INITIAL COMMENTS
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This report is a result of an initial on-site licensure inspection conducted on August 15, 2011 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Pyramid Healthcare, Inc was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
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Plan of Correction
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705.24 (5) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential facility shall:
(5) Ventilate bathrooms by exhaust fan or window.
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Observations
Based on a physical plant inspection conducted during the initial licensing review, the facility failed to ensure that there was a working exhaust fan in each bathroom.
The findings included:
A physical plant inspection was conducted on August 25, 2011. The Pyramid facility includes one unisex bathroom for staff and client use. The facility bathroom did not have a working exhaust fan at the time of the inspection. Each bathroom is required to have an operable window or a working exhaust fan.
The findings were reviewed with the facility director and were not disputed.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |