INITIAL COMMENTS
|
This report is a result of an initial on-site licensing inspection conducted on July 16, 2013 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, Livengrin Foundation, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
The following deficiencies were identified.
|
Plan of Correction
|
705.26 (2) LICENSURE Heating and cooling.
705.26. Heating and cooling.
The nonresidential facility:
(2) May not permit in the facility heaters that are not permanently mounted or installed.
|
Observations
Based upon the physical plant inspection, the facility failed to ensure that heaters that are not permanently mounted or installed are not permitted within the facility.
The findings include:
The physical plant inspection was conducted on July 16, 2013, from approximately 12:00 PM to 12:30 PM.
Portable heaters were located in two offices on the second floor of the facility: the fourth office on the left hand side of the main hallway and the recessed office just past the bathrooms on the right hand side of the main hallway.
The findings were confirmed by a Director of the counseling center during the physical plant inspection.
|
Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
705.27 (4) (i) LICENSURE General safety and emergency procedures.
705.27. General safety and emergency procedures.
The nonresidential facility shall:
(4) Provide written procedures for staff and clients to follow in case of an emergency which shall include provisions for:
(i) The evacuation and transfer of clients and staff to a safe location.
|
Observations
Based upon the review of the facility's emergency procedures, the facility failed to provide written procedures for the evacuation and transfer of clients and staff.
The findings include:
The facility's emergency procedures were reviewed on July 16, 2013. The emergency procedures that were presented failed to address the evacuation and transfer of clients and staff during internal emergencies (i.e. fire, power failure) and external emergencies, (i.e. extreme heat, tornado, flood).
The findings were confirmed by a Director of the counseling center during the review of the emergency plans.
|
Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |