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K0521
E

HVAC System Maintenance Deficiency

Warrington, Pennsylvania Survey Completed on 01-30-2025

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 the heating, ventilation, and air conditioning (HVAC) system on one of its three levels. During an observation on January 30, 2025, it was noted that a portable air conditioner unit was vented above the drop ceiling into the interstitial space or attic, creating a plenum, inside the AO-Staff Break Room at 10:15 a.m. Additionally, at 11:15 a.m., several portable air conditioner units were observed in various office and conference locations within the Admin Department, also vented above the drop ceiling into the interstitial space or attic, creating a plenum. These findings were confirmed during an exit interview with the Administrator and Maintenance Director on the same day.

Plan Of Correction

Portable air conditioning in the A0 staff room and the various locations in the administration department were removed or re-vented into the return system to ensure a plenum was not created. Maintenance director or designee will conduct monthly inspections of the portable air conditioning units to ensure they are not vented into the interstitial space or attic thus creating a plenum. The Maintenance Director or designee will report monthly findings to Quality Assurance for a 90-day period.

See complete original report
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