INITIAL COMMENTS
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This report is a result of an initial on-site licensure inspection conducted on January 4, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the inspection, Monroe County Counseling Services 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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705.22 (2) LICENSURE Building exterior and grounds.
705.22. Building exterior and grounds.
The nonresidential facility shall:
(2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well being of clients, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
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Observations
A physical plant inspection was conducted on January 4, 2017. Based on this inspection, the facility failed to keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well being of clients, employees and visitors. There were unsecured electrical wires in the area leading to the rear fire exit. There was a large hole through the wall to the exterior that would allow for rodents and/or insects to enter the building. The exit discharge for the intended second exit discharges directly to an alley way where cars do come in and out of the area adjacent to the building, thus, presenting a hazard of getting hit by a car. The exterior of the building had and extensive amount of poison ivy around the door and up the building. These findings were reviewed with facility staff at the time of the inspection.
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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. |
705.28 (a) (1) (i) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(i) Ensure that stairways, hallways and exits from rooms and from the nonresidential facility are unobstructed.
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Observations
A physical plant inspection was done on January 4, 2017. Based on the inspection, the facility fail to ensure that stairways, hallways, and exits from the facility were unobstructed as the second means of egress was through an area that was under demolition/construction and had various items along the route that would impede egress.These findings were reviewed with facility staff during the licensing inspection.
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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. |
705.28 (a) (1) (v) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(v) Light interior exits and stairs at all times.
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Observations
A physical plant inspection was conducted on January 4. 2017. Based on this inspection, the facility fail to provide lighted interior exits and stairs at all times as the second means of egress did not have continuous illumination along the route. These findings were reviewed with facility staff during the licensing inspection.
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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. |