INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on March 26, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Dunmore Comprehensive 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 physical plant inspection conducted on March 26, 2025, the facility failed to maintain the grounds in good repair at all times for the safety and well-being of clients, employees and visitors.
A large ceiling tile in the nurses dispensing station was discolored and bulging.
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Plan of Correction
CD will ensure ceiling tile in dispensary in replaced with a new ceiling tile by 4/25/25. CD will complete monthly walkthrough of building and grounds to ensure all areas are in good repair to begin in the month of April 2025 and on going. |