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K0325
E

Improper Installation of ABHR Above Electrical Outlet

North Wales, Pennsylvania Survey Completed on 02-10-2025

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 comply with the requirements for the installation of Alcohol Based Hand Rub Dispensers (ABHR), as observed during a survey. Specifically, an ABHR was installed directly above a light switch and a duplex electrical outlet in the basement kitchen. This placement does not meet the safety standards outlined in NFPA 101, which require that dispensers are not installed within 1 inch of an ignition source. The deficiency was confirmed during an exit interview with the Administrator and Maintenance Director.

Plan Of Correction

ABHR dispenser was removed from the basement kitchen above light switch and duplex electrical outlet. All ABHR dispensers were checked for appropriate placement in accordance with guidelines. Maintenance Director will in-service all maintenance staff on proper installation and placement of ABHR dispenser. Random weekly audit of ABHR dispensers for placement will be completed for 3 weeks and findings reported to QAPI.

See complete original report
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