925418- VA Central California Health Care System - OPC Building Deficiency Report v1 September 2025.xlsx
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- Attached to
- Z1DZ--FIRE DOOR REPAIRS INSPECTION DEFICIENCIES
- Solicitation number
- 36C26126Q0854
About this file
This is a deficiency inspection report for the VA Central California Health Care System OPC (Outpatient Clinic) Building located in Fresno, California, dated September 2025. The report documents fire door and egress system inspection results across the facility, with an overall pass rate of 47-50%, identifying 67 total doors inspected with 34 passing and 33 failing. The inspection categorizes doors by wall rating (1-Hour, 1-Hour Fire/Smoke, 2-Hour, Hazardous, Smoke Barrier, and Rating Unknown) and door types (primarily swinging doors). Priority deficiencies are organized into five categories: Door Replacement (1 item), Latching Issues (2 items), Clearance Problems (12 items), Labeling Deficiencies (1 item), and items the Client Will Address (14 items).
Specific deficiency findings include excessive clearances on multiple doors, missing or damaged latchsets, missing door and frame labels, damaged or missing door closers, malfunctioning coordinators, damaged or missing smoke seals, door penetrations, and impaired door swings. The majority of identified deficiencies remain unrepaired, with repair responsibility assigned to the VA client facility. Common repair solutions noted include installing latches, replacing door hardware, removing obstructions, adjusting hinges, filling penetrations, and replacing doors or components. Two deficiencies have been repaired and passed inspection (Door IDs 11142742 and 11155084). Inspectors Frank Herrera and Milton Lemus conducted the facility assessment, with repair coordination noted through facility personnel including Gary and Taneasha. The report indicates ongoing compliance efforts are required to address fire safety and building code violations across the OPC building's operational areas.
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Summary VA Central California Health Care System - OPC Building - Fresno, CA
Initial Inspection Results Current Status
| Pass Rate: 47% | Pass Rate: 50% | ||
| Pass | Fail | Pass | Fail |
| 32 | 35 | 34 | 33 |
Priority Items
| Open | Closed | |
| Door Replacement | 1 | 0 |
| Latching | 2 | 1 |
| Clearance | 12 | 0 |
| Labeling | 1 | 0 |
| Client Will Address | 14 | 0 |
| An asset may fall in multiple categories if applicable |
Wall Rating Door Type
| Inspected | Pass | Fail | Inspected | Pass | Fail | ||
| 1 Hour | 3 | 1 | 2 | Swinging Doors | 67 | 34 | 33 |
| 1 Hour Fire/Smoke | 27 | 17 | 10 | Chute Doors | 0 | 0 | 0 |
| 2 Hour | 13 | 8 | 5 | Rolling Doors | 0 | 0 | 0 |
| Hazardous | 4 | 2 | 2 | Sliding Doors | 0 | 0 | 0 |
| Rating Unknown | 1 | 1 | 0 | WON Doors | 0 | 0 | 0 |
| Smoke Barrier | 19 | 5 | 14 | Fire Curtains | 0 | 0 | 0 |
| Total | 67 | 34 | 33 | Total Doors | 67 | 34 | 33 |
Priority Items Door Replacement Latching Clearance Labeling Client Will Address 3 0 0 9 1
Deficiencies
| VA Central California Health Care System - OPC Building - Fresno, CA | |||||||||||||||||||||||
| Door ID | Alt ID | Location | Floor | Building | Inspector | Door Type | Handed | Wall Rating | Door Material | Door Rating | Frame Material | Frame Rating | Deficiency | Deficiency Comment | Status | Phase 1 Repair Option | Phase 1 Repair Comment | Phase 2 Repair Option | Phase 2 Repair Comment | Phase 3 Repair Option | Phase 3 Repair Comment | Relabeling Repair Option(s) | Relabeling Repair Comment |
| 11015385 | SP1C39-1 | Stairwell #5 | 1 | OPC | Frank Herrera | Swinging Door | LH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11142742 | SP3C17J.1-1 | Soiled utility | 3 | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | 45 Minute | Door swing impaired (movable object) | Hinge adj made | Repaired/Passed | Deficiency repaired/passed: object removed and door swings freely | |||||||
| 11142763 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Protection plate over 16" without proper label | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door being replaced with new hardware | ||||||||
| 11142764 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Protection plate over 16" without proper label | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door will be replaced with all new hardware | ||||||||
| 11142764 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Missing /damaged latchset | No double latching | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door will be replaced with all new hardware | |||||||
| 11142765 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 3 Hour | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Install latch | ||||||||
| 11142766 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 3 Hour | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Install latch | ||||||||
| 11142770 | SPB1C-3 | MRI | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour | Wood | 90 Minute | Steel | Frame Label Missing | Required frame label is missing | Not Repaired | Deficiency not repaired: frame needs to be evaluated for relabeling | Intertek 90 min | |||||||
| 11142770 | SPB1C-3 | MRI | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour | Wood | 90 Minute | Steel | Frame Label Missing | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11142782 | SPSOG2-OP | Police dispatch | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11142783 | Ambulance entrance | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 45 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11142784 | Ambulance entry | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 45 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11142785 | SP1C44-1 | Electrical room | 1 | OPC | Frank Herrera | Swinging Door | LH | 1 Hour | Wood | Door Label Missing | Steel | Frame Label Missing | Door label is missing | Not Repaired | Deficiency not repaired: core tested door and door cannot be relabeled, door needs to be replaced | ||||||||
| 11142785 | SP1C44-1 | Electrical room | 1 | OPC | Frank Herrera | Swinging Door | LH | 1 Hour | Wood | Door Label Missing | Steel | Frame Label Missing | Required frame label is missing | Not Repaired | Deficiency not repaired: frame needs to be evaluated for relabeling | Intertek 45-60 min | |||||||
| 11142793 | PACU hallway | 3 | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | 90 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11155070 | SPB1C4A-1 | Emergency room | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 45 Minute | Steel | 45 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11155076 | Stair 4 | 1 | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Latchset not securely fastened / missing fasteners | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Electric closet Latchset | ||||||||
| 11155081 | SP2C06J-1 | Clean supply / med prep room | 2 | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door penetrations / unused fastener holes | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. | |||||||
| 11155084 | Audiology corridor door B | 3 | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | 90 Minute | Door penetrations / unused fastener holes | Repaired/Passed | Deficiency repaired/passed: filled penetrations | |||||||||
| 11528841 | SP3C17J.2-1 | Storage | 3 | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | 45 Minute | Missing / damaged closer arm | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Client to repair with spare parts | |||||||
| 11528842 | SPSOG41-OP | ER head nurse | B | OPC | Milton Lemus | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Missing / damaged door closer | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528843 | SPB1C50-1 | Janitor closet | B | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Missing / damaged door closer | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Client will replace | |||||||
| 11528846 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Coordinator installed incorrectly | |||||||
| 11528847 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Coordinator installed improperly | |||||||
| 115288473 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Coordinator installed backwards | |||||||
| 11528870 | SP3C17F-1 | Treatment room 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Remove frame protection plate | |||||||
| 11528871 | SPB1C52-1 | Clean supplies | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528874 | SPB1C52-1 | Clean supplies | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Coordinator installed incorrectly | |||||||
| 11528875 | SPSOG37-OP | Patient belongings | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528875 | SPSOG37-OP | Patient belongings | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528876 | Patient belongings | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11528877 | N1c41 | Linen closet | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 20 Minute | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528878 | Linen closet | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11528880 | SPSOG42-OP | EMS closet | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Missing / damaged closer arm | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528881 | SP3C11B-1 | Sound suite 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Cut out strike plate hole and switch around mortise latch | |||||||
| 11528881 | SP3C11B-1 | Sound suite 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Frame missing filler plate(s) | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528885 | SP4CPENT-1 | Mechanical room | M | OPC | Frank Herrera | Swinging Door | LH | 2 Hour | Steel | 90 Minute | Steel | 90 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528886 | SPSOG13C-OP | On call room | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | 20 Minute | Steel | 3 Hour | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528887 | SPSOG13E-OP | Staff lounge | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | 20 Minute | Steel | 3 Hour | Door penetrations / unused fastener holes | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528887 | SPSOG13E-OP | Staff lounge | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | 20 Minute | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528903 | SPSOG2-OP | Security | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | 20 Minute | Steel | No label present / not required per wall rating | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required |
Client will address
| VA Central California Health Care System - OPC Building - Fresno, CA | |||||||||||||||||||||||
| Door ID | Alt ID | Location | Floor | Building | Inspector | Door Type | Handed | Wall Rating | Door Material | Door Rating | Frame Material | Frame Rating | Deficiency | Deficiency Comment | Status | Phase 1 Repair Option | Phase 1 Repair Comment | Phase 2 Repair Option | Phase 2 Repair Comment | Phase 3 Repair Option | Phase 3 Repair Comment | Relabeling Repair Option(s) | Relabeling Repair Comment |
| 11142763 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Protection plate over 16" without proper label | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door being replaced with new hardware | ||||||||
| 11142764 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Missing /damaged latchset | No double latching | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door will be replaced with all new hardware | |||||||
| 11142764 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Protection plate over 16" without proper label | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door will be replaced with all new hardware | ||||||||
| 11142765 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 3 Hour | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Install latch | ||||||||
| 11142766 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 3 Hour | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Install latch | ||||||||
| 11155076 | Stair 4 | 1 | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Latchset not securely fastened / missing fasteners | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Electric closet Latchset | ||||||||
| 11155081 | SP2C06J-1 | Clean supply / med prep room | 2 | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door penetrations / unused fastener holes | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. | |||||||
| 11528841 | SP3C17J.2-1 | Storage | 3 | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | 45 Minute | Missing / damaged closer arm | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Client to repair with spare parts | |||||||
| 11528843 | SPB1C50-1 | Janitor closet | B | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Missing / damaged door closer | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Client will replace | |||||||
| 11528846 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Coordinator installed incorrectly | |||||||
| 11528847 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Coordinator installed improperly | |||||||
| 115288473 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Coordinator installed backwards | |||||||
| 11528870 | SP3C17F-1 | Treatment room 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Remove frame protection plate | |||||||
| 11528874 | SPB1C52-1 | Clean supplies | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Coordinator installed incorrectly | |||||||
| 11528881 | SP3C11B-1 | Sound suite 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Cut out strike plate hole and switch around mortise latch |
All doors and deficiencies
| VA Central California Health Care System - OPC Building - Fresno, CA | |||||||||||||||||||||||
| Door ID | Alt ID | Location | Floor | Building | Inspector | Door Type | Handed | Wall Rating | Door Material | Door Rating | Frame Material | Frame Rating | Deficiency | Deficiency Comment | Status | Phase 1 Repair Option | Phase 1 Repair Comment | Phase 2 Repair Option | Phase 2 Repair Comment | Phase 3 Repair Option | Phase 3 Repair Comment | Relabeling Repair Option(s) | Relabeling Repair Comment |
| 11015385 | SP1C39-1 | Stairwell #5 | 1 | OPC | Frank Herrera | Swinging Door | LH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11142741 | SP3C17M-1 | Storage | 3 | OPC | Frank Herrera | Swinging Door | LH | Rating Unknown | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11142742 | SP3C17J.1-1 | Soiled utility | 3 | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | 45 Minute | Door swing impaired (movable object) | Hinge adj made | Repaired/Passed | Deficiency repaired/passed: object removed and door swings freely | |||||||
| 11142763 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Protection plate over 16" without proper label | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door being replaced with new hardware | ||||||||
| 11142764 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Missing /damaged latchset | No double latching | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door will be replaced with all new hardware | |||||||
| 11142764 | Cross corridor near emergency | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Protection plate over 16" without proper label | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Door will be replaced with all new hardware | ||||||||
| 11142765 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 3 Hour | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Install latch | ||||||||
| 11142766 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 3 Hour | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Install latch | ||||||||
| 11142769 | Stairwell 4 | B | OPC | Frank Herrera | Swinging Door | RH | 2 Hour | Steel | 90 Minute | Steel | 90 Minute | Passed | |||||||||||
| 11142770 | SPB1C-3 | MRI | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour | Wood | 90 Minute | Steel | Frame Label Missing | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11142770 | SPB1C-3 | MRI | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour | Wood | 90 Minute | Steel | Frame Label Missing | Required frame label is missing | Not Repaired | Deficiency not repaired: frame needs to be evaluated for relabeling | Intertek 90 min | |||||||
| 11142772 | SPSOG13B-OP | Electrical closet | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11142773 | SPSOG14A-OP | Mechanical room | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | Label present; no rating specified | Passed | ||||||||||
| 11142774 | SPSOG14A-OP | Mechanical room | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | Label present; no rating specified | Passed | ||||||||||
| 11142775 | SPSOGSW5-OP | Exit stair 5 | B | OPC | Milton Lemus | Swinging Door | LH | 2 Hour | Steel | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11142776 | SPSOG47-OP | Women’s restroom | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Passed | ||||||||||
| 11142778 | SPSOG21-OP | Emergency reception | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Passed | ||||||||||
| 11142781 | SPSOG22-OP | Triage room | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Passed | ||||||||||
| 11142782 | SPSOG2-OP | Police dispatch | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11142783 | Ambulance entrance | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 45 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11142784 | Ambulance entry | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 45 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11142785 | SP1C44-1 | Electrical room | 1 | OPC | Frank Herrera | Swinging Door | LH | 1 Hour | Wood | Door Label Missing | Steel | Frame Label Missing | Door label is missing | Not Repaired | Deficiency not repaired: core tested door and door cannot be relabeled, door needs to be replaced | ||||||||
| 11142785 | SP1C44-1 | Electrical room | 1 | OPC | Frank Herrera | Swinging Door | LH | 1 Hour | Wood | Door Label Missing | Steel | Frame Label Missing | Required frame label is missing | Not Repaired | Deficiency not repaired: frame needs to be evaluated for relabeling | Intertek 45-60 min | |||||||
| 11142792 | PACU | 3 | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 45 Minute | Steel | 90 Minute | Passed | |||||||||||
| 11142793 | PACU hallway | 3 | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | 90 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11155069 | SPSOG14A.1-1 | Transformer electrical room | B | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Steel | 90 Minute | Steel | Label present; no rating specified | Passed | ||||||||||
| 11155070 | SPB1C4A-1 | Emergency room | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 45 Minute | Steel | 45 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11155071 | SPSOG39-OP | Elevator room | B | OPC | Frank Herrera | Swinging Door | RH | 2 Hour | Steel | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11155072 | SPSOG46-OP | Men’s restroom | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Passed | ||||||||||
| 11155073 | Corridor G1 | B | OPC | Frank Herrera | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Passed | |||||||||||
| 11155074 | b1c26 | Triage room | B | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11155076 | Stair 4 | 1 | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Latchset not securely fastened / missing fasteners | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Electric closet Latchset | ||||||||
| 11155077 | SP1C50-1 | Biohazard room | 1 | OPC | Milton Lemus | Swinging Door | LH | Hazardous | Wood | 20 Minute | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11155079 | SP2C11-1 | Stair 4 2nd floor | 2 | OPC | Frank Herrera | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11155080 | SP2C15Q-1 | Stair 5 2nd floor | 2 | OPC | Milton Lemus | Swinging Door | LH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11155081 | SP2C06J-1 | Clean supply / med prep room | 2 | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door penetrations / unused fastener holes | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. | |||||||
| 11155082 | SP3C07-1 | Stair 4 3rd floor | 3 | OPC | Milton Lemus | Swinging Door | RH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11155083 | Audiology double doors A | 3 | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | 90 Minute | Passed | |||||||||||
| 11155084 | Audiology corridor door B | 3 | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 90 Minute | Steel | 90 Minute | Door penetrations / unused fastener holes | Repaired/Passed | Deficiency repaired/passed: filled penetrations | |||||||||
| 11155085 | SP3C10-1 | Dental | 3 | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 60 Minute | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11155086 | SPSO3SW5-OP | Star 5 3rd floor | 3 | OPC | Frank Herrera | Swinging Door | LH | 2 Hour | Wood | 90 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11528841 | SP3C17J.2-1 | Storage | 3 | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | 45 Minute | Missing / damaged closer arm | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Client to repair with spare parts | |||||||
| 11528842 | SPSOG41-OP | ER head nurse | B | OPC | Milton Lemus | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Missing / damaged door closer | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528843 | SPB1C50-1 | Janitor closet | B | OPC | Milton Lemus | Swinging Door | RH | Hazardous | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Missing / damaged door closer | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Client will replace | |||||||
| 11528844 | SPB1C6-1 | Cross corridor ER | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Steel | 45 Minute | Steel | 45 Minute | Passed | ||||||||||
| 11528845 | SPB1C51-1 | Staff restroom | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11528846 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Coordinator installed incorrectly | |||||||
| 11528847 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary , client will address. Coordinator installed improperly | |||||||
| 115288473 | SPB1C53-1 | Soiled utilities | B | OPC | Milton Lemus | Swinging Door | LH | 1 Hour Fire/Smoke | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Gary, client will address. Coordinator installed backwards | |||||||
| 11528848 | SPSOG13D-OP | Staff restroom | B | OPC | Milton Lemus | Swinging Door | RH | 1 Hour Fire/Smoke | Wood | 20 Minute | Steel | 3 Hour | Passed | ||||||||||
| 11528869 | SP3C10R-1 | Clean room | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11528870 | SP3C17F-1 | Treatment room 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Remove frame protection plate | |||||||
| 11528871 | SPB1C52-1 | Clean supplies | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528873 | SPB1C6-1 | Cross corridor entry to emergency | B | OPC | Frank Herrera | Swinging Door | RH | 1 Hour Fire/Smoke | Steel | 45 Minute | Steel | 45 Minute | Passed | ||||||||||
| 11528874 | SPB1C52-1 | Clean supplies | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 45 Minute | Coordinator not functioning properly | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Coordinator installed incorrectly | |||||||
| 11528875 | SPSOG37-OP | Patient belongings | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528875 | SPSOG37-OP | Patient belongings | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528876 | Patient belongings | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11528877 | N1c41 | Linen closet | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 20 Minute | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528878 | Linen closet | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | |||||||||
| 11528879 | SPSOG43-OP | Doctors office | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | 3 Hour | Passed | ||||||||||
| 11528880 | SPSOG42-OP | EMS closet | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Missing / damaged closer arm | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528881 | SP3C11B-1 | Sound suite 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Door does not latch | Not Repaired | Deficiency not repaired: client will address | Per Taneasha , client will address. Cut out strike plate hole and switch around mortise latch | |||||||
| 11528881 | SP3C11B-1 | Sound suite 3 | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Frame missing filler plate(s) | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528882 | SP3C17L-1 | Soiled utility | 3 | OPC | Frank Herrera | Swinging Door | LH | 1 Hour | Wood | 45 Minute | Steel | 90 Minute | Passed | ||||||||||
| 11528883 | SP3C10E-1 | Storage | 3 | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11528884 | SP3C10E-1 | Storage | 3 | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11528885 | SP4CPENT-1 | Mechanical room | M | OPC | Frank Herrera | Swinging Door | LH | 2 Hour | Steel | 90 Minute | Steel | 90 Minute | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528886 | SPSOG13C-OP | On call room | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | 20 Minute | Steel | 3 Hour | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528887 | SPSOG13E-OP | Staff lounge | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | 20 Minute | Steel | 3 Hour | Damaged / missing smoke seal | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528887 | SPSOG13E-OP | Staff lounge | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | 20 Minute | Steel | 3 Hour | Door penetrations / unused fastener holes | Not Repaired | Deficiency not repaired: additional parts required | ||||||||
| 11528902 | SPSOG1-OP | Social worker office | B | OPC | Frank Herrera | Swinging Door | RH | Smoke Barrier | Wood | No label present / not required per wall rating | Steel | No label present / not required per wall rating | Passed | ||||||||||
| 11528903 | SPSOG2-OP | Security | B | OPC | Frank Herrera | Swinging Door | LH | Smoke Barrier | Wood | 20 Minute | Steel | No label present / not required per wall rating | Excessive clearance | Not Repaired | Deficiency not repaired: additional parts required |
File details come from the government source that posted it. Updated .