INITIAL COMMENTS
|
This report is a result of an on-site complaint investigation conducted on March 08, 2018 by staff from the Division of Accountability and Program Improvement. Based on the findings of the on-site complaint investigation, ARS of Lancaster, LP was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
|
Plan of Correction
|
705.6 (3) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120F.
|
Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to ensure hot water temperature does not exceed 120 degrees. During the physical plant inspection, DDAP staff took a temperature reading of the facility's hot water. The water was found to be 124 degrees farenheit.
|
Plan of Correction
On March 14, 2018, after having being alerted to this problem, ARS Lancaster contacted a local plumber in order to schedule a visit to regulate the temperature of our water heaters. On Friday, March 16, 2018, said plumber identified the problem and regulated the temperature of our water heaters. A physical inspection was conducted by a DDAP auditor in October 2018 and our water was found to be in compliance. We plan to continue reviewing the temperature of our water, on a monthly basis as part of the health and safety monthly checks. |
705.6 (6) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(6) Provide toilet paper at each toilet at all times.
|
Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to provide toilet paper at each toilet at all times. During the physical plant inspection, DDAP staff observed that no toilet paper was available in the bathroom off of the waiting room.
|
Plan of Correction
ARS Lancaster has installed toilet paper dispensers in all bathrooms to ensure more than 1 roll of toilet paper is available at all times. In addition, our cleaning crew is contracted to clean and to replenish toilet paper and hand soap 6 times a week. |
705.6 (7) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(7) Maintain each bathroom in a functional, clean and sanitary manner at all times.
|
Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to maintain each bathroom in a functional, clean and sanitary manner at all times. During the physical plant inspection, DDAP staff observed the client bathroom off of the waiting room and the bathroom in which urine samples are provided. Both of these bathrooms were dirty and unkempt.
|
Plan of Correction
ARS Lancaster identified and executed an agreement with different cleaning providers in 2018. This cleaning crew is now contracted to clean our facility, our bathrooms and common areas, 6 times a week. In order to ensure the cleanliness of our facility and bathrooms, our Office Manager completes daily walk troughs and reviews that the bathroom log forms are signed by the last cleaning staff in charge of cleaning it. These log forms are kept in a binder. |