NFPA 101 (2012) 20.2.9.1, 21.2.9.1, 7.9.2.1* & NFPA 99 (2012) 6.3.2.2.11. 04/14/2015
03/10/2015Fire/Life/SafetyNCT1K0144GENERATOR MAINTENANCE & TESTINGWhere required for compliance with this Code, emergency generators and standby power systems shall comply with 9.1.3.1 and 9.1.3.2. Emergency generators and standby power systems shall be installed, tested, and maintained in accordance with NFPA 110 (2010), Standard for Emergency and Standby Power Systems. New generator controllers shall be monitored by the fire alarm system, where provided, or at an attended location, for the following conditions: (1) Generator running (2) Generator fault (3) Generator switch in non-automatic position. NFPA 101 (2012) 20.5.1 & 21.5.1, 9.1.3 thru 9.1.3.2. Emergency generator maintenance and operational testing shall meet the standards in NFPA 101 Life Safety Code (2012) 20.5.1 & 21.5.1, 9.1.3 thru 9.1.3.2, NFPA 110 (2010) 8.3 & 8.4 Diesel-powered EPS installations that do not meet the requirements of 8.4.2 shall be exercised monthly with the available EPSS load and shall be exercised annually with supplemental loads at not less than 50 percent of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75 percent of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 1.5 continuous hours. Spark-ignited generator sets shall be exercised at least once a month with the available EPSS load for 30 minutes or until the water temperature and the oil pressure have stabilized. NFPA 101 (2012) 20.5.1 & 21.5.1, 9.1.3 thru 9.1.3.2, NFPA 110 (2010) 8.4.2.3, 8.4.2.4 Level 1 EPSS shall be tested at least once within every 36 months. Level 1 EPSS shall be tested continuously for the duration of its assigned class (see Section 4.2). Where the assigned class is greater than 4 hours, it shall be permitted to terminate the test after 4 continuous hours. The test shall be initiated by operating at least one transfer switch test function and then by operating the test function of all remaining ATSs, or initiated by opening all switches or breakers supplying normal power to all ATSs that are part of the EPSS being tested. A power interruption to non-EPSS loads shall not be required. The minimum load for this test shall be as specified in 8.4.9.5.1, 8.4.9.5.2, or 8.4.9.5.3. For a diesel-powered EPS, loading shall be not less than 30 percent of the nameplate kW rating of the EPS. A supplemental load bank shall be permitted to be used to meet or exceed the 30 percent requirement. For a diesel-powered EPS, loading shall be that which maintains the minimum exhaust gas temperatures as recommended by the manufacturer. For spark-ignited EPSs, loading shall be the available EPSS load. The test required in 8.4.9 shall be permitted to be combined with one of the monthly tests required by 8.4.2 and one of the annual tests required by 8.4.2.3 as a single test. Where the test required in 8.4.9 is combined with the annual load bank test, the first 3 hours shall be at not less than the minimum loading required by 8.4.9.5 and the remaining hour shall be at not less than 75 percent of the nameplate kW rating of the EPS. NFPA 101 (2012) 20.5.1 & 21.5.1, 9.1.3 thru 9.1.3.2, NFPA 110 (2010) 8.4.9 thru 8.4.9.7. 04/14/2015
03/10/2015Fire/Life/SafetyNCT1K0147ELECTRICAL SAFETYAll requirements for electrical safety shall be complied with per the NFPA 70, National Electrical Code, and NFPA 99, Health Care Facilities Code. NFPA 101 (2012) 20.5.1 & 21.5.1, 9.1, NFPA 70 (2011), NFPA 99 (2012). 04/14/2015
01/16/2014Fire/Life/SafetyFE69NoneNoneNoneNone
12/13/2012Fire/Life/Safety6YF2NoneNoneNoneNone
03/03/2011Fire/Life/SafetyU8K3K0051FIRE ALARMAn electrically supervised fire alarm, which provides emergency forces notification, is available to warn occupants, and operate protective systems shall be provided. NFPA 101 Life Safety Code (2006) 9.6, 20.3.4 or 21.3.4 06/15/2011