INITIAL COMMENTS
|
This report is a result of a physical plant capacity increase conducted on May 24, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Gaudenzia Together House 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:
|
Plan of Correction
|
705.2 (2) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
|
Observations
Based on observation during a physical plant inspection, the facility failed to keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.
The findings include:
On May 24, 2012, a physical plant inspection was conducted at approximately 10:30 AM.
It was observed that the hallway in the vicinity of the counseling offices had stained/ water damaged ceiling tiles.
The Facility Director confirmed the findings.
|
Plan of Correction
These ceiling tiles in addition to any other ceiling tiles that appeared to have water damage have been replaced. Program Director will be responsible for completing weekly inspections for supervisory follow-up. Division Director will be responsible for ongoing monthly oversight and inspections. |
705.4 (2) LICENSURE Counseling areas.
705.4. Counseling areas.
The residential facility shall:
(2) Maintain counseling areas with furnishings which are in good repair.
|
Observations
Based on observation during a physical plant inspection, the facility failed to maintain counseling areas with furnishings which are in good repair.
The findings include:
On May 24, 2012, a physical plant inspection was conducted at approximately 10:30 AM.
It was observed that two out of two offices in the the counseling area, had stained/ water damaged ceiling tiles.
The Facility Director confirmed the findings.
|
Plan of Correction
These ceiling tiles in addition to any other ceiling tiles that appeared to have water damage have been replaced. Program Director will be responsible for completing weekly inspections for supervisory follow-up. Division Director will be responsible for ongoing monthly oversight and inspections. Full compliance will be met 6/15/2012. |
705.6 (7) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(7) Maintain each bathroom in a functional, clean and sanitary manner at all times.
|
Observations
Based on observation during a physical plant inspection, the facility failed to maintain each bathroom in a functional, clean and sanitary manner at all times.
The findings include:
On May 24, 2012, a physical plant inspection was conducted at approximately 10:30 AM.
The facility failed to maintain each bathroom in a functional, clean and sanitary manner at all times.
The sixth floor has two resident bathrooms.
It was observed in one of the bathrooms that two out of two showers were out of order.
The Facility Director confirmed the findings. He stated that one shower leaked to the floor below, and the other shower was being repaired at the time of inspection.
|
Plan of Correction
Both of these showers have been repaired and are in good working order. Program Director will be responsible for supervisory follow up and weekly inspection. Division Director will be responsible for ongoing oversight. Full compliance will be met as of 6/15/2012/ |