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K0521
E

Improper Use of Portable AC in HVAC System

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 its HVAC systems in compliance with NFPA 101 standards, specifically affecting one of three levels. During an observation, it was noted that a portable air conditioning unit was ducted into the ceiling in the Maintenance and Housekeeping basement corridor, next to Boiler Room #2. This portable AC unit was confirmed by the Facility Administrator and Maintenance Director to be used as a permanent part of the HVAC system, which is not in accordance with the manufacturer's specifications or the required standards.

Plan Of Correction

Portable air conditioning unit removed from boiler rm #2. Maintenance Director conducted rounds in the facility and there were no other air conditioners installed out of compliance. Maintenance Director or Designee will conduct in servicing for maintenance staff on importance of adherence to: 0521- HVAC. 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 in monthly QAPI.

See complete original report
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