Failure to Maintain Kitchen Suppression System
Penalty
Summary
The facility failed to maintain the kitchen suppression system as required by NFPA 101 standards. During a document review on January 22, 2025, it was discovered that the facility could not provide documentation showing that the kitchen suppression system had been inspected and serviced on a semi-annual basis. This deficiency was confirmed during an exit interview with the Facility Administrator and Maintenance Director on the same day.
Plan Of Correction
The Kitchen Suppression System will be repaired on 2/6/25 and inspected prior to 3/21/25. The Maintenance Director will in-service Maintenance staff on the importance of adherence to: 0324 - Cooking Facilities. The Maintenance Director or Designee will audit routine and periodic facility maintenance requirements monthly to ensure all are in compliance. Results will be reported in Monthly QA.