Site Visit Sign in Sheet.pdf

This is a corrected Med-Gas Deficiencies document for a Northern Indiana Healthcare System contract located in Fort Wayne, Indiana, dated April 20, 2026.

The document lists identified deficiencies across multiple NHCS (NHCS) VAR I Varpoe contract positions held by various personnel including Department of Veterans Affairs, Project Manager (P), Engineering Technician (P), Infection Preventionist, Maintenance & Operations Supervisor, and Nurse Manager positions. Contact information is provided for affected individuals including Tilman Etsench (Contracting Specialist), Joanne E. Meier-III (Project Manager), Evageline Varpoen (Engineering Technician), Sandra Ethelier (Infection Preventionist), Michael Foeller (Maintenance & Operations Supervisor), and Michelle Libanskoin (Nurse Manager). The document indicates deficiencies requiring correction with handwritten notations and signatures from authorized personnel, including what appears to be approval and acknowledgment by supervisory staff. The deficiencies appear to relate to medical gas system compliance and operational requirements at the Northern Indiana Healthcare facility.