INITIAL COMMENTS
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This report is a result of an on-site recovery house complaint investigation conducted on August 9, 2023, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Skyline Recovery was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717, which pertains to the recovery house.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on staff interview, the recovery house failed to notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
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Plan of Correction
We developed a Disposition Form that will be completed upon discharge by the House Manager for all residents going forward. The form was presented to Fred Burke for approval and we were given it. |
§ 717.30(d)(3) LICENSURE Safety and emergency procedures -Extinguisher
§ 717.30. Safety and emergency procedures.
(d) Fire extinguishers. The licensee shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection must be indicated on the extinguisher or inspection tag; the licensee shall replace or repair a fire extinguisher found to be inoperable within 48 hours.
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Observations
Base on a phyiscal plant inspection the recovery house failed to ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection must be indicated on the extinguisher or inspection tag.
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Plan of Correction
All extinguishers on site were taken to be inspected and tagged the day after the site visit. All but 2 passed and retagged. We purchased 2 new extinguishers to replace the ones that were deficient. All extinguishers on site now have current tags. |