Observations
Based on a physical plant inspection conducted on April 15, 2025, it was observed that the facility failed to ensure the safety and well-being of residents, staff, and visitors as evidenced by the following:
Second floor
Bedroom # 3 has a window covering with broken and missing slats.
Bedroom # 4 has a black plastic garbage bag over the window and a towel stuffed between the upper windowpane and the window encasement. There is a gap between the window and the encasement in the bottom right corner, allowing cold air, water, and bugs entry into the bedroom.
Bedroom # 5 has paper towels stuffed between the upper and lower windowpane.
Third floor
Bathroom window is missing glass. There is a thin panel of frosted plexiglass that is broken and has the broken piece taped into the panel.
Bedroom # 6 has a window with a gap at the top between the upper windowpane and the encasement allowing cold air, water, and bugs entry into the bedroom.
Bedroom # 7 has a cracked windowpane.
Bedroom # 8 has a window has a gap between the lower windowpane and the encasement on the right side of the window allowing cold air, water, and bugs entry into the bedroom.
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Plan of Correction
On 5/6/2025, Renewal by Anderson was out to the facility (La Casa HWH), and provided a quote for the replacement of all windows at this facility. Replacement of all windows is scheduled to start 8/11/25 and will take an estimated 10-12 weeks to complete. Order request has been submitted to DDAP Auditor for review. SUD Program Director will continue monitoring the work and ensure this is completed withing the expected time frame. SUD Program Director will ensuring the POC id completed. SUD Program Director will complete monthly inspections of the physical plant to address any potential deficiencies. Window blind in bedroom #3 is being replaced as of today 5/8/25. |