INITIAL COMMENTS
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This report is a result of an on-site licensing inspection conducted on April 11 2012, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site licensing inspection, Child Guidance Resource Centers 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 (5) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential facility shall:
(5) Ventilate bathrooms by exhaust fan or window.
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Observations
Based on a physical plant tour, the facility failed to ventilate the staff bathroom by an exhaust fan or window.
The findings include:
Based on a physical plant tour on April 11, 2012, the facility failed to have a working exhaust fan or window in the staff bathroom.
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Plan of Correction
A Facility Request was made on 4/23/12 to the CGRC Facility Manager to repair exhaust fan in 1st floor restroom.
Facilities Manager confirmed receipt of request and fan to get repaired ASAP. |
705.29 (2) (iii) LICENSURE Child care.
705.29. Child care.
When a nonresidential facility admits children for services or for custodial care, the following requirements apply:
(2) Interior space. The nonresidential facility shall:
(iii) Maintain protective caps over each electrical outlet.
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Observations
The facility failed to ensure that all outlets in the child care area, that were not in use, were equipped with child proof caps.
The findings include:
During the physical plant inspection on April 11, 2012, the project failed to have protective caps over the electrical outlets in two counseling rooms that provided service to children.
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Plan of Correction
A request to CGRC Purchasing Department was made on 4/23/12 to purchase child proof outlet caps for all rooms/offices.
Once order is received by Friday, 4/27 caps will be installed.
Effective, Friday, 4/27/12, outlet covers were installed in all outlets in every room and waiting room(s). Environment of Care committee chair notified. Environment of Care committee representative has been assigned to check and replace all missing outlet covers on a weekly basis. If oulet covers have been removed, the covers will be replaced immediately. |
709.94(c) LICENSURE Project management services
709.94. Project management services.
(c) A telephone number shall be displayed conspicuously to the general public for emergency purposes.
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Observations
Based on a physical plant inspection, the facility failed to display a telephone number for the general public for emergency purposes.
The findings include:
An inspection of the physical plant on April 11, 2012, confirmed the project failed to display a telephone number in view for the general public for emergency purposes.
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Plan of Correction
Effective 4/25/12, telephone number and instructions posted for emergency purposes on front window/door of agency.
The permanent posting of this information will be checked weekly by Administrative Director of OPS services or her desginee to ensure that the general public has access to a telephone number for emergency purposes at all times. |