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K0325
E

Improper Placement of ABHR Dispenser

Philadelphia, Pennsylvania Survey Completed on 01-22-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain alcohol-based hand rub dispensers in compliance with safety regulations. During an observation on January 22, 2025, it was noted that on the first floor, East, near room 124, an alcohol-based hand rub dispenser was mounted directly above an electrical outlet. This placement does not adhere to the requirement that dispensers should not be installed within 1 inch of an ignition source. The deficiency was confirmed during an exit interview with the Facility Administrator and Maintenance Director on the same day.

Plan Of Correction

The ABHR dispensers near rm 124 has been removed. Maintenance Staff inspected all other ABHR dispensers in the facility. None are too close to receptacles/outlets. All are in compliance with the code. Maintenance Director or Designee will conduct in servicing for maintenance staff on importance of adherence to 0325: Alcohol Based Hand Rub Dispenser (ABHR). The interdisciplinary team will conduct environmental rounds weekly x 4 weeks to ensure compliance with fire codes, and State, federal and local regulations. Results will be reported on monthly QAPI.

See complete original report
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