INITIAL COMMENTS
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This report is a result of a complaint investigation conducted on September 2, 2009 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the complaint investigation, the allegations made against Teen Challenge Training Center Inc were substantiated. A plan of correction must be submitted by October 30, 2010.
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Plan of Correction
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705.2 (1) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(1) Maintain all structures, fences and playground equipment, when applicable, on the grounds of the facility so as to be free from any danger to health and safety.
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Observations
Based on a tour of the facility ' s physical plant and an interview with the program manager, the facility failed to maintain all structures, fences and playground equipment, when applicable, on the grounds of the facility so as to be free from any danger to health and safety.
The findings include:
The facility's census on September 2, 2010 consisted of 52 clients from the Drug and Alcohol Program.
A tour of the facility ' s physical plant was conducted on September 2, 2010 at approximately 12:30 AM. The facility was required to be free of rodent and insect infestation. At the time of inspection, the facility had a bedbug infestation.
At the time of inspection, 13 clients from the Drug and Alcohol (D&A) program and 28 clients from the Mental Health (MH) program were sleeping on camping-style folding cots in the gymnasium. The remaining 39 D&A clients were still residing in the building that had the bed bug infestation.
An interview with the program manager was conducted on September 2, 2010 at approximately 1:30 AM. The program manager confirmed that the facility currently had a bedbug infestation. The program manager confirmed that the 13 clients from the D&A program and 28 clients from the MH program were sleeping in the gymnasium and that the remaining D&A clients were in the building that had the bed bug infestation.
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Plan of Correction
1. Once an incident of bed bugs has been confirmed that a dorm/room has Bed Bugs, the Maintenance staff and Program Manager will inspect the infected area, to determine the plan of action.
2. All clothing and bedding will then be place in clear plastic bags, to ensure no bugs will escape. The laundry will then be passed through a commercial dryer, to apply heat of 130 degrees, to kill any bugs on the clothing/bedding.
3. The maintenance dept. will then determine if the amount of bugs will need insecticide, or heat treatment. (Depending on amount of bugs found in room, it will determine what treatment is used.
4. Insecticide Treatment- Will consist of all belongings being removed from the infected area. A licensed exterminator will then spray infected area with insecticide. Once the insecticide dries, the room will be re-inspected, to make sure Bed Bugs are dead. Once final inspection has been made by Program Manager, the custodial dept. will then clean the room. In addition, once all aforesaid measures have been taken, the students will then be allowed to move back into the rooms.
5. Heat Treatment- Once report of Bed Bugs has been confirmed, Maintenance Staff and Program Manager will inspect the infected room to determine the plan of action.
6. Once it is determined that infestation warrants the Heat Treatment, all clothing and bedding will be placed in clear plastic bags. The laundry will then be taken to commercial dryer to be heated to 130 degrees to insure the Bed Bugs are killed.
7. Once all belongings are removed from the room/dorm, all wooden furniture i.e. bed frames, drawers, etc... Once all wooden furniture is disassembled and the rooms will be heated to a minimum temperature of 150 degrees for two hours.
8. Once Heat Treatment is over, furniture will be resembled. All cracks and crevasses will be caulked and sealed and furniture panted with an epoxy paint returned to rooms. A final insecticide spray will be made. Custodial Dept. will then clean the infected rooms.
9. Once rooms are cleaned and re-inspected by Maintenance Staff, the Program Manager will make a final inspection to ensure that bugs have been killed. If room/dorm is cleared, the students may return to room/dorm.
10. A maintenance spray will be used weekly, to further ensure that the Bed Bugs do not return. Steri-Fab is the spray that will be used on bed frames, and wooden drawers. No contact with any students' clothes or persons will be permitted.
Teen Challenge has adjusted protocol to treat further possible infestations to help assure that the Drug and Alcohol students are placed in rooms with no more than four men. By setting aside an allotment of two (four man) rooms (that meet the state's standards for Drug and Alcohol programs) for alternate housing options in case of further infestations
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705.5 (a) (1) LICENSURE Sleeping accommodations.
705.5. Sleeping accommodations.
(a) In each residential facility bedroom, each resident shall have the following:
(1) A bed with solid foundation and fire retardant mattress in good repair.
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Observations
Based on a tour of the facility ' s physical plant, the facility failed to provide each client with a bed with solid foundation and fire retardant mattress in good repair.
The findings include:
A tour of the facility ' s physical plant was conducted on September 2, 2010 at approximately 12:30 AM. At the time of inspection, 13 clients from the Drug and Alcohol (D&A) program and 28 clients from the Mental Health (MH) program were sleeping on camping-style folding cots in the gymnasium.
An interview with the program manager was conducted on September 2, 2010 at approximately 1:30 AM. The program manager confirmed that the 13 clients from the D&A program and 28 clients from the MH program were sleeping in the gymnasium.
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Plan of Correction
1. Once an incident of bed bugs has been confirmed that a dorm/room has Bed Bugs, the Maintenance staff and Program Manager will inspect the infected area, to determine the plan of action.
2. All clothing and bedding will then be place in clear plastic bags, to ensure no bugs will escape. The laundry will then be passed through a commercial dryer, to apply heat of 130 degrees, to kill any bugs on the clothing/bedding.
3. The maintenance dept. will then determine if the amount of bugs will need insecticide, or heat treatment. (Depending on amount of bugs found in room, it will determine what treatment is used.
4. Insecticide Treatment- Will consist of all belongings being removed from the infected area. A licensed exterminator will then spray infected area with insecticide. Once the insecticide dries, the room will be re-inspected, to make sure Bed Bugs are dead. Once final inspection has been made by Program Manager, the custodial dept. will then clean the room. In addition, once all aforesaid measures have been taken, the students will then be allowed to move back into the rooms.
5. Heat Treatment- Once report of Bed Bugs has been confirmed, Maintenance Staff and Program Manager will inspect the infected room to determine the plan of action.
6. Once it is determined that infestation warrants the Heat Treatment, all clothing and bedding will be placed in clear plastic bags. The laundry will then be taken to commercial dryer to be heated to 130 degrees to insure the Bed Bugs are killed.
7. Once all belongings are removed from the room/dorm, all wooden furniture i.e. bed frames, drawers, etc... Once all wooden furniture is disassembled and the rooms will be heated to a minimum temperature of 150 degrees for two hours.
8. Once Heat Treatment is over, furniture will be resembled. All cracks and crevasses will be caulked and sealed and furniture panted with an epoxy paint returned to rooms. A final insecticide spray will be made. Custodial Dept. will then clean the infected rooms.
9. Once rooms are cleaned and re-inspected by Maintenance Staff, the Program Manager will make a final inspection to ensure that bugs have been killed. If room/dorm is cleared, the students may return to room/dorm.
10. A maintenance spray will be used weekly, to further ensure that the Bed Bugs do not return. Steri-Fab is the spray that will be used on bed frames, and wooden drawers. No contact with any students' clothes or persons will be permitted.
Teen Challenge has adjusted protocol to treat further possible infestations to help assure that the Drug and Alcohol students are placed in rooms with no more than four men. By setting aside an allotment of two (four man) rooms (that meet the state's standards for Drug and Alcohol programs) for alternate housing options in case of further infestations.
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705.5 (a) (3) LICENSURE Sleeping accommodations.
705.5. Sleeping accommodations.
(a) In each residential facility bedroom, each resident shall have the following:
(3) A storage area for clothing.
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Observations
Based on a tour of the facility ' s physical plant, the facility failed to provide each resident with a storage area for clothing.
The findings include:
A tour of the facility ' s physical plant was conducted on September 2, 2010 at approximately 12:30 AM. At the time of inspection, 13 clients from the Drug and Alcohol (D&A) program and 28 clients from the Mental Health (MH) program were sleeping on camping-style folding cots in the gymnasium.
The facility failed to provide the clients with a storage area for their clothing. Clothing was strewn about over chairs and tables, laying on beds, hanging on the wall or on the floor in plastic garbage bags, milk crates, plastic containers and/or in laundry baskets.
An interview with the program manager was conducted on September 2, 2010 at approximately 1:30 AM. The program manager confirmed that the 13 clients from the D&A program and 28 clients from the MH program were sleeping in the gymnasium.
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Plan of Correction
1. Once an incident of bed bugs has been confirmed that a dorm/room has Bed Bugs, the Maintenance staff and Program Manager will inspect the infected area, to determine the plan of action.
2. All clothing and bedding will then be place in clear plastic bags, to ensure no bugs will escape. The laundry will then be passed through a commercial dryer, to apply heat of 130 degrees, to kill any bugs on the clothing/bedding.
3. The maintenance dept. will then determine if the amount of bugs will need insecticide, or heat treatment. (Depending on amount of bugs found in room, it will determine what treatment is used.
4. Insecticide Treatment- Will consist of all belongings being removed from the infected area. A licensed exterminator will then spray infected area with insecticide. Once the insecticide dries, the room will be re-inspected, to make sure Bed Bugs are dead. Once final inspection has been made by Program Manager, the custodial dept. will then clean the room. In addition, once all aforesaid measures have been taken, the students will then be allowed to move back into the rooms.
5. Heat Treatment- Once report of Bed Bugs has been confirmed, Maintenance Staff and Program Manager will inspect the infected room to determine the plan of action.
6. Once it is determined that infestation warrants the Heat Treatment, all clothing and bedding will be placed in clear plastic bags. The laundry will then be taken to commercial dryer to be heated to 130 degrees to insure the Bed Bugs are killed.
7. Once all belongings are removed from the room/dorm, all wooden furniture i.e. bed frames, drawers, etc... Once all wooden furniture is disassembled and the rooms will be heated to a minimum temperature of 150 degrees for two hours.
8. Once Heat Treatment is over, furniture will be resembled. All cracks and crevasses will be caulked and sealed and furniture panted with an epoxy paint returned to rooms. A final insecticide spray will be made. Custodial Dept. will then clean the infected rooms.
9. Once rooms are cleaned and re-inspected by Maintenance Staff, the Program Manager will make a final inspection to ensure that bugs have been killed. If room/dorm is cleared, the students may return to room/dorm.
10. A maintenance spray will be used weekly, to further ensure that the Bed Bugs do not return. Steri-Fab is the spray that will be used on bed frames, and wooden drawers. No contact with any students' clothes or persons will be permitted.
Teen Challenge has adjusted protocol to treat further possible infestations to help assure that the Drug and Alcohol students are placed in rooms with no more than four men. By setting aside an allotment of two (four man) rooms (that meet the state's standards for Drug and Alcohol programs) for alternate housing options in case of further infestations.
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705.5 (c) LICENSURE Sleeping accommodations.
705.5. Sleeping accommodations.
(c) No more than four residents may share a bedroom.
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Observations
Based on a tour of the facility ' s physical plant, the facility failed to ensure that there were no more than four residents sharing a bedroom.
The findings include:
A tour of the facility ' s physical plant was conducted on September 2, 2010 at approximately 12:30 AM. At the time of inspection, 13 clients from the Drug and Alcohol (D&A) program and 28 clients from the Mental Health (MH) program were sleeping on camping-style folding cots in the gymnasium.
An interview with the program manager was conducted on September 2, 2010 at approximately 1:30 AM. The program manager confirmed that the 13 clients from the D&A program and 28 clients from the MH program were sleeping in the gymnasium.
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Plan of Correction
1. Once an incident of bed bugs has been confirmed that a dorm/room has Bed Bugs, the Maintenance staff and Program Manager will inspect the infected area, to determine the plan of action.
2. All clothing and bedding will then be place in clear plastic bags, to ensure no bugs will escape. The laundry will then be passed through a commercial dryer, to apply heat of 130 degrees, to kill any bugs on the clothing/bedding.
3. The maintenance dept. will then determine if the amount of bugs will need insecticide, or heat treatment. (Depending on amount of bugs found in room, it will determine what treatment is used.
4. Insecticide Treatment- Will consist of all belongings being removed from the infected area. A licensed exterminator will then spray infected area with insecticide. Once the insecticide dries, the room will be re-inspected, to make sure Bed Bugs are dead. Once final inspection has been made by Program Manager, the custodial dept. will then clean the room. In addition, once all aforesaid measures have been taken, the students will then be allowed to move back into the rooms.
5. Heat Treatment- Once report of Bed Bugs has been confirmed, Maintenance Staff and Program Manager will inspect the infected room to determine the plan of action.
6. Once it is determined that infestation warrants the Heat Treatment, all clothing and bedding will be placed in clear plastic bags. The laundry will then be taken to commercial dryer to be heated to 130 degrees to insure the Bed Bugs are killed.
7. Once all belongings are removed from the room/dorm, all wooden furniture i.e. bed frames, drawers, etc... Once all wooden furniture is disassembled and the rooms will be heated to a minimum temperature of 150 degrees for two hours.
8. Once Heat Treatment is over, furniture will be resembled. All cracks and crevasses will be caulked and sealed and furniture panted with an epoxy paint returned to rooms. A final insecticide spray will be made. Custodial Dept. will then clean the infected rooms.
9. Once rooms are cleaned and re-inspected by Maintenance Staff, the Program Manager will make a final inspection to ensure that bugs have been killed. If room/dorm is cleared, the students may return to room/dorm.
10. A maintenance spray will be used weekly, to further ensure that the Bed Bugs do not return. Steri-Fab is the spray that will be used on bed frames, and wooden drawers. No contact with any students' clothes or persons will be permitted.
Teen Challenge has adjusted protocol to treat further possible infestations to help assure that the Drug and Alcohol students are placed in rooms with no more than four men. By setting aside an allotment of two (four man) rooms (that meet the state's standards for Drug and Alcohol programs), for alternate housing options in case of further infestations.
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705.9 (1) LICENSURE General safety and emergency procedures.
705.9. General safety and emergency procedures.
The residential facility shall:
(1) Be free of rodent and insect infestation.
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Observations
Based on a tour of the facility ' s physical plant, the facility failed to be free of rodent and insect infestation.
The findings include:
A tour of the facility ' s physical plant was conducted on September 2, 2010 at approximately 12:30 AM. The facility was required to be free of rodent and insect infestation. At the time of inspection, the facility had a bedbug infestation.
An interview with the program manager was conducted on September 2, 2010 at approximately 1:30 AM. The program manager confirmed that the facility currently had a bedbug infestation.
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Plan of Correction
1. Once an incident of bed bugs has been confirmed that a dorm/room has Bed Bugs, the Maintenance staff and Program Manager will inspect the infected area, to determine the plan of action.
2. All clothing and bedding will then be place in clear plastic bags, to ensure no bugs will escape. The laundry will then be passed through a commercial dryer, to apply heat of 130 degrees, to kill any bugs on the clothing/bedding.
3. The maintenance dept. will then determine if the amount of bugs will need insecticide, or heat treatment. (Depending on amount of bugs found in room, it will determine what treatment is used.
4. Insecticide Treatment- Will consist of all belongings being removed from the infected area. A licensed exterminator will then spray infected area with insecticide. Once the insecticide dries, the room will be re-inspected, to make sure Bed Bugs are dead. Once final inspection has been made by Program Manager, the custodial dept. will then clean the room. In addition, once all aforesaid measures have been taken, the students will then be allowed to move back into the rooms.
5. Heat Treatment- Once report of Bed Bugs has been confirmed, Maintenance Staff and Program Manager will inspect the infected room to determine the plan of action.
6. Once it is determined that infestation warrants the Heat Treatment, all clothing and bedding will be placed in clear plastic bags. The laundry will then be taken to commercial dryer to be heated to 130 degrees to insure the Bed Bugs are killed.
7. Once all belongings are removed from the room/dorm, all wooden furniture i.e. bed frames, drawers, etc... Once all wooden furniture is disassembled and the rooms will be heated to a minimum temperature of 150 degrees for two hours.
8. Once Heat Treatment is over, furniture will be resembled. All cracks and crevasses will be caulked and sealed and furniture panted with an epoxy paint returned to rooms. A final insecticide spray will be made. Custodial Dept. will then clean the infected rooms.
9. Once rooms are cleaned and re-inspected by Maintenance Staff, the Program Manager will make a final inspection to ensure that bugs have been killed. If room/dorm is cleared, the students may return to room/dorm.
10. A maintenance spray will be used weekly, to further ensure that the Bed Bugs do not return. Steri-Fab is the spray that will be used on bed frames, and wooden drawers. No contact with any students' clothes or persons will be permitted.
The above protocol will be followed to help assure that the facility continues to be free from bedbugs.
All Drug and Alcohol students shall be back in the 80 bed facility by October 30. All other students will be moved into appropriate housing by the 14th of November, 2010 to ensure that the plan of action submitted to the state in September 2010 is completed.
Affective as of November 14, 2010 the above protocol will be enacted.
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