INITIAL COMMENTS
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This report is a result of an on-site physical plant inspection conducted for a capacity increase request. The inspection was conducted on February 2, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Pyramid Healthcare Inc. Pine Ridge 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.
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Plan of Correction
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705.6 (4) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(4) Provide privacy in toilets by doors, and in showers and bathtubs by partitions, doors or curtains. There shall be slip-resistant surfaces in all bathtubs and showers.
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Observations
Based on a physical plant inspection, the facility failed to provide slip resistant surfaces in all of the bathtubs and showers.
The findings include:
A physical plant inspection was conducted on February 2, 2012 at approximately 11:00 AM. The facility did not provide a slip-resistant surface in the second floor bathtub/shower.
The findings were reviewed with the facility director and the maintenance staff member and were not disputed.
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Plan of Correction
An anti-skid lining was purchased and placed in the base of the bathtub/shower in the second floor bathroom on 2/8/12. This was completed by Program Director. Picture was taken for verification and forwarded to DOH as instructed to do so by DOH licensing specialist on 2/8/12. |
705.10 (a) (1) (iii) LICENSURE Fire safety.
705.10. Fire safety.
(a) Exits.
(1) The residential facility shall:
(iii) Maintain each ramp, interior stairway and outside steps exceeding two steps with a well-secured handrail and maintain each porch that has over an 18-inch drop with a well-secured railing.
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Observations
Based on a physical plant inspection, the facility failed to provide a handrail on the interior stairway leading from the first floor to the basement.
The findings include:
A physical plant inspection was conducted on February 2, 2012 at approximately 11:00 AM. The interior stairway from the first floor to the basement has three steps, a landing, and another five steps. The facility did not provide a handrail on the stairway with three steps or the stairway with five steps.
The findings were reviewed with the facility director and the maintenance staff member and were not disputed.
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Plan of Correction
A handrail was built by Pyramid maintenance staff and completed on 2/7/12. The handrail was placed on the stairway going from the first floor to the basement, both at the initial three steps and at the additional five steps. Program director confirmed completion of project. A picture was taken and sent to DOH (as directed by licensing specialist) for verification purposes on 2/8/12 by Program director. |