INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on March 08, 2018 by staff from the Division of Accountability and Program Improvement. Based on the findings of the on-site complaint investigation, Gaudenzia Kindred House was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.6 (2) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(2) Provide a sink, a wall mirror, an operable soap dispenser, and either individual paper towels or a mechanical dryer in each bathroom.
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Observations
A physcial plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to provide an operable soap dispenser in each bathroom.
During the phsycial plant inspection the soap dispenser in facility bedroom #3 was observed to be broken.
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Plan of Correction
As of March 9, 2018, the broken soap dispenser was replaced with an operable soap dispenser. Program management will ensure that soap dispensers are operable through ongoing regular checks. |
705.7 (b) (3) 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:
(3) Clean all eating, drinking and cooking utensils and all food preparation areas after each usage and store the utensils in a clean enclosed area.
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Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to store utensils in a clean enclosed area.
During the inspection of the facility kitchen, it was observed that an uncovered plastic bucket of utensils was being stored on the windowsill.
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Plan of Correction
As of March 9, 2018 the utensils were relocated to in a covered container and placed inside of the kitchen's cabinet. Program management will ensure that utensils are maintained in a clean, enclosed area through ongoing regular monitoring. |
705.7 (b) (5) 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:
(5) Keep cold food at or below 40F, hot food at or above 140F, and frozen food at or below 0F.
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Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to keep food at or below 40 degrees.
During the inspection of the facility's kitchen, it was observed that the milk dispensing machine's temperature gauge was not functioning. In addition, facility staff reported that the temperature of the milk machine was not being monitored.
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Plan of Correction
As of March 9, 2018 a functioning temperature gauge was placed in the milk dispensing machine. The milk machine temperature is monitored daily by House Managers. The program management will ensure that the temperature gauge is working properly and the temperature is monitored. |
705.9 (1) LICENSURE General safety and emergency procedures.
705.9. General safety and emergency procedures.
The residential facility shall:
(1) Be free of rodent and insect infestation.
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Observations
A physcial plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to be free of rodent and insect infestation.
During the inspection, rodent excrement was observed in a closet at the bottom of the staircase leading from the first floor to the basement child care area. In addition, all clients interviewed reported an issue with ants.
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Plan of Correction
As of March 8, 2018, the contracted exterminators inspected the facility which included the closet at the bottom of the staircase leading from the first floor to the basement child area. There were not any findings of rodents or insects. The exterminators will monitor biweekly and/or monthly to ensure that the facility remains free of rodent and insect infestation. Program management will ensure that exterminator services are conducted regularly. |
705.10 (a) (1) (i) LICENSURE Fire safety.
705.10. Fire safety.
(a) Exits.
(1) The residential facility shall:
(i) Ensure that stairways, hallways and exits from rooms and from the residential facility are unobstructed.
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Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to ensure that exits from rooms and from residential facility are unobstructed.
During the inspection, it was observed that two of the facility doors exited into a courtyard which was full of snow and ice.
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Plan of Correction
As of March 8, 2018 the snow and ice was removed from the two doors exited into the courtyard. Program management will monitor that all exits are unobstructed through ongoing monitoring. |
705.11 (2) (iii) LICENSURE Child care.
705.11. Child care.
(2) Interior space. The residential facility shall:
(iii) Maintain protective caps over each electrical outlet.
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Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to maintain protective caps over each electrical outlet.
During the inspection, it was observed that protective caps were missing or swivel outlet covers were malfunctioning in the following areas:
Rooms 2,3,4,5,6 and 8.
In the hallway between rooms 5 and 6.
In the second story loft near the nurses office.
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Plan of Correction
As of March 8, 2018, the swivel outlet covers were properly functioning. Program management will ensure that
protective caps are over each electrical outlet and swivel outlet covers are properly functioning through regular, ongoing monitoring.
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709.28(b) LICENSURE Confidentiality
709.28. Confidentiality.
(b) The project shall secure client records within locked storage containers.
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Observations
A physical plant inspection was conducted on March 8, 2018. Based on this review, the facility failed to secure hard copy client records within locked storage containers.
During the inspection, in the third counselors office, it was observed that protected client information was laying on top of the file cabinet and on a chair in the office.
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Plan of Correction
As of March 8, 2018 the client information in the third counselor's office was removed and placed in a secure, locked area. Program management will ensure that all client records are secured within a locked storage container. |