INITIAL COMMENTS
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This report is a result of an on-site initial licensure inspection conducted on February 20, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Three Rivers Youth 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:As 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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705.28 (b) (1) LICENSURE Fire safety.
705.28. Fire safety.
(b) Smoke detectors and fire alarms. The nonresidential facility shall:
(1) Maintain a minimum of one operable automatic smoke detector on each floor, including the basement and attic.
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Observations
Based on a physical plant inspection, the facility failed to provide a minimum of one operable automatic smoke detector on each floor, including the basement and attic.The findings include:Based on a physical plant inspection, there were no smoke detectors identified on the second floor of the building. These findings were reviewed with facility staff during the inspection process.
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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. |
705.28 (b) (2) LICENSURE Fire safety.
705.28. Fire safety.
(b) Smoke detectors and fire alarms. The nonresidential facility shall:
(2) Place the smoke detector in a common area or hallway. All detection devices shall be interconnected.
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Observations
Based on a physical plant inspection, the facility failed to place smoke detectors in a common area or hallway and ensure that the detection devices were interconnected.The findings include:Based on a physical plant inspection, there were no smoke detectors identified on the second floor of the building. There were no interconnected detection devices within the facility. These findings were reviewed with facility staff during the inspection process.
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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. |