INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 3, 2025 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Central Outreach Resource and Referral 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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705.28 (d) (5) LICENSURE Fire safety.
705.28. Fire safety.
(d) Fire drills. The nonresidential facility shall:
(5) Prepare alternate exit routes to be used during fire drills.
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Observations
Based on the review of the facility's fire drill log for the months of September 2024 through August 2025, the facility failed to prepare alternate exit routes to be used during fire drills. All logs indicated only the front door was utilized.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Plan of Correction
Central Outreach Center has created the following plan of correction to deficiencies705.28 found during a site licensure renewal inspection conducted on 09/03/2025
The Program Director will ensure that fire drills log book will state the exit door to be taken during fire drills.
To ensure that this does not recur, the Program Director will review fire drill log book monthly and, on each page, will be set up to show that on every other Month fire dill log book will show which exit to take, one month it will show to take the Dock exit that leads out to the parking lot, and the next Month it will show to take the hallway exit to the parking lot. This will create a every other Month pattern so this will not reoccur.
FIRE DRILL LOGBOOK
CENTRAL OUTREACH CENTER
Building number:
Building Occupants: Building Contact:
Facility Information
1860 Centre Ave 15219
Suite 4
Armstrong Development
Drill Information
Date:
Phone: Phone:
412-381-1122
412-471-9806 Office
Total evacuation time:
Total Occupants Evacuated:
Was 911 called by occupants? Yes No
Were doors closed and unnecessary equipment shut off? Yes No
Did magnetic door releases work? Yes, No N/A
Was an alarm sounded for the drill? Yes No
Were alarm notification devices working properly (horns/strobes/Whistle)? Yes, No
The front Door to the Hallway was used this month 10/02/25: Yes- No-
The side Door to the Dock was used this Month: Yes- No-
Did all occupants evacuate the building? Yes No
If not, note room numbers:
Effectiveness Rating of Drill Personnel Response
Effectiveness of Procedures Speed of Evacuation Communications during drill
Good Fair Poor
Additional comments:
Witnessed by: Title: Report completed by
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709.22 (c) LICENSURE Governing Body
§ 709.22. Governing body.
(c) If a facility is publicly funded, the governing body shall make available to the public an annual report which includes, but is not limited to, a statement disclosing the names of officers, directors and principal shareholders, when applicable.
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Observations
Based on a review of the facility annual report, the governing body failed to make available an annual report to include a statement disclosing the names of officers, directors and principal shareholders for 2024
These findings were reviewed with facility staff during the licensing process.
This is a repeat citation from the September 3, 2024 annual licensing inspection.
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Plan of Correction
Plan of Correction
Central Outreach Center has created the following plan of correction to deficiencies705.28 found during a site licensure renewal inspection conducted on 09/03/2025
The Program Director will ensure that the governing will be included in the annual report.
To ensure that this does not recur, the Program Director and the Broad President will work together to ensure that the governing body which is the Board of Director that a statement of disclosing the names of officers, directors and principal shareholders for 2025 Annual Report yearly on our website and our Facebook page.
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