INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 24-25, 2013 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Lehigh County Center For Recovery 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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705.2 (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
Based on the physical plant inspection, the facility failed to store all trash, garbage, and rubbish in noncombustible, covered containers.
The findings include:
The physical plant inspection was conducted on October 24, 2013. The facility failed to store all trash, garbage and rubbish in noncombustible, covered containers in the food preparation area.
The facility director confirmed the findings.
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Plan of Correction
On October 24, 2013 a noncombustible container with a lid was placed in the food preparation area under the supervision of the facility director. |
705.7 (b) (1) 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:
(1) Have a food preparation area with a refrigerator, a sink, a stove, an oven and cabinet space for storage.
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Observations
Based on the physical plant inspection, the facility failed to store cooking utensils in a clean enclosed area.
The findings include:
The physical plant inspection was conducted on October 24, 2013. The facility failed to store cooking utensils in a clean enclosed area as they were stored on hanging racks, in an open area located above the food preparation area.
The facility director confirmed the findings.
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Plan of Correction
On October 24, 2013 all utensils were placed in a drawer until additional cabinetry could be made available or an enclosure for the utensils can be made. This was supervised under the direction of the facility director. |
705.10 (c) (3) LICENSURE Fire safety.
705.10. Fire safety.
(c) Fire extinguisher. The residential facility shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection shall be indicated on the extinguisher or inspection tag. If a fire extinguisher is found to be inoperable, it shall be replaced or repaired within 48 hours of the time it was found to be inoperable.
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Observations
Based on the physical plant inspection, the facility failed to ensure that all fire extinguishers were inspected and approved annually by the local fire department or fire extinguisher company.
The findings include:
The physical plant inspection was conducted on October 25, 2013. The facility failed to ensure that all fire extinguishers were inspected and approved annually as seven fire extinguishers had inspection tags from a local fire extinguisher company that were dated September 2012.
The facility director confirmed the findings.
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Plan of Correction
On November 6, 2013 the fire extinguishers were inspected by certified vendor and new tags were placed on the newly inspected extinguishers. This action was supervised by the facility director. |