INITIAL COMMENTS
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This report is a result of an initial on-site licensure inspection conducted on November 16, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Open Arms Recovery Center was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
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Plan of Correction
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705.23 (3) LICENSURE Counseling or activity areas and office space
705.23. Counseling or activity areas and office space.
The nonresidential facility shall:
(3) Ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room. Counseling room walls shall extend from the floor to the ceiling.
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Observations
Based on observation during a physical plant inspection, the facility failed to ensure privacy so that counseling sessions cannot be seen outside the counseling room.
The findings include:
An initial physical plant inspection was conducted on November 16, 2015 at approximately 9:45 AM.
The two windows located in the group room with the french doors and the glass panes on the french doors were not equipped with blinds or window covers for privacy.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |