Cooking Facilities Cooking equipment is protected in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations, unless: * residential cooking equipment (i.e., small appliances such as microwaves, hot plates, toasters) are used for food warming or limited cooking in accordance with 18.3.2.5.2, 19.3.2.5.2 * cooking facilities open to the corridor in smoke compartments with 30 or fewer patients comply with the conditions under 18.3.2.5.3, 19.3.2.5.3, or * cooking facilities in smoke compartments with 30 or fewer patients comply with conditions under 18.3.2.5.4, 19.3.2.5.4. Cooking facilities protected according to NFPA 96 per 9.2.3 are not required to be enclosed as hazardous areas, but shall not be open to the corridor. 18.3.2.5.1 through 18.3.2.5.4, 19.3.2.5.1 through 19.3.2.5.5, 9.2.3, TIA 12-2
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Observations: Name: MAIN BUILDING 01 - Component: 01 - Tag: 0324
Based on documentation review, observation, and interview, it was determined the facility failed to maintain the kitchen hoods in two instances, affecting one of five smoke compartments.
Findings include:
1. Document review and observation on November 25, 2024, revealed the following kitchen deficiencies:
a) 9:12 a.m., the facility failed to perform one of the two required semi-annual hood cleanings; b) 9:18 a.m., facility failed to perform one of the two required semi-annual ansul system inspections.
Interview with the Facility Administrator, Assistant Administrator, and the Maintenance Director on November 25, 2024, at 1:30 p.m., confirmed the above listed deficiencies.
| | Plan of Correction - To be completed: 01/01/2025
The services that were scheduled at the beginning of the year was cancelled right before the second semi annual service due to the old parent company refusal of payment. the dates were for March and September. This refusal of payment caused the error to occur. With the new parent company and the payment the service was completed on 12/11/2024.
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