INITIAL COMMENTS
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This report is a result of an on-site initial licensure inspection conducted on April 1, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Rehab After Work was found to be in non-compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection and a plan of correction is due on April 14, 2010.
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Plan of Correction
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705.28 (a) (1) (iii) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iii) Maintain each ramp, interior stairway and outside steps exceeding two steps with a well-secured handrail and maintain each porch that has over an 18 inch drop with a well-secured railing.
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Observations
Based on a physical plant inspection and interview with the Vice President of Clinical Services, the agency failed to install and maintain one exterior stairway with a handrail.
The findings include:
A physical plant tour conducted with the Vice President of Clinical Services and Counselor on April 1, 2010. The front steps were comprised of three steps. The facility failed to have a handrail installed on the front steps.
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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. |