INITIAL COMMENTS
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This report is a result of an complaint investigation conducted October 15 to November 17, 2025 by staff from the Bureau of Program Licensure. Based on the findings of the complaint investigation Stop and Surrender Wayne Ministries, Rainbow House, was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this investigation.
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Plan of Correction
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§ 717.29(e)(6) LICENSURE Physical plant standards - Bathrooms
§ 717.29. Physical plant standards.
(e) Bathrooms. The licensee shall:
(6) Provide toilet paper at each toilet at all times.
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Observations
Based on review of the physical plant investigation and interviews with staff and residents the recovery house failed to provide toilet paper for residents.
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Plan of Correction
POC
717.29 (e) (6) Physical plant standards ? Bathrooms. The licensee shall: provide toilet paper at each toilet at all times.
PROCEDURE
Staff will evaluate when supplies are needed through a visual walk-through assessment and communication with the residents residing in the facility. Staff are prompt to request supplies when items are running low.
1. Staff will be required to complete the detailed supply list for the specific site. Staff must date the supply list when submitting the request to management and keep a copy for house records.
2. Once the supply list is received, management will have the order filled within 24-72 hours.
3. Once on-site staff receive the supplies, they will be required to log and store them in the appropriate location, and to date the initial supply list with the dates when the items were received.
4. If staff or management have an issue with receiving supplies, they are instructed to contact the Director.
Effective immediately. |