INITIAL COMMENTS
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This report is a result of an on-site physical plant inspection conducted for a capacity increase request. The inspection was conducted on September 16, 2014 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, Program Licensure Division. Based on the findings of the on-site inspection, Kirkbride Center 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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705.3 LICENSURE Living rooms and lounges.
705.3. Living rooms and lounges.
The residential facility shall contain at least one living room or lounge for the free and informal use of clients, their families and invited guests. The facility shall maintain furnishings in a state of good repair.
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Observations
Based on an observation during the physical plant inspection the facility fail to maintain furnishing for the living room or lounge that will be informally used by the clients.
The findings include:
A physical plant inspection was conducted on September 16, 2014. The facility failed to maintain furnishing for the living room or lounge that will be informally used by the clients in the men's wing as the area was still being renovated. At the time of the inspection the room was devoid of any furnishings. The facility/MIS stated that the furniture was ordered, but, had not yet arrived.
These findings were reviewed with facility staff during the inspection.
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Plan of Correction
The request capacity increase request has been rescinded and this space will not be utilized for clients. |
705.4 (1) LICENSURE Counseling areas.
705.4. Counseling areas.
The residential facility shall:
(1) Maintain space for both individual and group counseling sessions.
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Observations
Based on an observation during the physical plant inspection the facility failed to maintain space for both individual and group counseling sessions.
The findings include:
A physical plant inspection was conducted on September 16, 2014. The facility failed to maintain space for both individual and group counseling sessions in the men's wing as the area was still being renovated.
These findings were reviewed with facility staff during the inspection.
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Plan of Correction
The request for capacity increase request has been rescinded and this space will not be utilized for clients.
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705.6 (1) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(1) Provide bathrooms to accommodate staff, residents and other users of the facility.
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Observations
Based on an observation during the physical plant inspection the facility failed to provide bathrooms to accommodate residents for men's wing that the facility wanted to utilize for the capacity increase.
The findings include:
A physical plant inspection was conducted on September 16, 2014. The facility failed to provide bathrooms to accommodate residents in the men's wing as the area was still being renovated.
These findings were reviewed with facility staff during the inspection.
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Plan of Correction
The request for capacity increase request has been rescinded and this space will not be utilized for clients.
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705.10 (c) (1) LICENSURE Fire safety.
705.10. Fire safety.
(c) Fire extinguisher. The residential facility shall:
(1) Maintain a portable fire extinguisher with a minimum of an ABC rating, which shall be located on each floor. If there is more than 2,000 square feet of floor space on a floor, the residential facility shall maintain an additional fire extinguisher for each 2,000 square feet or fraction thereof.
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Observations
Based on an observation during the physical plant inspection the facility failed to maintain a portable fire extinguisher with a minimum of an ABC rating, as required.
The findings include:
A physical plant inspection was conducted on September 16, 2014.
The facility failed to maintain a portable fire extinguisher with a minimum of an ABC rating in the men's wing on the first floor.
These findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
The request for capacity increase request has been rescinded and this space will not be utilized for clients. |