INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on April 25 through 27, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Greene Treatment Center was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.22 (2) LICENSURE Building exterior and grounds.
705.22. Building exterior and grounds.
The nonresidential facility shall:
(2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well being of clients, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
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Observations
Based on a complaint investigation on April 25 through 27, 2023, the facility failed to have a parking lot free from hazards.The parking lot had several deep potholes and the driveway leading into the parking lot also had a deep pothole in the middle of the driveway.
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Plan of Correction
In accordance with Policy 705.2 Building exterior and grounds. The nonresidential facility shall: (2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well being of clients, employees and visitors. The Exterior of the building grounds shall be free of hazards. On May 5, 2023, Greene Valley did repair the potholes located in the driveway leading to the paring lot and the deep pothole located in the middle of the driveway. Weekly inspection of the property by the Project Director will take place to ensure client roadways will be kept in good repair. Any Issues will be addressed immediately by contacting Greene Valley. The repairs were completed in entirely on 5/5/23.Compliance with the standard is effective immediately.
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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 complaint investigation on April 25 through 27, 2023, the facility failed to have working exhaust fan in the staff and client restrooms.The staff restroom had a portable fan brought in and the exhaust fan wasn't working and had build-up covering the exhaust.The client restroom exhaust fan had build-up covering the exhaust..
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Plan of Correction
In accordance with policy 705.24 (5) Bathrooms. The nonresidential facility shall: Ventilate bathrooms by exhaust fan or window. Daily inspection of the staff restroom by the Clinical Supervisor will take place to ensure the exhaust fan is clean and working properly. At no time will a portable fan be permitted in the staff restroom. Daily inspection of the client restroom by the Clinical Supervisor will take place to ensure the exhaust fan is clean and working properly. On 6/1/2023 Greene Treatment Center did initiate Hop Mops Cleaning service to complete ongoing monthly thorough cleaning. The project director will also complete periodic facility inspections at Greene Treatment Center to ensure compliance. |