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Tag No.: K0069
Based on documentation review and staff interview, it was determined that the facility has failed to ensure that 2 of 2 cleaning and inspections of the kitchen hood system protecting the cooking appliances have been completed. NFPA 96 8-3.1 per table 8-3.1, states that for moderate-volume cooking operations, the hood system and components shall be inspected and maintained semiannually by a properly trained, qualified, and certified company or person. This deficient practice could affect 2 of 25 patients, all kitchen staff and visitors.
Findings Include:
On facility tour between 10:00 AM and 3:00 PM on 04/03/2014, during the review of all available documentation for the kitchen hood ventilation system inspection reports the facility could not provide any documentation showing that the kitchen hood/ventilation system has been completely cleaned and professionally inspected during the last 12 month time period.
This was confirmed by the Maintenance Supervisor (RH) at the time of the inspection.