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    Discuss My Needs
      Accreditation Life Safety Code

      Q: Do you have any suggestions for satisfying the accreditation documentation requirements to prove we conducted a building assessment for compliance with…

      Brad Keyes, CHSP | Oct 5, 2020
      COVID-19 Accreditation Waivers CMS

      As reported on this website last week, CMS issued a formal communication on April 29, 2020, that granted 1135 blanket waivers on Physical Environment…

      Bob Armbrister | May 12, 2020
      COVID-19 Accreditation Waivers CMS

      In a formal communication issued April 29, 2020, CMS granted 1135 blanket waivers on Physical Environment items for Inspection, Testing & Maintenance…

      Bob Armbrister | May 7, 2020
      Joint Commission Testing (Generators) Accreditation Fire Drills Testing (Fire Suppression Systems) Testing (Facilities Management) CMS Testing (Fire Detection Systems) Testing (Life Safety Code) Testing (Medical Gas) Inspection & Maintenance (Life Safety Code)

      Q: Has there been an update to the definition of time by TJC/CMS? I'm looking at quarterly fire drills right now, but any changes/clarification on the…

      Bob Armbrister | Apr 15, 2020
      COVID-19 Accreditation Waivers CMS

      During this period of COVID-19 crisis, many readers have written asking if they can discontinue conducting routine Life Safety tests and inspections in…

      Bob Armbrister | Apr 7, 2020
      Accreditation Storage (Facilities Management) Risk Assessment

      Q: Housekeeping products like germicidal, glass cleaner, air freshener are stored in a locked metal box on housekeeping cart. All of our stock of these…

      Bob Armbrister | Jan 6, 2020
      Business Occupancies Accreditation ILSM

      Q: Is there a code requirement for implementing an Interim Life Safety Measure (ILSM) for occupancies other than healthcare (i.e. business occupancies) if…

      Bob Armbrister | Nov 11, 2019
      Electrical Rooms Accreditation

      Q: Please clarify if electrical closets and /or electrical rooms can be accessible to anyone. The NFPA70 National Electrical Code seems to require warning…

      Bob Armbrister | Oct 4, 2019
      Accreditation

      Q: I heard a rumor that the accreditation organizations (AO) are going to 18 month visits vs. the 3 years it has been. Is there truth to this?

      Bob Armbrister | Sep 23, 2019
      Accreditation Ambulatory Care Occupancy Suites

      Q: We recently had a surveyor tell us that suites are not allowed in ambulatory healthcare occupancies. Can you help explain this and any code references…

      Bob Armbrister | Aug 26, 2019