Deficiencies in Kitchen Hood Suppression System Maintenance
Penalty
Summary
The facility failed to maintain its cooking facilities, specifically the kitchen hood suppression system. During a document review, it was found that there was no documentation of monthly visual inspections being conducted for the kitchen hood suppression system. Additionally, interviews with kitchen staff revealed that they were uncertain about the location and operation of the manual activation for the hood fire suppression system. These deficiencies were confirmed in an interview with the maintenance supervisor.
Plan Of Correction
Kitchen and Maintenance were educated on visually inspecting the Kitchen hood suppression system monthly. Dietary employees were also educated on what the suppression system is, what it does, and when to pull the alarm. Audits will be done weekly for 6 weeks. Results will be reviewed at QAPI meeting.