INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on October 22, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, New Directions Healthcare 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.
The following deficiencies were identified.
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Plan of Correction
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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
Based on observation and a physical plant inspection, the facility failed to provide an unobstructed exit from the front entrance.
The findings include:
A physical plant inspection was conducted on October 22, 2014. A double key deadbolt is located on the front entrance to the facility. Therefore, this exit is not unobstructed and operable at all times.
The findings were reviewed with the facility staff during the on-site 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. |