INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on August 03, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Joy of Living Recovery Program XE9K6701 was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertain to the facility
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Plan of Correction
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§ 717.12 LICENSURE Refusal or revocation of license
§ 717.12. Refusal or revocation of license.
(a) The Department may revoke or refuse to issue a license for any of the following reasons:
(1) Failure to comply with a directive issued by the Department.
(2) Violation of, or noncompliance with, this chapter.
(3) Failure to comply with a plan of correction approved by the
Department, unless the Department approves an extension or modification of the plan of correction.
(4) Gross incompetence, negligence or misconduct in the operation of the drug and alcohol recovery house.
(5) Fraud, deceit, misrepresentation or bribery in obtaining or
attempting to obtain a license.
(6) Lending, borrowing or using the license of another drug and alcohol recovery house.
(7) Knowingly aiding or abetting the improper granting of a license.
(8) Mistreating or abusing residents at the drug and alcohol recovery house.
(9) Continued noncompliance in disregard of this part.
(10) Operating a drug and alcohol recovery house that, by nature of its physical condition, endangers the health and safety of the public.
(b) If the Department proposes to revoke or refuse to issue a license, it will give written notice to the applicant or licensee by certified mail, stating the following:
(1) The reasons for the proposed action.
(2) The specific time period for the drug and alcohol recovery house to correct deficiencies.
(c) If the drug and alcohol recovery house does not correct the deficiencies within the specified time, the Department will officially notify the applicant or licensee that it shall show cause why its license should not be denied or revoked under 1 Pa. Code § 35.14 (relating to orders to show cause), and that it has a right to a hearing authorized by the Department on this question. The applicant or licensee shall file a written request within 30 days of receipt of the show cause order.
(d) Subsection (c) supplements 1 Pa. Code § 35.14.
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Observations
Based on an onsite investigation which included staff interview and a physical plant inspection. The recovery house neglected to provide resident access to nourishment to address dietary need and neglected to have staff member available to address resident ' s dietary need.
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Plan of Correction
Signs have been posted with kitchen coordinators contact information for residents to communicate the need for an alternative meal.
The kitchen coordinator will ensure a dietary alternative is restocked/available at the end of each shift. |
§ 717.29(f)(1) LICENSURE Physical plant standards - Kitchens
§ 717.29. Physical plant standards.
(f) Kitchens. The licensee shall:
(1) Provide a kitchen area with capacity for residents to safely store food items and prepare meals. The kitchen area must include refrigerator, sink, stove, oven and cabinet space in a good state of repair.
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Observations
Based on an onsite investigation which included staff interview and a physical plant inspection. The recovery house failed to provide resident access to a stove in order to prepare meals.
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Plan of Correction
The community kitchen provides 24 hour open access to a microwave and toaster to prepare/reheat meals. The kitchen coordinator will monitor the proper operation/functioning of these appliances on a semi-annual basis. |