Kitchen Staff Unaware of Hood Fire Suppression System Operation
Penalty
Summary
The facility failed to maintain proper knowledge and operation of the kitchen hood fire suppression system, as evidenced by document review and staff interviews. During the review, kitchen staff members were unable to identify the location or explain the operation of the manual activation for the hood fire suppression system. This deficiency was confirmed by the administrator during the interview process. No information was provided regarding any residents' medical history or condition at the time of the deficiency.
Plan Of Correction
Education will be provided to dietary employees for ansul system. Dietary manager or designee will audit knowledge of location and operation of ansul system weekly x 3 weeks then monthly until substantial compliance achieved. The results of these audits will be reviewed quarterly by the Quality Assurance and Quality Improvement committee for further analysis and recommendation.