INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 30, 2019 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention & Treatment with the inspection also conducted for the approval to use Methadone in the treatment of narcotic addiction. Based on the findings of the on-site inspection, Polaris Renewal Services, Inc-Lemont Furnace 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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705.28 (a) (1) (iii) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iii) Maintain each ramp, interior stairway and outside steps exceeding two steps with a well-secured handrail and maintain each porch that has over an 18 inch drop with a well-secured railing.
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Observations
The facility failed to have a well-secured handrail for an interior stairway exceeding two steps.
During a physical site inspection on May 30, 2019, it was found that the facility had a three step interior stairway that did not have a well-secured handrail.
These findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
The facility installed a secure handrail on the three step interior hallway on 6/17/19. |