INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 5, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection VCS36701 Herkey House was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.29(b)(1) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(1) Keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
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Observations
Based on review of the physical plant inspection the recovery house failed to
keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Management organized a house meeting to review Department requirements on 717.29(b)(1). Resident were made aware of the requirements to keep internal and external grounds clean. Maintenance removed exterior debris on 9/14/2024. Resident lead was instructed to perform a full exterior inspection on a weekly basis and report any concerns to management. Management will perform random inspections on the property to ensure compliance. |
§ 717.30(b)(2) LICENSURE Safety and emergency procedures - Exits
§ 717.30. Safety and emergency procedures.
(b) Exits. The licensee shall:
(2) Maintain a minimum of two unobstructed exits that are separated by a minimum distance of 15 feet on every floor that contains resident bedrooms. Equipment such as ladders and escapes located above the ground floor must be securely affixed to the house. Rooms, including resident bedrooms, that contain an exit must be unlocked and accessible to all residents in the event of an emergency.
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Observations
Based on the physical plant inspection the recovery house failed to maintain a minimum of two unobstructed exits that are separated by a minimum distance of 15 feet on every floor that contains resident bedrooms. Equipment such as ladders and escapes located above the ground floor must be securely affixed to the house. Rooms, including resident bedrooms, that contain an exit must be unlocked and accessible to all residents in the event of an emergency.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Management reviewed egress requirements per 717.30(b)(2) with Resident Lead. Window mounted AC was removed on 9/14/2024 and replaced with a portable unit that does not obstruct the emergency exit. RL was informed there is not to be a window unit installed during summer months. Management will verify the window remains clear during weekly inspections. |