INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on April 28, 2021 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, MedMark Treatment Centers - Greensburg was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.22 (2) LICENSURE Building exterior and grounds.
705.22. Building exterior and grounds.
The nonresidential 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 clients, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
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Observations
During the complaint investigation on April 28, 2021, the Program Representative was put in a group room to work and it was observed that there were several tiles that have major water stains and a light fixture that also showed water damage. There was one major leakage on one of the tiles where it appears that the tile is starting to cave in.
The findings were reviewed with facility staff during the investigation.
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Plan of Correction
The Facility Director will contact the Landlord of the building to inspect the roof for current leaks, as the roof was replaced 2 years ago, and repair any areas that are of concern currently. Additionally, the Facility Director will contact our maintenance company to replace all stained ceiling tiles and the light fixture. The Facility Director will ensure ongoing compliance when completing our internal building inspections quarterly. |
705.23 (2) LICENSURE Counseling or activity areas and office space
705.23. Counseling or activity areas and office space.
The nonresidential facility shall:
(2) Maintain counseling areas with furnishings which are in good repair.
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Observations
During the complaint investigation on April 28, 2021, the Program Representative was put in a group room to work and it was observed that there were several broke chairs throughout the room. There were nails hanging out the backs of the chairs and there were nails on the floor that had fallen off the back of other chairs. One chair in particular wheel feel off when the Program Representative took a seat.
The findings were reviewed with facility staff during the investigation.
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Plan of Correction
The Facility Director will dispose of all broken chairs. We will replace all chairs that were discarded. The Facility Director will ensure ongoing compliance by inspecting the chairs regularly when our quarterly internal inspections of the building takes place. |