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F0908
D

Failure to Maintain Kitchen Ventilation and Elevator in Safe Operating Condition

Doylestown, Pennsylvania Survey Completed on 03-16-2026

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

Surveyors identified that mechanical equipment in the kitchen and back hall elevator was not maintained in safe, operating condition. During a kitchen tour, the ventilation system above the dishwasher was observed to have a broken, non-functioning fan. The Director of Dining Services reported that this ventilation system had been inoperable for over three weeks, and facility documentation showed that the local Department of Health had been notified of the inoperable ventilation system on February 13, 2026. No interventions were implemented to prevent the compromised ventilation from affecting food contact surfaces while the system remained unrepaired. The Administrator confirmed that the ventilation system was not working. During the facility tour, surveyors also observed that the back hall elevator had a broken ventilation fan with an accumulation of dust inside the elevator. Additionally, the bottom side panel wall of the elevator was cracked, and the door tracks contained an accumulation of dirt and debris. These conditions demonstrated a failure to keep essential mechanical equipment in safe and properly maintained condition, as required by 28 Pa. Code 201.18 (b)(3)(e)(2.1) Management.

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