QA Investigation Results

Pennsylvania Department of Health
DON GUANELLA HOMES AT 1745 SPROUL ROAD
Building Inspection Results

DON GUANELLA HOMES AT 1745 SPROUL ROAD
Building Inspection Results For:


There are  5 surveys for this facility. Please select a date to view the survey results.

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Initial Comments:
Name - Component - --

Based on an Emergency Preparedness Survey completed on September 17, 2018, at Don Guanella Homes at 1745 Sproul Road, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.475.



Plan of Correction:




Initial Comments:
Name - DON GUANALLA SPROUL RD 1 Component - 01

Facility ID# 24381101
Component 01
Gula House

Based on a Revisit to a Medicaid Recertification Survey completed on September 17, 2018, it was determined that Don Guanella Homes at 1745 Sproul Road, was not in compliance with the following requirements of the Life Safety Code for an existing ICF/IID health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.470(j).

This is a one-story, Type V (000), unprotected wood frame construction, which is fully sprinklered.

State plans approved as Impractical.





Plan of Correction:




NFPA 101 STANDARD
Sprinkler System - Supervisory Signals

Name - DON GUANALLA SPROUL RD 1 Component - 01
Sprinkler System - Supervisory Signals
2012 EXISTING (Prompt)
Where a required automatic sprinkler system is installed, supervisory attachments are installed and monitored for integrity in accordance with NFPA 72, National Fire Alarm and Signaling Code, and provide a signal that sounds and is displayed at a continuously attended location or approved remote facility, when sprinkler operation is impaired.
An automatic sprinkler system in accordance with NFPA 13D would not require water flow alarms where a facility has smoke alarms or smoke detectors in accordance with NFPA 72.
9.7.2.1, 7.6 (NFPA 13D), NFPA 72

Observations:

Based on observation and interview, it was determined the facility failed to supervise sprinkler components, affecting the entire facility.

Findings include:

1. Observation made on September 17, 2018, at 11:35 am, revealed the sprinkler control valves in the outside sprinkler pit lacked electronic supervision. In addition, the pit access door was not locked.

Interview with the Director of Facilities and the Director of Maintenance at the exit conference on September 17, 2018, at 11:50 am, confirmed the unsupervised sprinkler control valves and access to the pit was not locked.
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Based on observation and interview during an onsite Revisit conducted on February 6, 2019, between 8:15 am and 8:30 am, revealed the following:

Item 1 Not Complete. The sprinkler control valves in the outside sprinkler pit lacked electronic supervision.

Interview at the exit conference with the Administrator and the Director of Maintenance on February 6, 2019, at 8:25 am, confirmed the sprinkler control valves in the outside sprinkler pit lacked electronic supervision.







Plan of Correction:

The facility has placed a call to plan review and will submit an application for with drawings prior to installation. Once plan approval is received, the facility will install a supervisory control device electronically monitored by a monitoring company.
The sprinkler pit will remain locked at all times except for period during installation.