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K0754
E

Non-compliance with NFPA 101 for Trash Container Storage

Chambersburg, Pennsylvania Survey Completed on 04-15-2025

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

The facility was found to be non-compliant with NFPA 101 standards regarding the storage of soiled linen and trash containers. During an observation on April 15, 2025, at 1:35 PM, it was noted that three 96-gallon shredder containers were stored in the ground floor lobby. This area did not have a 1-hour fire-rated protection, which is required for storing containers exceeding 32 gallons when not attended. The Director of Maintenance confirmed that the containers were not stored in a rated assembly, leading to the deficiency.

Plan Of Correction

The three 96-gallon shredder containers were moved to an area with 1 hour protected rating. Maintenance staff was educated a 1-hour protected rating space is required for storage of soiled-linen and trash containers exceeding 32 gallons. Director of Plant Operations or designee will audit 1 time a week for a month; if compliance is achieved; then random audits monthly of soiled-linen and trash containers exceeding 32 gallons are stored in a 1-hour protected space. Audit results will be reported at QAPI.

See complete original report
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