INITIAL COMMENTS
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This report is a result of an on-site initial licensure inspection conducted on August 9, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection Treatment Trends 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 inspection and a plan of correction is required.
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Plan of Correction
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§ 717.29(b)(1) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(1) Keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
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Observations
Based on a physical plant inspection at the recovery house, the recovery house failed to keep the interior of the drug and alcohol recovery house clean, safe, and sanitary and in good repair.
The House Manager bedroom wall has water damage that has not been repaired.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
TTI Maintenance Department has located a potential water entry point and is in the process of correcting the issue, which is on the exterior of the building. TTI Maintenance Department will monitor this issue to ensure that water does not reenter at this or any other site. TTI Maintenance Department will scrape all loose plaster and spackle interior wall. Wall area will be resurfaced or dry-walled, and painted to match existing color. If the area becomes penetrated with water again, and the job falls outside the scope of the TTI Maintenance Department, outside vendors will be procured.
Completion date 11/30/2023
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