INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 3-4, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Alternative Counseling Associates, Inc. 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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705.2 (2) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential 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 residents, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
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Observations
Based on a physical plant inspection, the facility failed to keep the grounds of the facility clean, safe, sanitary and in good repair for the safety and well being of residents, employees and visitors.
The findings include:
A physical plant inspection was conducted September 4, 2014 between 11:00 AM and 1:00 PM. The third floor front bedroom carpet was wrinkled down the middle of the room, creating a significant tripping hazard. The carpeting at the doorway was covered by some type of tape, covering a gap between the carpet and the doorway.
These findings were discussed with facility staff during the inspection.
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Plan of Correction
The Executive Director assumes responsibility for this citation and the future monitoring of its compliance.
Our maintenance person has received estimates to replace the carpeting on the third floor apartment.
This job will be completed within 30 days by an outside carpet company. |
705.10 (b) (6) LICENSURE Fire safety.
705.10. Fire safety.
(b) Smoke detectors and fire alarms. The residential facility shall:
(6) Maintain all smoke detectors and fire alarms so that each person with a hearing impairment will be alerted in the event of a fire, if one or more residents or staff persons are not able to hear the smoke detector or fire alarm system.
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Observations
Based on a physical plant inspection, the facility failed to ensure the ability of each person with a hearing impairment will be alerted in the event of a fire.
The findings include:
A physical plant inspection was conducted September 4, 2014 between 11:00 AM and 1:00 PM. During this inspection, it was found that there was no device to notify a female resident unable to hear the smoke detector or fire alarm system. The female apartment contains three separate bedrooms with two beds each. None contained a device for the hearing impaired female.
These findings were discussed with facility staff during the inspection.
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Plan of Correction
The Executive Director assumes responsibility for this citation and the future monitoring of its compliance.
Our maintenance person has received estimates to install a device for hearing impaired females in the front bedroom of the basement apartment.
This job will be completed within 30 days by an outside company. |