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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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ST. JOSEPH INSTITUTE, LLC
134 JACOBS WAY
PORT MATILDA, PA 16870

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Survey conducted on 04/15/2015

INITIAL COMMENTS
 
This report is a result of an on-site inspection for a capacity increase conducted on April 15, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, St. Joseph Institute, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiency was identified during this inspection:
 
Plan of Correction

705.10 (b) (4)  LICENSURE Fire safety.

705.10. Fire safety. (b) Smoke detectors and fire alarms. The residential facility shall: (4) Maintain a manual fire alarm system that is audible throughout the facility in a residential facility where four or more residents reside.
Observations
Based on a physical plant inspection of a residential building on the facility's campus, the facility failed to maintain a manual fire alarm system that is audible throughout a residence where four or more residents will reside.



The findings include:



A physical plant inspection of a residential building on the facility's campus was conducted on April 15, 2015, for a capacity increase. The residence inspected is a two-story building. The residence's first level consists of three bedrooms with a total of seven beds. The residence's second level consist of a two-bedroom suite with a total of four beds. The facility failed to maintain a manual fire alarm that is audible throughout the entire residence and accessible to all residents.



These findings were reviewed with facility staff during the licensing process.
 
Plan of Correction
The fire alarm system for the building was tested by certified experts. All of the bedrooms have duplicate fire alarms and two independent systems with both internal and external horns. An external pull station and fire extinguisher are being added on the ground floor. This work will be completed and the system tested by May 8, 2015

 
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