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K0324
E

Deficiency in Cooking Facility Maintenance

Drums, 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 cooking facilities in compliance with NFPA 101 standards, specifically regarding the maintenance of hood duct cleaning. During an observation on January 22, 2025, at 10:29 a.m., it was noted that the facility lacked documentation for the second semi-annual hood duct cleaning for the year 2024. This deficiency was confirmed during an exit interview with the Facility Administrator and the Facilities Manager on the same day at 12:30 p.m. The deficiency affected one of the two floors in the facility.

Plan Of Correction

1. Facility cannot retroactively go back on second hood cleaning. 2. Beach lake sprinklers are contracted to do our hood cleaning. A calendar will be created to oversee hood cleaning from maintenance director. 3. Maintenance director was reeducated on the importance of hood cleaning. 4. Biannual audit will be done to make sure hood cleaning is performed. The results will be submitted to the QAPI committee for review and analysis of the need of ongoing monitoring.

See complete original report
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