INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 30-31, 2013 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Chester County Intermediate Unit - Changes was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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705.28 (c) (3) LICENSURE Fire safety.
705.28. Fire safety.
(c) Fire extinguishers. The nonresidential facility shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection shall be indicated on the extinguisher or inspection tag. If a fire extinguisher is found to be inoperable, it shall be replaced or repaired within 48 hours of the time it was found to be inoperable.
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Observations
Based on the physical plant inspection, the facility failed to ensure that fire extinguishers were inspected and approved annually by the local fire department or fire extinguisher company.
The findings include:
The physical plant inspection was conducted on October 31, 2013. The facility failed to ensure that three fire extinguishers in the facility were inspected and approved within the last year. The three fire extinguishers did not have inspection tags that documented the date of the most recent annual inspection.
The facility director confirmed the findings.
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Plan of Correction
The three fire extinguishers were replaced the following day by our facilities department. Facility director will ensure the annual inspection and necessary replacement of every and all fire extinquishers. |