INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on December 6, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site initial inspection, Casa de Consejeria y Salud Integral, 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.
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Plan of Correction
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705.22 (4) LICENSURE Building exterior and grounds.
705.22. Building exterior and grounds.
The nonresidential facility shall:
(4) Store all trash, garbage and rubbish in noncombustible, covered containers that prevent the penetration of insects and rodents, and remove it at least once every week.
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Observations
Based on observation during a physical plant inspection, the facility failed to store all trash, garbage, and rubbish in noncombustible, covered containers that prevent the penetration of insects and rodents.
The findings include:
A physical plant inspection was conducted on December 6, 2012, at approximately 9:45 AM.
The facility was required to store trash in noncombustible, covered containers.
It was observed that the facility did not have trash containers; in addition, there were numerous contractor trash bags piled in the back of the facility.
The Project Director confirmed the findings.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
705.23 (3) LICENSURE Counseling or activity areas and office space
705.23. Counseling or activity areas and office space.
The nonresidential facility shall:
(3) Ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room. Counseling room walls shall extend from the floor to the ceiling.
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Observations
Based on observation during a physical plant inspection, the facility failed to ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room.
The findings include:
A physical plant inspection was conducted on December 6, 2012, at approximately 9:45 AM.
It was observed that one individual counseling room and one group room lacked window blinds or curtains to ensure privacy.
The Project Director confirmed the findings.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
705.24 (2) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential 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
Based on observation during a physical plant inspection, the facility failed to provide a wall mirror in each bathroom.
The findings include:
A physical plant inspection was conducted on December 6, 2012, at approximately 9:45 AM.
The facility was required to provide a wall mirror in each bathroom.
It was observed that one out of two of the facility's bathrooms lacked a wall mirror, in particular the bathroom on the second floor.
The Project Director confirmed the findings.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
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
Based on observation during a physical plant inspection, the facility failed to provide hot water.
The findings include:
A physical plant inspection was conducted on December 6, 2012, at approximately 9:45 AM. It was observed that there was no hot water in two of two of the facility's bathrooms; water did not come out of the facets.
The Project Director confirmed the findings.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
705.26 (1) LICENSURE Heating and cooling.
705.26. Heating and cooling.
The nonresidential facility:
(1) Shall have a heating and cooling ventilation system that is adequate to maintain an indoor temperature of at least 65F in the winter. When indoor temperatures exceed 90F, mechanical ventilation such as fans or air conditioning shall be used.
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Observations
Based on observation during a physical plant inspection, the facility failed to maintain an operable heating system and ensure that the indoor temperature was at least 65 degrees Fahrenheit.
The findings include:
A physical plant inspection was conducted on December 6, 2012, at approximately 9:45 AM. The facility failed to maintain an operable heating system so that the indoor temperature was at least 65 degrees Fahrenheit. It was observed that heating system was not operable at the time of inspection.
The Project Director confirmed the findings.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
705.28 (a) (1) (iii) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iii) Maintain each ramp, interior stairway and outside steps exceeding two steps with a well-secured handrail and maintain each porch that has over an 18 inch drop with a well-secured railing.
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Observations
Based on observation during a physical plant inspection, the facility failed to maintain each stairway exceeding two steps with a well secured handrail.
The findings include:
A physical plant inspection was conducted on December 6, 2012, at approximately 9:45 AM. The facility was required to maintain each stairway exceeding two steps with a well secured handrail. The facility did not have a handrail for the three steps leading to the outside rear emergency exit.
The Facility Director confirmed the findings.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |