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K0324
E

Failure to Inspect Kitchen Hood Suppression System

Philadelphia, Pennsylvania Survey Completed on 01-23-2025

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 and inspect the kitchen hood suppression system, which is a requirement under NFPA 101 for cooking facilities. During an observation on January 23, 2025, at 10:47 a.m., it was noted that the hood suppression system on the first floor of the kitchen lacked the necessary monthly inspections. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 11:45 a.m.

Plan Of Correction

1. Kitchen hood suppression inspection was completed on 1/29/2025. Monthly inspections have been scheduled for Maintenance. 2. NHA/Designee will in-service maintenance department on requirements for completing monthly Inspection of kitchen Hood suppression system. 3. Maintenance Director/designee will continue to complete monthly inspections of the kitchen hood suppression system to ensure proper functioning. 4. NHA/Designee will audit the monthly reports x 3. 5. Audit reports will be reported at QA.

See complete original report
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