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K0324
E

Obstruction of Ansul System Pull Station in Dietary Area

Sayre, Pennsylvania Survey Completed on 03-19-2025

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 protect cooking facilities in accordance with NFPA 101 standards. During an observation on March 19, 2025, it was noted that the door to the Dietary Dry storage area was held open, which obstructed access to the manual pull station for the ansul system. This deficiency was confirmed during an exit interview with the Facility Administrator and Facility Maintenance on the same day.

Plan Of Correction

- The Maintenance Director closed the door to the dry food storage area to ensure the ansul system was unobstructed without delay. - Both the Maintenance Director and the Food Services Director received training on the importance of keeping the ansul system clear in accordance with life safety regulations and compliance standards. - The Maintenance Director will conduct weekly audits for a duration of four weeks, followed by monthly audits for an additional three months, to verify that the ansul system remains unblocked. These audit results will be presented at the QA meeting for evaluation.

See complete original report
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