INITIAL COMMENTS
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This report is a result of an initial on-site licensure inspection conducted on November 13, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Impact Counseling Services, LLC was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
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Plan of Correction
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705.28 (a) (1) (iv) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iv) Clearly indicate exits by the use of signs.
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Observations
Based on observation during a physical plant inspection, the facility failed to ensure that all exits were clearly indicated by the use of signs.
The findings include:
A physical plant inspection was conducted on November 13, 2015 at approximately 10:30 AM.
The facility failed to ensure that exit signage was posted at and leading to both the front and rear exits.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |