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F0908
E

Failure to Maintain Freezer Equipment Results in Ice Buildup and Food Storage Risk

North Hollywood, California Survey Completed on 07-03-2025

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 reach-in freezer according to the manufacturer's guidelines, resulting in a gap that allowed air to enter and caused significant ice buildup. Observations revealed ice accumulation by the door and shelves of the freezer, and interviews with the Dietary Supervisor confirmed ongoing issues with ice buildup due to air infiltration. The Dietary Supervisor acknowledged that a metal plate had been installed to prevent air from escaping, but a small gap remained, which was not acceptable as it could lead to food spoilage. The Maintenance Supervisor also confirmed the problem, stating that the freezer door was not sealing properly and that the gaskets were supposed to be changed, but instead, a metal plate was installed based on the administrator's decision. The Administrator stated that the issue with the freezer door not latching properly was discussed with the Maintenance Supervisor, and the decision was made to install a metal plate rather than consult the manufacturer for a solution. The Administrator was not aware that the ice buildup issue persisted. Review of facility policy indicated that equipment needing repair should be reported and maintenance records maintained, and the daily maintenance log showed ongoing awareness of the freezer's ice buildup problem. The deficiency had the potential to affect 64 of 69 medically compromised residents who stored food in the freezer.

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