INITIAL COMMENTS
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This report is a result of an on-site recovery house complaint investigation conducted on September 18, 2026, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, TNH W8WJ6701 was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717, which pertains to the recovery house.
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Plan of Correction
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§ 717.29(b)(1) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(1) Keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
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Observations
Based on an inspection of the physical plant, it was found the recovery house failed to keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
The following items were found and reviewed with Recovery House staff:
A flood in the basement resulting in standing water and a black, mold-like substance observed on the ceiling of the second floor bathroom and ventilation fan.
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Plan of Correction
TNH initiated corrective action to address both the observable substance and the underlying moisture concerns.
The second-floor bathroom ceiling and ventilation area were inspected, cleaned, and appropriately treated/remediated. The bathroom ventilation system was inspected to ensure that it is functioning appropriately.
The basement water intrusion was also evaluated to identify and correct the source of the moisture. Affected areas were cleaned and dried, and necessary maintenance/repair was initiated to prevent continued water intrusion.
Date Bathroom Corrected: 9/21/2026
Date Basement Issue Corrected: 9/21/2026
Corrective Action Completed By: TNH Maintenance Technician
Verification of Completion:
District/Program Management will inspect both areas following completion of corrective work to verify that the areas are clean, dry, sanitary, and in good repair. Any recurrence of moisture or mold-like material will result in additional maintenance evaluation and corrective action.
Prevention of Recurrence
Monthly Residential Quality Control inspections will specifically examine:
Bathrooms and ventilation systems;
Ceilings and walls for discoloration or evidence of moisture;
Basements for standing water, leaks, or water intrusion;
Areas surrounding plumbing fixtures;
Evidence of mold or mildew;
Water-damaged materials; and
General sanitation and physical condition.
Resident Leads will be instructed that water intrusion, active leaks, or suspected mold/mildew conditions are not routine housekeeping issues and must be reported immediately to District/Program Management.
Responsible Parties: Resident Lead, District Manager, and Program/Operations Management |
§ 717.29(f)(1) LICENSURE Physical plant standards - Kitchens
§ 717.29. Physical plant standards.
(f) Kitchens. The licensee shall:
(1) Provide a kitchen area with capacity for residents to safely store food items and prepare meals. The kitchen area must include refrigerator, sink, stove, oven and cabinet space in a good state of repair.
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Observations
Based on an inspection of the physical plant it was found the recovery house provided a microwave that was not in a state of good repair.
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Plan of Correction
The microwave was removed from service and replaced/disposed of as appropriate. TNH recognizes that although a microwave is not required equipment, appliances and equipment supplied for resident use must be maintained in safe and serviceable condition.
Date Corrected: 9/18/2026
Corrective Action Completed By: TNH Maintenance Technician
Verification of Completion:
District/Program Management will verify removal or replacement of the deficient appliance and document completion.
Prevention of Recurrence
All TNH-provided appliances will be included as part of the monthly Residential Quality Control inspection. Appliances will be evaluated for cleanliness, visible damage, safe operation, and general state of repair.
Any appliance determined to be unsafe or no longer in serviceable condition will be removed from use until repaired or replaced.
Responsible Parties: Resident Lead and District Manager |
§ 717.30(b)(5) LICENSURE Safety and emergency procedures - Exits
§ 717.30. Safety and emergency procedures.
(b) Exits. The licensee shall:
(5) Light interior exits and stairs at all times.
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Observations
Based on an inspection of the physical plant it was found the recovery house failed to keep the interior stairs lit at all times. The lightbulb above the basement stairs was inoperable.
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Plan of Correction
The hallway/basement stairway light was inspected and repaired/replaced to restore proper illumination of the stairway and exit area.
Date Corrected: 9/18/2026
Corrective Action Completed By: TNH Maintenance Technician
Verification of Completion:
District/Program Management will verify that the lighting is operational and document completion of the corrective action.
Prevention of Recurrence
Lighting and safety equipment will be incorporated into TNH's standardized monthly Residential Quality Control inspection. Inspections will include, at minimum:
Interior stairway and exit lighting;
Exterior lighting;
Exit accessibility;
Smoke and carbon monoxide detectors;
Emergency and safety equipment; and
Other observable safety hazards.
Any nonfunctioning lighting associated with stairs, hallways, or exits will be designated as an immediate safety concern and reported for correction without waiting for the next scheduled monthly inspection.
Responsible Parties: Resident Lead, District Manager, and Program/Operations Management |