INITIAL COMMENTS
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This report is a result of an on-site recovery house complaint investigation conducted on July 30, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, YMCA of Reading and Berks County - C37W6701 was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717, which pertains to the recovery house and a POC will be required.
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Plan of Correction
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§ 717.29(b)(1) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(1) Keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
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Observations
Based on a physical plant inspection it was found the recovery house failed to keep the interior clean and sanitary at all times. A mold-like substance was present on the upper wall of the kitchen.
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Plan of Correction
Implementation of Change is as follows:
As of July 30th, the maintenance staff checked and tested the area for mold. It was found to be rough cement from unfinished work that was not completed and dust. There was no sign of mold. The maintenance workers scrapped, spackled and will be painting the area once it is fully dried.
Staff will do weekly walk-throughs of their units to look for things that may need attention.
This will be monitored by Gena Pina Garcia
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§ 717.29(b)(3) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(3) Keep the drug and alcohol recovery house free of rodent and insect infestation.
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Observations
Following the request to interview staff it was found the recovery house failed to ensure the facility is free of insect infestation at all times.
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Plan of Correction
As of July 30th, the YMCA will continue to have pest control come in on a bi-weekly and as needed bases to treat and spray areas of concerns.
Staff are notified by clients of a concern during weekly house meetings or weekly individual sessions. The staff will then document the area of concern in the Pest Control book so that area can be treated.
This will be monitored by Gena Pina Garcia
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