INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on August 16, 2016, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Alcohol and Drug Abuse Services Inc., 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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705.24 (3) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential facility shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120F.
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Observations
The hot water temperature in the client bathroom was tested at 125 degrees Fahrenheit.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
On 8/16/16 the St Marys clerical staff called the landlord of the St Marys Office about the hot water. He agreed to turn down the hot water tank. On 9/1/16 the clinical supervisor used a thermometer to check the temperature. It read 118 degrees Fahrenheit.
Beginning 10/1/16 staff in each office responsible for the monthly fire drills will use a thermometer to check the hot water temperature to ensure it is not above 120 degrees Fahrenheit. the results will be documented on the fire drill page and kept on file by the clerical supervisor. Any temperatures above 120 degrees Fahrenheit will be reported immediately via email to the facility director. |