INITIAL COMMENTS
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This report is a result of an on-site licensing inspection conducted on July 16, 2012, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site licensing inspection, T.W.Ponessa and Associates Counseling Service Inc York was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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705.28 (a) (1) (ii) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(ii) Maintain a minimum of two exits on every floor, including the basement, that are separated by a minimum distance of 15 feet.
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Observations
Based on a physical plant inspection, the facility failed to have two exits available for emergency use on the second floor.
The findings include:
A physical plant inspection of the facility conducted on July 16, 2012 and a conversation with the facility director confirmed the second floor bathroom is in use by the staff that work at this facility. The second floor fails to have a second exit.
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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. |
705.28 (c) (4) LICENSURE Fire safety.
705.28. Fire safety.
(c) Fire extinguishers. The nonresidential facility shall:
(4) Instruct staff in the use of the fire extinguisher upon staff employment. This instruction shall be documented by the facility.
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Observations
Based on a review of staff records, the facility failed to have all staff instructed in the use of the fire extinguisher training upon hire.
The findings include:
Three staff records were reviewed on July 16, 2012. Staff record #3 was hired on 3-12-2012 and fire extinguisher training was documented on 3-22-2012.
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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. |