INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on April 29, 2026 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Colonial House, 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:
|
Plan of Correction
|
705.4 (3) LICENSURE Counseling areas.
705.4. Counseling areas.
The residential facility shall:
(3) Ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room. Counseling room walls shall extend from the floor to the ceiling.
|
Observations
Based on a physical plant inspection, it was observed that the facility failed to ensure privacy so that counseling sessions cannot be seen or heard outside of the counseling room as cameras were operating in the group counseling room.
This finding was reviewed with facility staff during the licensing process.
|
Plan of Correction
A regulatory exemption was submitted to DDAP for the use of cameras in therapeutic areas. |
705.7 (b) (6) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(6) Store all food items off the floor.
|
Observations
Based on a physical plant inspection, the facility failed to store all food items off the floor. There was food on the floor in the freezer.
This finding was reviewed with facility staff during the licensing inspection process.
|
Plan of Correction
Colonial House policy associated with food storage expectations was reviewed with Kitchen Manager. Kitchen Manager will monitor proper food storage daily. Director of Operations will periodically monitor the food storage to ensure compliance. |