INITIAL COMMENTS
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This report is a result of an onsite physical plant inspection conducted on September 12, 2017 by staff from the Division of Program Licensure for the licensure renewal. Based on the findings of the inspection, North Philadelphia Health System Goldman Clinic was found to be out of compliance 28 Pa. Code chapter 705.1 Physical Plant Standards. Because this was just a physical plant inspection not all regulations were looked at during this inspection. The facility has the following deficiencies:
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Plan of Correction
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705.2 (1) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(1) Maintain all structures, fences and playground equipment, when applicable, on the grounds of the facility so as to be free from any danger to health and safety.
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Observations
Based on observation on September 12, 2017, the facility failed maintain all structures on the grounds of the facility so as to be free from any danger to health and safety.
The findings include the following:
The facility had water damage to the interior of the building at the common exterior walls at the following locations:
Exterior wall of room 1006
Exterior wall of room 1017
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Plan of Correction
The Director Facilities Management will repair the exterior walls or room 1006 and 1017 on or before 10/20/2017.
To monitor and ensure that this deficiency does not recur the floor staff will conduct weekly environmental rounds and report needed repairs to the maintenance department |
705.5 (a) (3) LICENSURE Sleeping accommodations.
705.5. Sleeping accommodations.
(a) In each residential facility bedroom, each resident shall have the following:
(3) A storage area for clothing.
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Observations
Based on observation on September 12, 2017, the facility failed maintain the storage area for clothing.
The findings include the following:
The facility had a dresser with a missing drawer in room 1005.
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Plan of Correction
The Program Director will order a replacement dresser on or before October 20, 2017.
To monitor and ensure that this deficiency does not recur the floor staff will conduct weekly environmental rounds and report needed repairs to the maintenance department |
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 observation on September 12, 2017, the facility failed to maintain each bathroom in a functional, clean and sanitary manner at all times
The findings include the following:
The sink faucet for the sink in room 1005 was not secure.
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Plan of Correction
The Director of Facilities management will have the sink repaired on or before October 16, 2017.
The floor staff will conduct weekly environmental rounds and report needed repairs to the maintenance department. |