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K0324
E

Failure to Conduct Required Kitchen Suppression Testing and Hood Cleaning

New Castle, Pennsylvania Survey Completed on 12-19-2024

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 ensure that the kitchen suppression testing and kitchen exhaust hood cleanings were conducted at the required semi-annual intervals. During a document review on December 19, 2024, it was revealed that the last documented kitchen suppression testing occurred on February 2, 2024, indicating a lapse in the required testing schedule. An interview with the administrator confirmed that the semi-annual kitchen suppression testing had not been conducted within the required timeframe. Additionally, the document review showed that the last documented kitchen exhaust hood cleaning was on February 20, 2024, further confirming that the semi-annual cleaning had not been performed as required. The administrator also confirmed this lapse during the interview.

Plan Of Correction

Kitchen suppression system testing/maintenance was conducted on 12/19/2024. Kitchen exhaust hood cleaning was conducted on 1/06/2025. Kitchen suppression system testing/maintenance and kitchen hood cleaning will be performed at least semi-annually. Both services have been scheduled to be done at least every 6 months from the latest completion date.

See complete original report
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