INITIAL COMMENTS
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This report is a result of an initial on-site licensure inspection conducted on February 16, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Clinical Outcomes Group, 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 and a plan of correction is due on May 10, 2010.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
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Plan of Correction
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705.28 (b) (1) LICENSURE Fire safety.
705.28. Fire safety.
(b) Smoke detectors and fire alarms. The nonresidential facility shall:
(1) Maintain a minimum of one operable automatic smoke detector on each floor, including the basement and attic.
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Observations
Based upon an interview with the Executive Director the facility lacked an interconnected smoke detector in the basement.
The findings include:
Based upon an interview with the Executive Director the facility decided to utilize the second floor of their current building as well as the first floor for the Drug and Alcohol Treatment Program. This would require that all levels including the basement and attic be provided with a minimum of one interconnected smoke detector in a common area.
During an interview with the Executive Director, he stated that while the attic had an interconnected smoke detector, the basement did not.
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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. |
705.28 (c) (1) LICENSURE Fire safety.
705.28. Fire safety.
(c) Fire extinguishers. The nonresidential facility shall:
(1) Maintain a portable fire extinguisher with a minimum of an ABC rating which shall be located on each floor. If there is more than 2,000 square feet of floor space on a floor, there shall be an additional fire extinguisher for each 2,000 square feet or fraction thereof.
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Observations
Based upon an interview with the Executive Director the facility lacked a fire extinguisher in the basement.
The findings include:
Based upon an interview with the Executive Director the facility decided to utilize the second floor of their current building as well as the first floor for the Drug and Alcohol Treatment Program. This would require that the facility maintain a portable fire extinguisher with a minimum of an ABC rating on each floor. If there is more than 2,000 square feet of floor space on a floor, there shall be an additional fire extinguisher for each 2,000 square feet or fraction thereof.
During an interview with the Executive Director, he stated that while the attic had an ABC rated fire extinguisher, the basement did not.
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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. |