INITIAL COMMENTS
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This report is a result of an onsite complaint investigation conducted October 18-20, 2022, by staff from the Bureau of Program Licensure. Based on the findings of the onsite complaint investigation, Recovery Center of America at Devon was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.2 (4) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(4) Store all trash, garbage and rubbish in noncombustible, covered containers that prevent the penetration of insects and rodents, and remove it, at least once every week.
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Observations
Based on a physical plant inspection conducted on October 18, 2022 during a complaint investigation, the facility failed to store all trash, garbage and rubbish in noncombustible, covered containers that prevent the penetration of insects and rodents, and remove it, at least once every week.Approximately 30 trash bags full of garbage were observed in a large pile on the ground near the trash compactor.
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Plan of Correction
The trash compactor is scheduled to be emptied weekly. The vendor experienced truck issues and was unable to empty the compactor as scheduled and was filled to capacity. Proof of communication with the vendor was presented to the licensing representative. Staff neatly piled the sealed plastic trash bags away from the building and next to the compactor. The compactor was emptied on 10/19 and the excess bags loaded into it.
Moving forward, the Facilities Director and Housekeeping Manager will monitor trash compactor capacity daily. If needed, they will schedule additional pickups. If an additional compactor pickup cannot be arranged, facilities and housekeeping staff transport excess trash bags off site for proper disposal. |
705.6 (7) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(7) Maintain each bathroom in a functional, clean and sanitary manner at all times.
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Observations
Based on a physical plant inspection conducted on October 18, 2022 during a complaint investigation, the facility failed to maintain each bathroom in a functional, clean and sanitary manner at all times.Building A: - Client bedroom A704 was observed to have a hole in the bathroom door.- Client bedroom A635 was observed to have peeling paint on the ceiling of the bathroom.
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Plan of Correction
Both rooms were repaired by end of business on 10/19.
The Quality Strategist, Quality Assistant, Facility Director and Executive Director perform and document monthly environment of care surveys of the entire facility. Those surveys will continue as scheduled. In addition, Recovery Support Staff will report any maintenance issues in their areas of responsibility as a part of their end of shift reports which are sent to the Facilities Director for immediate attention. |