INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 3, 2022, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Pyramid Healthcare, Inc- Pyramid Pittsburgh 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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705.6 (2) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(2) Provide a sink, a wall mirror, an operable soap dispenser, and either individual paper towels or a mechanical dryer in each bathroom.
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Observations
Based on a physical plant inspection on October 3, 2022, it was observed that the facility failed to provide either individual paper towels or a mechanical dryer in each patient ' s bathroom. These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Maintenance/Housekeeping staff immediately replenished paper towels in client rooms following the inspection. Maintenance/Housekeeping staff will check the units daily and replenish as part of their rounding. |
705.6 (3) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120F.
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Observations
Based on a physical plant inspection on October 3, 2022, it was observed that the facility failed to maintain hot water not exceeding 120 degrees. The water in the client bathrooms located in rooms #336 and #221 had hot water temperatures that were 126 degrees.These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Maintenance Manager immediately adjusted the water temperature in the affected client rooms. Safety Committee/Maintenance Manager will complete monthly water temperature checks to ensure the client water is within the appropriate temperature ranges. |
705.7 (b) (6) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(6) Store all food items off the floor.
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Observations
Based on a physical plant inspection on October 3, 2022, it was observed that the facility failed to store all food items off the floor. There were snacks in a milk crate stored on the floor in the kitchen.These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Kitchen Supervisor immediately moved the crated items to the table once this was identified. Kitchen Supervisor reviewed with all kitchen staff the following day (October 4, 2022) this regulation. Kitchen Supervisor will conduct daily rounds of the kitchen area to ensure all items are stored in the appropriate areas/off of the floor. |