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F0812
D

Expired Water Filter on Icemaker and Inadequate Maintenance Documentation

Glendora, California Survey Completed on 12-30-2025

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 safe and sanitary practices for ice and water handling by not replacing an expired water filter connected to the icemaker in the kitchen. During an observation, the expired filter was noted, and the Dietary Manager (DM), who was new to the position, was unsure of the replacement schedule for the filter. A log sheet attached to the icemaker was reviewed, but it only indicated the month of December without specifying the year, making it unclear when the last replacement occurred. The manufacturer's specifications for the water filter recommend replacing the cartridge at least once per year or when the flow rate becomes inconveniently slow. A review of the facility's policy and procedure for maintenance service indicated that the Maintenance Department is responsible for ensuring all equipment, including the icemaker, is maintained in a safe and operable manner according to manufacturer recommendations. The policy also assigns the Maintenance Director the responsibility of developing and maintaining a maintenance schedule. However, the observation and interviews revealed that these procedures were not followed, resulting in the use of an expired water filter and a lack of clear documentation regarding maintenance activities.

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