INITIAL COMMENTS
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This report is a result of an on-site follow-up inspection conducted on July 14, 2017, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Tradition House was found to be not 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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705.2 (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.
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Observations
A physical plant inspection was conducted on July 14, 2017. The facility failed to keep the building exterior free of hazards.
A broken metal pipe, with a sharp, jagged edge was protruding from the North side of the building, near the front porch.
This information was reviewed with the facility staff during the licensing inspection.
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Plan of Correction
The metal pipe was removed on July 17,2017 and was replaced with concrete to fill the hole that remained. Maintenance will maintain routine checks of the building and exterior grounds to monitor for hazardous issues. The risk management team will maintain monthly checks as well, of the buildings and grounds and report any issues during the monthly corporate risk meetings. |
705.6 (3) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120F.
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Observations
A physical plant inspection was conducted on July 14, 2017. The facility failed to keep the hot water temperature below 120 degrees.
The hot water in the basement restroom was measured at 130.2 degrees.
This information was reviewed with the facility staff during the licensing inspection.
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Plan of Correction
On 7/14/2017, maintenance turned down the water temperature and it was regulated to 120 degrees. It was then rechecked on 7/15/2017 and maintained the required temperature. Maintenance has been monitoring the hot water temperatures consistently and it has been regulated to 120 degrees. Maintenance will continue to monitor this regularly and make necessary adjustments as needed to ensure correct temperatures are maintained for safety. |
705.7 (b) (5) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(5) Keep cold food at or below 40F, hot food at or above 140F, and frozen food at or below 0F.
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Observations
A physical plant inspection was conducted on July 14, 2017. The facility failed to keep cold food at or below 40 degrees.
The refrigerator near the laundry area in the basement was measured at 50 degrees.
This information was reviewed with the facility staff during the licensing inspection.
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Plan of Correction
The refrigerator was replaced on 7/17/17, due to inability to maintain proper temperatures. BH Tech staff will monitor refrigerator and freezer temps daily to ensure correct tempts are maintained. There is a temp log on the front of each refrigerator to document the temps. BH Tech staff will contact maintenance immediately if a refrigerator/freezer is not maintaining necessary temperatures. |
705.10 (c) (3) LICENSURE Fire safety.
705.10. Fire safety.
(c) Fire extinguisher. The residential facility shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection shall be indicated on the extinguisher or inspection tag. If a fire extinguisher is found to be inoperable, it shall be replaced or repaired within 48 hours of the time it was found to be inoperable.
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Observations
A physical plant inspection was conducted on July 14, 2017.
During this inspection, the fire extinguisher in the second floor hallway had a tag that was dated September 2016.
This information was reviewed with the facility staff during the licensing inspection.
This is a repeat citation.
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Plan of Correction
On July 20,2017, the fire extinguisher was replaced and is presently up to date. |