INITIAL COMMENTS
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This report is a result of an initial, on-site, licensing inspection conducted on June 12, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, Axiom Family Counseling Services, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.The following deficiencies were identified.
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Plan of Correction
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705.28 (a) (1) (i) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(i) Ensure that stairways, hallways and exits from rooms and from the nonresidential facility are unobstructed.
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Observations
During the physical plant inspection conducted on June 12, 2017, a double key lock was located on the front entrance door to the facility leading into the vestibule, and also on the door leading from the vestibule into the waiting area. These findings were reviewed with the facility staff during the initial physical plant inspection.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
705.28 (a) (1) (iv) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iv) Clearly indicate exits by the use of signs.
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Observations
Based on a physical plant inspection on June 12, 2017, the facility failed to clearly indicate exits by the use of signs. There was no exit sign posted showing where to exit the office suite into the room where the actual exit was located. These findings were reviewed with the facility staff during the initial physical plant inspection.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |