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3535 SOUTHERN BOULEVARD

KETTERING, OH 45429

PHYSICAL ENVIRONMENT

Tag No.: A0700

REMAINS CITED
Based on observations, staff interviews, and review of architectural building schematics, the physical environment is not maintained safe from fire in regards to the kitchen hood suppression system. This had the potential to affect all those utilizing this area of the facility. The patient census at the beginning of the survey was 294.
Findings include:

During this visit on 01/16/13, tour was conducted in the facility with
Staff A, B, C, D, and E. During this visit, the following were identified and verified by facility staff:


The facility failed to update the kitchen hood suppression system to a UL-300 system.

Refer to A0709.

LIFE SAFETY FROM FIRE

Tag No.: A0709

REMAINS CITED
Based on observations, staff interviews, and review of architectural building schematics, the facility failed to meet the provisions of the Life Safety Code related to fire safety in regards to the kitchen hood suppression system. This had the potential to affect all those utilizing this area of the facility. The patient census at the beginning of the survey was 294.
Findings include:

During this visit on 01/16/13, tour was conducted in the facility with
Staff A, B, C, D, and E. During this visit, the following were identified and verified by facility staff:


The facility failed to update the kitchen hood suppression system to a UL-300 system.

Refer to A0710.

LIFE SAFETY FROM FIRE

Tag No.: A0710

REMAINS CITED
Based on observations, staff interviews, and review of architectural building schematics, the facility failed to meet the provisions of the Life Safety Code related to fire safety in regards to the kitchen hood suppression system. This had the potential to affect all those utilizing this area of the facility. The patient census at the beginning of the survey was 294.
Findings include:

During this visit on 01/16/13, tour was conducted in the facility with
Staff A, B, C, D, and E. During this visit, the following were identified and verified by facility staff:


The facility failed to update the kitchen hood suppression system to a UL-300 system. Refer to K69.