INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on May 2, 2012, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site complaint investigation, Samara House of CYWA 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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705.5 (a) (1) LICENSURE Sleeping accommodations.
705.5. Sleeping accommodations.
(a) In each residential facility bedroom, each resident shall have the following:
(1) A bed with solid foundation and fire retardant mattress in good repair.
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Observations
Based on observation during a physical plant inspection, the facility failed to provide mattresses in good repair in the bedrooms.
The findings include:
A physical plant inspection was completed on May 2, 2012.
Rooms # 4, 6, and 7 had mattresses that were severely cracked and not in good repair.
Several different pest control companies have been called to treat the bedbugs. February 28, 2012,March 20, 2012, march 21, 2012, march 27, 2012 April 24, 2012 and April 5, 2012.
No bedbugs were found this inspection, however, a conversation with the project director and the women who live at this facility confirmed there were bedbugs about three weeks ago.
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Plan of Correction
As of 5/8/12, four (4) new mattresses were purchased by Project Director and the old ones were destroyed.
Mattress covers to protect against bed bugs were ordered on 5/8/12 for all beds and were received on 5/14/12.
CQI and LPN will check all mattresses monthly to ensure quality. |
709.17(a)(1) LICENSURE Subchapter B.Licensing Procedures.Refusal/rev
709.17. Refusal or revocation of license.
(a) The Department may revoke or refuse to issue a license for any of the following reasons:
(1) Failure to comply with a directive issued by the Department.
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Observations
Based on an on-site investigation of a bedbug complaint on May 2, 2012, the facility failed to comply with a directive issued by the Department.
The findings include:
A follow up inspection for a complaint the facility failed to comply with a directive issued by the Department concerning the policy 705.9 (1) to keep the facility free of insects and infestation.
The facility had knowledge of bedbugs and failed to file a complaint with the Department.
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Plan of Correction
As of 5/3/12, a meeting was conducted with all staff by Project Director to educate staff on compliance with 705.9 on keeping facility free of insects and infestation and reporting to the Department of Health. Any infestation will be reported to Project and Facility Directors and an incident report will be filed with Department of Health immediately.
Person responsible: Facility and/or Project Director
Bed bug policy currently being written and will be put into policy by May 25, 2012 and approved by Board of Directors.
Person responsible: Project Director |