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 observation and interview it was determined the facility failed to install and maintain equipment protected by the kitchen hood extinguishing system in one instance, affecting one of fifteen smoke compartments. In accordance with NFPA 96, 12.1.2.3. and 12.1.2.3.1.
Findings include:
1. Observation on February 14, 2024, at 9:30 a.m., revealed a wheeled gas-fired range cooktop located on the cooking line in the kitchen was not equipped with an approved method that would ensure that the appliance was returned to an approved design location under the kitchen hood extinguishing system, after it had been moved for maintenance and cleaning.
Interview with the Facility Administrator and Maintenance Director on February 14, 2024 at 1:00 p.m., confirmed the gas appliance did not have an approved method to ensure it is correctly placed under the hood and fire suppression system.
| | Plan of Correction - To be completed: 04/06/2024
Assuming for the sake of this discussion, the validity of the deficiencies noted in the Department of Health's Statement of Deficiencies Report to St. Barnabas Nursing Home, Inc for the survey ending February 14 ,2024 , which St. Barnabas does not admit, we offer the following Plan of Correction. Nothing contained in the Plan of Correction shall/should be deemed an admission either expressed or implied, on the part of St. Barnabas Nursing Home, Inc. as to the validity of the deficiencies noted in the report.
1. Facility maintenance will Purchase and install commercial kitchen appliance alignment devices for all wheeled appliances under the kitchen hoods on or before April 5th 2024. 2. Director of maintenance or designee will perform a one time audit of kitchen appliances to ensure alignment devices are installed for all wheeled appliances. 3. Results of audit will be reviewed in QA
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