INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on January 10, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, Jade Wellness LLC 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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705.24 (5) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential facility shall:
(5) Ventilate bathrooms by exhaust fan or window.
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Observations
The facilty failed to ventilate the women's bathroom by exhaust fan or window based on an initial physical plant inspection conducted on January 10, 2017 at approximately 9:15 AM.
The findings were reviewed with facility staff during the initial 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) (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
The facility failed to ensure that exits were unobstructed based on an initial physical plant inspection conducted on January 10, 2017 at approximately 9:15 AM.
The hallway door leading to the front lobby emergency exit was observed to have a keyed lock on the door. Another hallway door leading to the second emergency exit was observed to have a double keyed deadbolt lock. These locks would prevent these exit doors from being operable at all times.
The findings were reviewed with facility staff during the initial 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
The facility failed to clearly indicate exits by the use of signs based on an initial physical plant inspection conducted on January 10, 2017 at approximately 9:15 AM.
The second emergency exit door did not have an exit sign posted.
The findings were reviewed with facilty staff during the initial 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. |