INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on September 11, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, CenClear 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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705.23 (3) LICENSURE Counseling or activity areas and office space
705.23. Counseling or activity areas and office space.
The nonresidential facility shall:
(3) Ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room. Counseling room walls shall extend from the floor to the ceiling.
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Observations
Based on observation during the initial physical plant inspection, the facility failed to ensure that counseling sessions could not be seen outside of the counseling room.
The findings include:
The initial physical plant inspection took place on September 11, 2015 at 2:45 pm. During the inspection, it was observed that two group rooms did not have window coverings, and the facility was unable to ensure the counseling sessions could not be seen outside of the counseling room.
The findings were confirmed by the facility director.
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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. |