INITIAL COMMENTS
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This report is a result of an on-site initial licensure inspection conducted on June 22, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection Keep It Green was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.30(b)(2) LICENSURE Safety and emergency procedures - Exits
§ 717.30. Safety and emergency procedures.
(b) Exits. The licensee shall:
(2) Maintain a minimum of two unobstructed exits that are separated by a minimum distance of 15 feet on every floor that contains resident bedrooms. Equipment such as ladders and escapes located above the ground floor must be securely affixed to the house. Rooms, including resident bedrooms, that contain an exit must be unlocked and accessible to all residents in the event of an emergency.
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Observations
Based on a physical plant inspection at the recovery house, the recovery house failed to maintain an unobstructed exit. The air conditioner blocked the fire escape window.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
We replaced the window unit with a stand alone unit that vents out to an alternative window. The fire escape window is now unblocked and easily accessible. |