INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on January 16, 2020 by staff from the Bureau of Quality Assurance for Prevention & Treatment. Based on the findings of the on-site complaint investigation, New Perspectives at White Deer Run was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.2 (4) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(4) Store all trash, garbage and rubbish in noncombustible, covered containers that prevent the penetration of insects and rodents, and remove it, at least once every week.
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Observations
The facility did not ensure that the garbage in the dumpster was properly contained.
The garbage dumpster was observed to be overflowing with garbage, preventing the lid from closing.
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Plan of Correction
Facility Director will complete an assessment of the amount of waste/trash being produced on a weekly basis to determine if the receptacle is large enough. If it's not, a larger dumpster will be obtained.
Facility Director will re-train all staff of the requirement to keep the dumpster lid closed.
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705.6 (5) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(5) Ventilate toilet and wash rooms by exhaust fan or window.
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Observations
Based on a physical plant inspection, the facility failed to ensure that all bathrooms were properly ventilated.
The exhaust fan was observed to not be working in the bathroom shared by bedrooms 1 &2 located on the female unit in the Serena Lodge. Additionally, the window located in that bathroom also had a window that did not open.
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Plan of Correction
Facility Director will schedule contractors to provide quotes to renovate the farmhouse lower level bathroom. Once quotes are reviewed, the Facility Director will schedule a contractor to complete the renovation. In the interim, the Facility Director and Maintenance reconnected the exhaust fan. |
705.6 (7) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(7) Maintain each bathroom in a functional, clean and sanitary manner at all times.
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Observations
Based on a physical plant inspection, the facility failed to ensure that each restroom was functional, clean and sanitary at all times. What looks like mold was observed in the bathroom shared by bedrooms 1 & 2 on the female unit in the Serena Lodge and on the male unit bathrooms, in the Farmhouse. Additionally, the floor was torn due to a water leak on the mail unit in the Farmhouse.
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Plan of Correction
Facility Director will assess the cleanliness of the facility. The housekeeper will be assigned regular duties to ensure bathrooms are cleaned at least five times per week. Additionally, another staff member has been assigned to assist the housekeeper in cleaning duties. |
709.54(a)(4) LICENSURE Safety/sanitation
709.54. Project management services.
(a) An inpatient nonhospital project shall have written policies and procedures for its dietetic services which include, but are not limited to:
(4) Safety and sanitation, including the preparation, handling, and storage of foods; the care and cleaning of dishes, utensils and work area.
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Observations
The facility did not store cooking utensils in a safe and sanitary manner.
Cooking utensils were observed hanging from hooks in the kitchen. The utensils were not properly covered or stored.
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Plan of Correction
Dietary Aides will store all utensils in a closed container or drawer.
Regional Dietary Service Manager will monitor for compliance through monthly dietary audits.
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